Uses of bivolcard 5

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1. Effects and indications of Bivolcard 5

Bivolcard 5mg drug with the main ingredient Nebivolol is used in the following cases:
Active ingredient Nebivolol belongs to the group of beta-blockers, the mechanism of action is by blocking the effects of natural substances in the body on the heart and vessels. blood. Helps reduce heart rate, reduce stress on the heart and stabilize blood pressure for patients. Bivolcard 5 is used to treat high blood pressure, prevent stroke, heart attack, and kidney-related problems.

2. Contraindications to using Bivolcard 5

Bivolcard 5 should not be used in the following cases:
Hypersensitivity, allergy to Nebivolol (as Nebivolol HCl) or other active ingredients in the drug. The patient has liver failure. Liver dysfunction. Patients with cardiovascular diseases such as: acute heart failure, decompensated heart failure, cardiogenic shock. Conduction disturbances in the sinus node Grade 2 or 3 heart block without a pacemaker. History or history of bronchospasm/bronchial asthma. Adrenal myeloma. Metabolic acidosis. Bradycardia (heart rate < 60 beats/min) Hypotension (systolic blood pressure < 90 mmHg). Severe peripheral circulatory disorders.

3. How to use Bivolcard 5mg

3.1. How to take Nebivolol is taken orally. The patient should take the tablet whole with water. Do not chew, break or crush the tablet.
In addition, in case the patient often vomits when taking the drug, it is possible to take the drug with food to avoid vomiting when taking the drug.
3.2. Dosage The usual dose of Nebivolol will depend on the severity of the disease, medical condition and age of the patient.
Treatment of hypertension:
Adults: The maximum dose is 5mg/day. Use Nebivolol for 1 to 4 weeks as prescribed by your doctor. Combination of Nebivolol with other antihypertensive drugs: Use a combination of 5mg Bivolcard and 12.5-25mg Hydrochlorothiazide daily. Patients with severe renal impairment:
The starting dose is 2.5mg/day. However, in special cases it can be increased to 5mg/day. Elderly people aged 65-10 years:
In this case, there are limited safety data, so it should be used with caution and with frequent monitoring of the patient.
The starting dose is 2.5mg/day and the maximum dose is 5mg/day. For patients > 75 years of age, Bivolcard dosage should be prescribed by a specialist. For children:
Safety and effectiveness for use in children from birth to 18 years of age have not been established. Bivolcard may cause long-term fertility side effects. Therefore, nebivolol is not recommended for use in children < 18 years of age.

4. What are the side effects of Bivolcard 5?

Below are the possible side effects when taking Bivolcard 5mg medicine. However, not all patients taking the drug experience these side effects.
Heart beat slow , irregular . Numbness/cold feeling in hands and feet. Shortness of breath. Swollen ankles and feet. Headache Fatigue Nausea Stomach pain Diarrhea Difficulty sleeping or insomnia Low blood pressure Nightmares Depression Depression Decreased vision, dry eyes, toxicity on eye mucosa Bronchospasm Itching Rash, skin erythema Impotence Syncope Worsening psoriasis Angioedema Angioedema Hypersensitivity reactions Psychiatric disorders In addition, some other effects not listed. During use, if the patient experiences any unwanted effects, please contact your doctor or go to the nearest medical facility for timely treatment.

5. Drug interactions of Bivolcard 5 with other drugs

Combining Nebivolol with some other drugs may have drug interactions, specifically:
Combined use of Nebivolol with quinidine, hydroquinidine, cibenzolin, flecainide, disopyramide, lidocaine, mexiletin, propafenone belonging to the group of anti-inflammatory drugs. Class I arrhythmias, may have increased effects on atrioventricular conduction time and increased myotropic (-). Amiodarone class III antiarrhythmic drug. Administration of Nebivolol with calcium channel blockers of the Verapamil/Diltiazem class will have a negative effect on contractility and atrioventricular conduction. Concomitant administration of nebivolol with centrally acting antihypertensive drugs such as clonidine, guanfacin, moxonidine, methyldopa, rilmenidin, may aggravate heart failure by reducing CNS tone. Juice. The muscle relaxant Baclofen. Drugs used to treat diabetes. Insulin Inhalation anesthetic. The cancer drug Amifostin. Digitalis glycosides. Non-steroidal anti-inflammatory drugs (NSAIDs): Ibuprofen, Aspirin... In addition, Bivolcard 5 has the potential to interact with some sedatives and antidepressants such as: Phenothiazines, Barbiturates, tricyclic antidepressants, vitamins, health foods, pharmaceuticals,...
To ensure safety when using drugs, patients need to list with their doctors a list of drugs they are using to have the most appropriate treatment.

6. Notes and cautions when using Bivolcard 5

Patients need to carefully read the instructions for use of the drug attached to the product or follow the instructions from the doctor or pharmacist who prescribes it. Whether the use of the drug is effective quickly or slowly will depend a lot on the body of each person. When using the medicine, make sure that the medicine is still within its expiry date. If you are being treated for chronic heart failure or on long-term medication, you should not suddenly stop taking your medication. Because this can make the condition worse. Dosage should be reduced by 1⁄2 if the drug must be stopped. In case the patient has severe hypotension, cardiogenic shock/bradycardia, acute pulmonary edema... the patient can stop using the drug immediately. Patients with liver disease / impaired liver and kidney function are not recommended to use Bivolcard 5. For the elderly using Bivolcard 5, it is necessary to have a prescription for medication and close monitoring from a specialist. In case of surgery, patients need to stop Bivolcard 5 for at least 24 hours and monitor some anesthetic drugs that can lead to heart failure. Patients with ischemic heart disease need to stop using the drug for 1 to 2 weeks. The use of Bivolcard 5 and other beta-blockers has the potential to reduce the risk of arrhythmias in the setting of intubation or anesthesia. When using Bivolcard 5 can prolong the time and increase the number of times of Prinzmetal angina in patients. If using the drug Bivolcard 5 accompanied by manifestations of erratic bradycardia and decreased pulse rate to 50-55 beats / min. At this point, the patient needs to reduce the dose of the drug. People with peripheral circulatory disorders need to be careful when using Bivolcard 5. People with diabetes, hyperthyroidism need to be careful when using Bivolcard. Because when taking the drug, it will be able to mask some symptoms of hypoglycemia, hyperthyroidism such as: tachycardia, palpitations, ... In case women are pregnant, they should not use Bivolcard, except in the case of pregnant women. prescribed by medical professionals. When using the drug during pregnancy, there may be serious side effects such as slowing down the development of the fetus, stillbirth in the uterus, premature birth, decreased blood flow through the placenta. Do not use Bivolcard for women who are breastfeeding. Because, the drug is likely to be excreted in breast milk to infants. It can lead to poisoning, slow heart rate and low blood sugar. Because of the side effects of the drug can cause headache, dizziness, Bivolcard should be used with caution when driving or operating machinery. The above is useful information summarized about Bivolcard 5 drug line. Patients need to carefully read the instructions for use of the drug and strictly follow the instructions from the doctor, pharmacist to get good drug effect. best.
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