Bisofig D 5mg Tab

BISOFIG D 5MG TABLET by CIPLA LTD

Name

• Brand Name: BISOFIG D 5MG TABLET
• Common Name: Bisoprolol Fumarate and Dapagliflozin Tablets

Composition

Each tablet contains Bisoprolol Fumarate 5mg and Dapagliflozin 10mg.

Uses

BISOFIG D 5MG TABLET is prescribed for the treatment of type 2 diabetes mellitus in patients who also have high blood pressure or cardiovascular risks. It helps in controlling blood sugar levels, reducing strain on the heart, and preventing complications associated with type 2 diabetes and cardiovascular disease.

Dosage and Administration

This medicine should be taken as directed by your doctor. Typically, one tablet is taken once daily, with or without food. The tablet should be swallowed whole with a glass of water and should not be cut, broken, or chewed. For optimal results, it is best to take it at a fixed time each day. Do not exceed the prescribed dose.

Side Effects

Common side effects may include fatigue, dizziness, headache, and a frequent urge to urinate. Other reported side effects are vaginal yeast infections, nasopharyngitis, and urinary tract infections. If taken with other diabetes medications, there is a possibility of low blood sugar (hypoglycemia). Consult your doctor if these side effects persist or worsen.

Precautions

BISOFIG D 5MG TABLET should be used with caution in patients with kidney disease, and it may not be suitable for individuals with moderate to severe kidney issues. It is generally not recommended during pregnancy as it may harm the unborn baby, and caution is advised during breastfeeding. Alcohol consumption should be avoided as it can affect blood sugar levels and blood pressure. Do not stop taking the medicine suddenly, especially if you have high blood pressure or heart conditions, as this can worsen these conditions. Inform your doctor about any existing medical conditions such as diabetes, thyroid issues, blood circulation problems, or respiratory problems like asthma.

Storage

BISOFIG D 5MG TABLET should be stored at room temperature, protected from moisture and heat. Keep the medicine out of reach and sight of children and pets.

Here are frequently asked questions about BISOFIG D 5MG TAB, a medication containing Bisoprolol and Dapagliflozin.

What is BISOFIG D 5MG TAB used for?

BISOFIG D 5MG TAB is a combination medication primarily used to treat type 2 diabetes mellitus in patients who also have high blood pressure or other cardiovascular risks. It helps manage blood sugar levels, reduces strain on the heart, and can be used in managing heart failure with reduced ejection fraction (HFrEF) and hypertension.

How does BISOFIG D 5MG TAB work?

This medicine contains two active ingredients: Bisoprolol and Dapagliflozin. Bisoprolol is a beta-blocker that works by slowing down the heart rate, reducing the heart's workload, and consequently lowering blood pressure. Dapagliflozin is a Sodium-Glucose Cotransporter-2 (SGLT2) inhibitor. It helps the kidneys remove excess glucose and sodium (along with water) from the body through urine, which helps lower blood sugar, reduces the heart's workload, and provides kidney protective effects.

What is the usual dosage for BISOFIG D 5MG TAB?

BISOFIG D tablets are typically taken once daily, preferably in the morning. The specific strength of BISOFIG D 5MG TAB generally indicates 5mg of Bisoprolol Fumarate, often combined with 10mg of Dapagliflozin (e.g., Bisofig D 10mg/5mg). Your doctor will determine the appropriate dose for your condition, which may be adjusted based on your response and tolerance.

What are the possible side effects of BISOFIG D 5MG TAB?

Common side effects can include dizziness, fatigue, frequent urination, and urinary tract infections. Other possible side effects are low blood sugar (especially if taken with other diabetes medications), slow heart rate (bradycardia), low blood pressure (hypotension), cold hands or feet, thirst, and dry mouth. More serious but rare side effects associated with dapagliflozin include diabetic ketoacidosis and Fournier's gangrene.

Is BISOFIG D 5MG TAB safe during pregnancy or breastfeeding?

BISOFIG D 5MG TAB is generally not recommended during pregnancy due to limited information on dapagliflozin's use and potential risks to the baby, such as lower blood sugar or effects on kidney development. For breastfeeding, dapagliflozin is usually not recommended as it could lower the baby's sugar level and affect kidney development. Bisoprolol can pass into breast milk in small amounts, and while some information suggests low levels in milk with a maternal dose of 5mg daily, other beta-blockers might be preferred. It's crucial to consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

Can BISOFIG D 5MG TAB be taken with other medications?

There are several potential drug interactions. Combining BISOFIG D with other beta-blockers or certain antiarrhythmic drugs is generally not recommended. Caution is advised when taken with diuretics, insulin, or sulfonylureas, as it can increase the risk of dehydration, hypotension, or hypoglycemia, respectively. Non-steroidal anti-inflammatory drugs (NSAIDs) may reduce the effectiveness of dapagliflozin and can interact with bisoprolol. Always inform your doctor or pharmacist about all medications, supplements, and herbal products you are taking.

What precautions should be taken while taking BISOFIG D 5MG TAB?

This medication should not be used if you have type 1 diabetes mellitus or for treating diabetic ketoacidosis. Exercise caution if you have kidney or liver impairment, a heart block, severe bradycardia, or cardiogenic shock. Regular monitoring of blood sugar and blood pressure is important. Stay well-hydrated to prevent dehydration. Do not stop taking the medicine suddenly without consulting your doctor, as abrupt discontinuation, especially of bisoprolol, can worsen heart conditions or blood pressure. The medication may cause dizziness or fatigue, so be cautious when driving or operating machinery.

What happens if a dose of BISOFIG D 5MG TAB is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you frequently miss doses, speak to your doctor or pharmacist for advice.

How should BISOFIG D 5MG TAB be stored?

Store BISOFIG D 5MG TAB in its closed container at room temperature, away from excessive heat, moisture, and direct light. Ensure it is kept out of the reach of children.