Country: Australia
Language: English
Source: Department of Health (Therapeutic Goods Administration)
bisoprolol fumarate
Fair-Med Healthcare Australia Pty Ltd
Bisoprolol fumarate
Registered
BEPROL TM 1.25, 2.5, 3.75, 5, 7.5 & 10 CONSUMER MEDICINE INFORMATION Bisoprolol fumarate film-coated tablets WHAT IS IN THIS LEAFLET This leaflet answers some common questions people ask about BEPROL. It does not contain all of the available information. It does not take the place of talking to your doctor or pharmacist. All medicines have risks and benefits. Your doctor has weighed the risks of you taking BEPROL against the benefits they expect it will have for you. IF YOU HAVE ANY CONCERNS ABOUT TAKING THIS MEDICINE, TALK TO YOUR DOCTOR OR PHARMACIST. Keep this leaflet with the medicine. You may need to read it again. WHAT BEPROL IS USED FOR BEPROL is used to treat heart failure. It is usually used in combination with other medicines. Heart failure occurs when the heart muscle is weak and unable to pump enough blood to supply the body's needs. Heart failure may start off with no symptoms, but as the condition progresses patients may feel short of breath and notice swelling of the feet and ankles due to fluid build up. BEPROL belongs to a group of medicines called beta-blockers. These medicines work by affecting the body's response to some nerve impulses, especially in the heart. As a result, it decreases the heart's need for blood and oxygen and therefore reduces the amount of work the heart has to do. BEPROL also slows your heart rate, which in turn increases the efficiency of your heart. BEPROL can help to reduce the number of heart failure episodes needing hospital admission and also the risk of sudden death. Your doctor may have prescribed BEPROL for another reason. ALWAYS ASK YOUR DOCTOR IF YOU NEED MORE INFORMATION. BEPROL is not recommended for use in children, as the safety and efficacy in children have not been established. BEPROL is available only with a doctor's prescription. There is no evidence that BEPROL is addictive. BEFORE YOU TAKE IT TELL YOUR DOCTOR IF YOU HAVE ANY OF THE FOLLOWING CONDITIONS OR IF YOU HAVE EVER EXPERIENCED ANY OF THESE CONDITIONS. _WHEN YOU MUST NOT TAKE IT: _ _ _ DO NOT TAK Read the complete document
Page 1 of 15 PRODUCT INFORMATION BEPROL 1.25, 2.5, 3.75, 5, 7.5 & 10 FILM-COATED TABLETS NAME OF THE MEDICINE Active ingredient: Bisoprolol fumarate Chemical name: (2RS)-1-[4-[[2-(1-methylethoxy)ethoxy] methyl]phenoxy]-3-[(1- methylethyl) amino]propan-2-ol fumarate CAS number: [104344-23-2] Molecular weight: 767 Molecular formula: C 40 H 66 N 2 O 12 Chemical structure: _ _ _ _ DESCRIPTION Bisoprolol fumarate is a white or almost white powder, slightly hygroscopic powder. It is very soluble in water, freely soluble in methanol. BEPROL is available as tablets containing 1.25, 2.5, 3.75, 5, 7.5 & 10 mg of bisoprolol fumarate. BEPROL tablets contain the following inactive ingredients: microcrystalline cellulose, calcium hydrogen phosphate, colloidal anhydrous silica, crospovidone, magnesium stearate and opadry white PHARMACOLOGY PHARMACODYNAMICS Bisoprolol is a β 1 -selective-adrenoceptor blocking agent, lacking intrinsic stimulating and relevant membrane stabilising activity. It only shows very low affinity to the β 2 -receptor of the smooth muscles of bronchi and vessels as well as to the β 2 -receptors concerned with metabolic regulation. Therefore, bisoprolol is generally not to be expected to influence the airway resistance and β 2 -mediated metabolic effects. Its β 1 -selectivity extends beyond the therapeutic dose range. However, its β 1 -selectivity is not absolute and at doses greater than the maximum recommended of 10 mg, bisoprolol may also inhibit β 2 -adrenoreceptors. The haemodynamic effects of bisoprolol are those that can be expected from β-adrenoceptor blockade. Besides the negative chronotropic effect resulting in a reduction in resting and Page 2 of 15 exercise heart rate there is, as shown in acute studies with iv administration, a fall in resting and exercise cardiac output with only little change in stroke volume, and a small increase in right atrial pressure at rest or during exercise. The decrease in cardiac output correlates with the heart rate reduction, and the observed increases in Read the complete document