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Besicor-C 5 Tablet
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Besicor-C 5 Tablet

Manufactured byAJANTA PHARMA LTD
ContainsBisoprolol (5 mg) + Cilnidipine (10 mg)
Description
Besicor-C 5 Tablet is a combination medicine used for the treatment of high blood pressure. Patients are advised to maintain a strict exercise and diet regimen along with this medicine for the best possible effect. This medicine is not recommended for use in patients below 18 years of age.
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Side effectsConcernsUsage

Side effects

Major & minor side effects for Besicor-C 5 Tablet

  • Body pain
  • Runny Nose and Cough
  • Headache
  • Sneezing
  • Chest discomfort
  • Diarrhea
  • Trouble sleeping
  • Dizziness
  • Increased heartbeat
  • Stomach pain
  • Dry mouth
  • Muscle pain

Uses of Besicor-C 5 Tablet

What is it prescribed for?

  • Hypertension
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The effect of this medicine can be observed within 2-4 hours of administration of the dose.
  • How long do the effects of this medicine last?
    The amount of time which this medicine remains active in the body is not clinically established.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as dizziness, lightheadedness, irregular heart rate, and fainting. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.
  • Is this a habit forming medicine?
    No habit-forming tendencies were reported.
  • Can this medicine be taken during pregnancy?
    This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may prescribe a safer alternative based on your clinical condition.
  • Can this medicine be taken while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue the drug or to discontinue breastfeeding based on your clinical condition.

Allergy

This medicine is not recommended for use in patients with a known allergy to bisoprolol, cilnidipine, other beta-blockers, or any other inactive ingredients present in the formulation.

Heart diseases

This medicine is not recommended for use in patients suffering from heart diseases such as a heart block greater than first degree, cardiogenic shock, sick sinus syndrome (without a permanent pacemaker in place), sinus bradycardia, etc. since it may worsen the patient's condition.

Bronchial asthma

This medicine is not recommended for use in people having a history of bronchial asthma and bronchospasm or any other condition in which the airway is obstructed due to the increased risk of worsening of the patient's condition.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may prescribe a safer alternative based on your clinical condition.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue the drug or to discontinue breastfeeding based on your clinical condition.
General warnings

Cardiac Failure

This medicine should be used with caution in patients suffering from heart diseases due to the increased risk of cardiac failure. Close monitoring of heart function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Major surgery

This medicine should be used with extreme caution in patients undergoing a major surgery due to the increased risk of severe adverse effects. Close monitoring of heart function is recommended for such patients. An appropriate anesthetic agent should be chosen to minimize the interaction as well as side effects.

Lung Diseases

This medicine is not recommended for use in patients suffering from obstructive lung diseases such as bronchial asthma, bronchospasm, or Chronic Obstructive Pulmonary Disease since it may worsen the patient's condition. Replacement with a suitable alternative should be considered under your doctor's supervision.

Diabetes

This medicine should be administered with caution in patients having elevated blood sugar levels. This medicine may mask certain symptoms of hypoglycemia which may cause serious adverse effects. Regular monitoring of blood glucose levels is necessary. An alternative treatment option should be considered in some cases based on the clinical condition.

Sports

It is advised to not indulge in certain sports while consuming this medicine. Archery, racing, shooting and other high-risk sports should be avoided. Sportspersons should refer to the list of banned medicines published by World Anti-Doping Agency while participating in specific sports events.

Hyperthyroidism

This medicine should be administered with caution in patients with increased thyroid levels. Abrupt withdrawal of this medicine may lead to a life-threatening condition called thyroid-storm. Frequent monitoring of thyroid levels is necessary. An alternative treatment option should be considered in some cases based on the clinical condition.

Use in Children

This medicine is not recommended for use in patients below 18 years of age since the safety and efficacy of use are not clinically established.

Drug Withdrawal

Abrupt discontinuation of this medicine may increase the risk of increased chest pain (angina). A gradual dose reduction is recommended to avoid these reactions. Do not stop the use of this medicine without consulting your doctor.

Driving or Operating machinery

Use of this medicine may cause blurred vision or dizziness in some patients. It is advised that you do not perform any activities such as driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.

Missed Dose

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as dizziness, lightheadedness, irregular heart rate, and fainting. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.
Interaction with Medicine

Alprazolam

Carbamazepine

Theophylline

Calcium channel blockers

Primaquine

Disease interactions

Glaucoma

This medicine should be administered with caution in patients suffering from glaucoma. A change in the dose of the current glaucoma medicine may be required in some cases. Replacement with a suitable alternative may be necessary based on the clinical condition.

Asthma

This medicine is not recommended for use in patients with bronchial asthma or chronic obstructive pulmonary disease since it may worsen the patient's condition. Replacement with a suitable alternative should be done under your doctor's supervision.

Heart Block

This medicine is not recommended for use in patients with a greater than first-degree heart block unless a permanent pacemaker is present due to the increased risk of worsening of the patient's condition. An alternative treatment option should be considered based on the clinical condition.

Congestive heart failure

This medicine should be used with extreme caution in patients with congestive heart failure since it may worsen the patient's condition. Close monitoring of blood pressure, electrolytes level, and heart function are recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Food interactions
Consumption of grapefruit juice is not recommended while taking this medicine due to the increased risk of adverse effects. Symptoms like dizziness, headache, swelling of hands and feet should be reported to the doctor on priority.
Lab interactions

Urinary vanillymandelic acid

Report the use of this medicine if you have been asked to undergo this test for the presence of adrenal gland tumor. Use of this medicine is likely to give false value that might be higher than normal.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.
Take this medicine as advised by your doctor. It can be taken with or without food. Do not take in larger amounts than prescribed. Consult the doctor if you experience any undesirable side effects. Ensure that the treatment course is completed. Do not stop the use of this medicine without consulting your doctor.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
Bisoprolol works by relaxing the blood vessels and slowing the heartbeat. Cilnidipine acts by blocking the influx of calcium (responsible for contraction of blood vessels) and causes relaxation, thereby promoting the smooth flow of blood. Their combination is thus effective in reducing the blood pressure.
Legal Status

Unknown

Unknown

Unknown

Unknown

Classification

Category

Antihypertensive combinations, Cardioselective beta blockers with calcium channel blocker

Schedule

Schedule H

DailyMed - Bisoprolol fumarate tablet [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 28 March 2017]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=4f20df45-3f9c-4a91-b394-e93a08111ec3

Cilnidipine | C27H28N2O7 - PubChem [Internet]. Pubchem.ncbi.nlm.nih.gov. 2017 [cited 23 March 2017]. Available from:

https://pubchem.ncbi.nlm.nih.gov/compound/cilnidipine#section=Top

[Internet]. Centaurpharma.com. 2017 [cited 16 November 2017]. Available from:

http://www.centaurpharma.com/newwebsite/downloads/CENTAPRES.pdf
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Information on this page was last updated on 4 Jun 2019

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