Bisoprolol refers to drugs that regulate the heart rhythm and this is not limited to its functions. Indications for bisoprolol are very broad, but the drug should be used strictly according to the scheme.
The main indications for the use of the drug Bisoprolol
The specific application of bisoprolol is due to the fact that this is a long process, which can not be abruptly interrupted. This adrenoblocker selective action, getting into the body, it selectively affects the beta receptors. As a result, we can distinguish such functions of the drug:
- hypotensive, that is, reducing blood pressure;
- antianginal (anti-ischemic);
- decrease in the conductivity of electrical excitation in the heart.
In the complex, long-term use of bisoprolol tablets allows to normalize the heart rhythm, prolonging diastole and lower the likelihood of a heart attack.
There are such indications for the use of bisoprolol:
- cardiac ischemia;
- hypertension of the arterial type;
- heart rhythm disturbances;
- heart failure ;
- angina pectoris.
Dosage and administration of bisoprolol
Since therapy with bisoprolol should be long-lasting, before you start using the drug, you should consider that you can not abruptly stop this process. In addition, in the first weeks after the start of treatment, regular medical advice is needed. During the therapy the patient should check the number of heartbeats (pulse) and blood pressure level several times a day, as there is a risk of a strong decrease in these indicators. Doctors highly recommend at least once a week to do a cardiogram.
The method of using bisoprolrolol does not cause any special difficulties for patients. The tablet is recommended to be taken in the morning on an empty stomach, washed down with a small amount of pure water. The interaction of the drug with food has not been sufficiently investigated, but the preliminary results showed no disruption in the action of tablets when taken with food.
The maximum allowable daily dose of Bisoprolol is 20 mg, but most often the drug is prescribed in an amount of 10 mg in a single dose. The course of treatment can last for years, it can be interrupted, gradually reducing the dose for several weeks.
If there are certain contraindications, or other diseases that make the use of bisoprolol risky, another therapy scheme may be prescribed. In the first week the patient takes 1.5 mg of the drug. In the second and third week - 3.5 mg of bisoprolol. Further the dosage gradually increases: 5 mg, 7.5 mg, 10 mg. After the daily dose reaches 10 mg, the treatment can last several weeks and even months, until it becomes possible to cancel the medication. In this case, the dose reduction is carried out by the reverse scheme, every week gradually reducing the amount of bisoprolol.
Contraindications to the use of Bisoprolol
This medication has a lot of contraindications. First of all, it can not be used during angina attacks and other abrupt violations of the heart. To start therapy can be after a few weeks after the stabilization of the patient. Absolute contraindications are such factors:
- atrioventricular block;
- sinoarthrioic blockade;
- bradycardia;
- hypotension;
- shock;
- weak sinus node;
- propensity to bronchospasm (asthma, emphysema, etc.);
- circulatory disorders.
The medicine is used with caution in kidney and liver diseases, diabetes, during pregnancy and lactation. In some cases (especially at the initial stage of therapy), the drug may affect the ability to drive and perform actions that require high accuracy.