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19 Dec 2019 | 03:18 PM (IST)
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Bisnorm 5mg/2.5mg Tablet

Prescription Required

Overview

Introduction

Bisnorm 5mg/2.5mg Tablet is a combination medicine used in the treatment of hypertension (high blood pressure). It works by relaxing the blood vessels and making the heart more efficient at pumping blood throughout the body.

You can take Bisnorm 5mg/2.5mg Tablet at any time of day, with or without food, but it is best to take it at the same time each day. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight and eating a healthy diet will also help control your blood pressure. Follow your doctor’s advice while taking this medicine.

It may cause side effects like headache, nausea, flushing (sense of warmth in the face, ears, neck and trunk), ankle swelling, and slow heart rate. It may also cause dizziness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. To reduce the swelling, raise your legs while sitting down. You may be asked for regular monitoring of blood pressure, kidney function, blood sugar level, and electrolytes level while on the treatment.

Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions.

Side effects of Bisnorm Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Bisnorm

  • Headache
  • Nausea
  • Tiredness
  • Sleepiness
  • Dizziness
  • Slow heart rate
  • Abnormal dreams
  • Swelling of legs
  • Cold extremities
  • Flushing (sense of warmth in the face, ears, neck and trunk)
  • Constipation
  • Ankle swelling
  • Edema (swelling)
  • Palpitations

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Tiredness
    Make sure you rest and drink plenty of fluids. Eat a well-balanced diet to keep your energy levels up. Do not drink too much alcohol. Do not drive or use tools or machinery until you feel better. Other things that can help include doing some gentle exercise every day, prioritizing and pacing your activities and having a short nap if you need to. If you are still having problems after a week, speak to your doctor, as they may want to change you to a different type of medicine.
  • Coping with Sleepiness
    If the medicine is making you drowsy during the day, stop what you are doing and sit or lie down until you feel better. You can also consider taking a nap. Physical exercises such as walking may be helpful. Do not drink alcohol, as it will make you feel more tired. Avoid driving or operating heavy equipment when you are feeling drowsy. This problem usually goes away as your body gets used to the medicine. However, if it does not, ask your doctor if you can take your medicine at bedtime or whether the dose can be reduced.
  • Coping with Dizziness
    This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better.
  • Coping with Slow heart rate
    Splash your face with cold water and breathe deeply. This will help you to relax. Exercise regularly, eat a healthy diet and maintain a healthy weight. Manage your blood pressure, cholesterol and blood sugar levels. Limit your alcohol intake or drink in moderation, do not smoke and manage your stress levels. If your condition does not improve, speak to your doctor as you may be offered a different type of medicine.
  • Coping with Abnormal dreams
    Try taking your medicine in the morning. If you have to take it more than once a day, speak to your doctor. To help yourself, try to go to bed and get up at the same time each day and reduce naps. Do some light exercise each day to tire yourself. Make sure the room is not too hot or too cold. Relax before bedtime by taking a bath or listening to music. Don't go to bed hungry. Try using earplugs. Meditation, deep breathing and relaxation exercises can also help. Talk to your doctor if you have tried these tips and they have not helped.
  • Coping with Cold extremities
    Keep your hands and feet warm by wearing gloves and warm socks. Try massaging and putting your hands or feet under warm water. Do not smoke or have drinks with caffeine as these can restrict blood flow to your hands and feet.
  • Coping with Flushing (sense of warmth in the face, ears, neck and trunk)
    Sip cold or iced drinks. Try cutting down on coffee, tea and alcohol. It might help to keep the room cool and use a fan. You could also spray cool water on your face. Wear layers of light clothing that you can easily take off if you overheat. Breathe deeply and try to relax. Have a lukewarm shower or bath instead of a hot one. Avoid smoking and cut down on alcohol. The flushing should go away after a few days. If it does not go away or causes problems, contact your doctor. There may be medicines that can help.
  • Coping with Constipation
    Try to eat foods which are high in fiber such as fresh fruits, vegetables and cereals to increase the bulk and consistency of bowel movements. Drink plenty of water or non-alcoholic drinks and stay hydrated to promote healthy digestion. Increasing physical activities such as walking, yoga and regular exercise can also be helpful. If your condition does not improve, you can ask your doctor to prescribe you laxative medicine.
  • Coping with Ankle swelling
    Keep your legs raised when you are sitting or lying down. Try to keep moving your legs and ankles by taking a short walk several times an hour, as standing still for too long can increase swelling. Avoid wearing tight-fitting clothes and do not cross your leg. Drink plenty of non-alcoholic fluids and avoid alcohol. Reduce the salt in your diet. Losing weight and performing leg exercises while sitting can also help reduce the swelling. Using compression socks may help relieve pain and prevent fluid collection in your legs, ankles and feet.
  • Coping with Palpitations
    If this happens regularly after you take your medicine, try to take the medicine at a time when you can sit or lie down when the symptoms are worse. It may help to cut down on alcohol, smoking, caffeine and big meals as these might make the problem worse. If you are still having problems after a week, speak to your doctor as you may be offered a different type of medicine.

How to use Bisnorm Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Bisnorm 5mg/2.5mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Bisnorm Tablet works

Bisnorm 5mg/2.5mg Tablet is a combination of two medicines: S-Amlodipine and Bisoprolol which lower blood pressure effectively. S-Amlodipine is a calcium channel blocker which works by relaxing blood vessels while Bisoprolol is a beta blocker that works specifically on the heart to slow down the heart rate. Together, they make the heart more efficient at pumping blood throughout the body.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Bisnorm 5mg/2.5mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Bisnorm 5mg/2.5mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
Bisnorm 5mg/2.5mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Bisnorm 5mg/2.5mg Tablet may cause side effects which could affect your ability to drive.
Kidney
CAUTION
Bisnorm 5mg/2.5mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Bisnorm 5mg/2.5mg Tablet may be needed. Please consult your doctor.
Regular blood pressure monitoring is advisable for dose adjustment.
Liver
CAUTION
Bisnorm 5mg/2.5mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Bisnorm 5mg/2.5mg Tablet may be needed. Please consult your doctor.
Bisnorm 5mg/2.5mg Tablet is started at a lower dose in these patients and further increased slowly with careful monitoring.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
No alternate brands found for this medicine

Quick Tips

  • You have been prescribed Bisnorm 5mg/2.5mg Tablet for the treatment of high blood pressure.
  • Lowering blood pressure reduces chance of future heart attack & strokes.
  • It may cause dizziness. Get up slowly when rising from a sitting or lying position.
  • Do not stop taking the medication suddenly without talking to your doctor as it can cause sudden increase in your blood pressure.
  • Let your doctor know if you are pregnant or planning for pregnancy.

Patient Concerns

arrow
Blood pressure 140/90 suggest a good medicine
Dr. Sfurti Mann
Internal Medicine
Tab amlopress 2.5mg daily once . Monitor bp
I am a patient of hypertension
Dr. Jyoti Kapoor Madan
Psychiatry
Hypertension is clinal condition of high blood pressure. Please see a physician.
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Disclaimer:

1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Amlodipine besilate. South Ruislip, Middlesex: Aurobindo Pharma - Milpharm Ltd.; 2011 [revised 11 Apr. 2018]. [Accessed 25 Apr. 2019] (online) Available from:External Link
  2. Drugs.com. Bisoprolol. [Accessed 25 Apr. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

309, 3rd Floor, Gupta Tower, Commercial Complex, Azadpur, Delhi, India - 110033
A licensed vendor partner from your nearest location will deliver Bisnorm 5mg/2.5mg Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
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