Bisoprolol-hydrochlorothiazide Coupons & Savings Card – Discount Prices from $10.47

When using Ziac (bisoprolol/hydrochlorothiazide), it is crucial to be aware of specific safety considerations and warnings to ensure your health and well-being. Below are key points to help guide your usage of this medication:

• Do Not Stop Abruptly: If you have chest pain or heart disease, do not discontinue Ziac without consulting your healthcare provider, as stopping suddenly can exacerbate your condition. Gradual dose reduction under medical supervision is necessary to minimize risks such as serious heart complications including chest pain, heart attack, or irregular heartbeat.

• Heart Failure Risk: Beta blockers, including bisoprolol, may increase the risk of heart failure. Your healthcare provider will weigh the benefits against the risks before prescribing Ziac, especially if you have existing heart failure.

• Fluid and Electrolyte Changes: Ziac can lead to fluid loss and alter electrolyte balance, which may be problematic for individuals with liver issues. Monitor for signs of dehydration or liver complications.

• Blood Sugar Level Monitoring: For those with diabetes, Ziac may obscure symptoms of low blood sugar, such as rapid heartbeat and tremors. Be vigilant for sweating as it might be the sole indicator of hypoglycemia, and regularly check your blood sugar levels.

• Thyroid Conditions: If you have an overactive thyroid, consult your healthcare provider before discontinuing Ziac, as it can mask hyperthyroid symptoms and potentially lead to a thyroid storm if stopped suddenly.

• Breathing Issues: Inform your doctor if you have asthma or other breathing problems. Although Ziac mostly affects the heart, it can still exacerbate respiratory conditions. Keep a rescue inhaler accessible if you have lung issues.

• Peripheral Artery Disease (PAD): Notify your healthcare provider if you have PAD, as Ziac can worsen symptoms. Monitor for any changes in your condition.

• Vision and Eye Health: Hydrochlorothiazide in Ziac may occasionally cause glaucoma or increased eye pressure, leading to sudden vision changes or eye pain. Discontinue use and seek immediate medical attention if these symptoms occur to prevent possible permanent vision damage.

Consult your healthcare provider if you have any contraindications, such as a slow heart rate, heart block, cardiac shock, certain types of heart failure, inability to urinate, or sulfa allergy, as Ziac may pose serious health risks in these situations. Always discuss your full medical history and any concerns with your healthcare professional before starting or stopping this medication.

Common side effects:

• Dizziness
• Tiredness
• Headache
• Diarrhea
• Cough
• Stomach upset
• Trouble sleeping

Less common but important to monitor:

• Cold hands and feet
• Dehydration
• Electrolyte imbalances
• Unusual dry mouth
• Muscle cramps
• Irregular heartbeat
• Confusion

Serious side effects:

• Severe allergic reactions
• Rash
• Swelling
• Difficulty breathing
• Heart problems
• Chest pain
• Unexplained weight gain
• Eye issues
• Sudden visual changes
• Pain in eyes
• Signs of liver disease
• Kidney problems
• Infections

Interactions with high risk of serious adverse effects and should be avoided:

• Dofetilide

Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:

• Aceclofenac
• Digoxin
• Clonidine

Interactions with low risk that usually do not require a change in therapy:

• Aspirin
• Ibuprofen
• Lithium
• St John's wort