Ancor 10mg Tablet 1 Strip

✔️ Side Effects: Ancor

• Dizziness
• Fatigue
• Headache
• Slow heart rate (bradycardia)
• Nausea
• Diarrhea
• Constipation
• Cold hands and feet
• Low blood pressure
• Sleep disturbances
• Shortness of breath
• Rhinitis or upper respiratory symptoms

✔️ Ancor 10 should not be used in patients with:

• Cardiogenic shock
• Acute or overt decompensated heart failure
• Second- or third-degree atrioventricular (AV) block without a functioning pacemaker
• Marked sinus bradycardia
• Known hypersensitivity to bisoprolol or any of the tablet's ingredients

✔️ Adult Dosage | Ancor

For Hypertension:

• Usual starting dose: 5 mg once daily
• In some patients, 2.5 mg once daily may be an appropriate starting dose.
• If the response to 5 mg is insufficient, the dose may be increased to 10 mg once daily and, when necessary, up to 20 mg once daily, as directed by the physician.

For Heart Failure:
Treatment is generally started at a low dose and gradually increased according to tolerance:

• 1.25 mg once daily for 1 week
• 2.5 mg once daily for 1 week
• 3.75 mg once daily for 1 week
• 5 mg once daily for 4 weeks
• 7.5 mg once daily for 4 weeks
• 10 mg once daily thereafter

The maximum recommended dose for heart failure is 10 mg once daily.

Hepatic impairment: In severe liver impairment, treatment may be started at 2.5 mg daily. The maximum dose is generally 10 mg daily.

Renal impairment: In patients with significant renal impairment, a lower starting dose such as 2.5 mg daily may be considered under medical supervision.

Elderly patients: Dosage should be individualized according to the patient's condition, response, and tolerance.

✔️ Words of Advice:

• Ancor 10 may cause dizziness, especially when starting treatment. Rise slowly from a sitting or lying position.
• If you have diabetes, monitor your blood glucose regularly because bisoprolol may mask some symptoms of low blood sugar.
• Do not stop Ancor 10 suddenly without medical advice.
• Take the medicine at the same time each day for consistent treatment.
• Regularly check your blood pressure and heart rate as advised by your doctor.
• Seek medical attention if you experience severe breathing difficulty, fainting, unusually slow heartbeat, or worsening symptoms of heart failure.
• Consult your doctor before taking Ancor 10 during pregnancy or breastfeeding.

✔️ Use Ancor 10 with caution in patients with:

• Liver or kidney impairment
• A history of breathing difficulties or bronchospasm
• Circulatory disorders or peripheral vascular disease
• Diabetes mellitus
• Low blood pressure
• Slow heart rate
• Heart failure

Patients with diabetes should monitor their blood glucose regularly because beta-blockers can mask certain symptoms of hypoglycemia.

Do not discontinue Ancor 10 abruptly. The dose should generally be reduced gradually under medical supervision when treatment needs to be stopped.

Regular blood pressure and heart-rate monitoring is recommended to ensure that the medicine is working effectively and remains well tolerated.

✔️ Bisoprolol may interact with several medicines, including:

• Class I antiarrhythmic drugs such as quinidine, disopyramide, and propafenone, which may increase effects on cardiac conduction and contractility.
• Catecholamine-depleting medicines such as reserpine and guanethidine, which may cause excessive lowering of heart rate or blood pressure.
• Clonidine: stopping clonidine while taking a beta-blocker may increase the risk of rebound hypertension.
• Digitalis glycosides: may increase the risk of bradycardia and conduction abnormalities.
• NSAIDs: may reduce the blood-pressure-lowering effect of bisoprolol.

✔️ Precautions & Warnings

Bisoprolol should be used during pregnancy only when clearly indicated and after the potential benefits and risks have been evaluated by a doctor. It is not known with certainty whether bisoprolol passes into human breast milk. Breastfeeding patients should consult their doctor before using this medicine.

✔️ Storage:

Store Ancor 10 in a cool, dry place away from excessive heat, moisture, and direct sunlight. Keep it out of reach of children and use it before the expiry date.