Drugplain

Bisoprolol 10 mg/1

Bisoprolol fumarate · TABLET, FILM COATED · Bryant Ranch Prepack

7 Recalls on Record
Plain English

Bisoprolol is a tablet, film coated containing bisoprolol fumarate at 10 mg/1, taken oral. Manufactured by Bryant Ranch Prepack.

Key Facts

Brand Name
Bisoprolol
Generic Name
Bisoprolol fumarate
NDC Code (Product)
63629-6907
Manufacturer
Bryant Ranch Prepack
Strength
10 mg/1
Dosage Form
TABLET, FILM COATED
Route
ORAL
Marketing Status
Application #
ANDA075474
Marketing Start
06/20/2019

Recall History

7 Recalls on Record
Class II01/21/2026

Unichem Pharmaceuticals USA Inc.

cGMP Deviations: recall due to not meeting the N-Nitroso Bisoprolol impurity specification limits.

OngoingVoluntary: Firm initiated
Class III11/21/2025

Glenmark Pharmaceuticals Inc., USA

Cross Contamination with Other Products: Testing of reserve samples showed presence of traces of ezetimibe

OngoingVoluntary: Firm initiated
Class II10/02/2017

Unichem Pharmaceuticals Usa Inc

Failed Impurities/Degradation Specifications: Out of Specification for an unknown impurity was observed during the 18 month stability testing.

TerminatedVoluntary: Firm initiated
Class III10/20/2023

Glenmark Pharmaceuticals Inc., USA

Failed Impurities/Degradation Specifications

TerminatedVoluntary: Firm initiated
Class II05/11/2015

Teva Pharmaceuticals USA

Failed Dissolution Specifications: OOS result during stability testing

TerminatedVoluntary: Firm initiated
Class II07/02/2013

Aidapak Services, LLC

Labeling: Label Mixup; BISOPROLOL FUMARATE Tablet, 5 mg may be potentially mislabeled as: ESTROPIPATE, Tablet, 0.75 mg, NDC 00591041401, Pedigree: AD34934_4, EXP: 5/10/2014.

TerminatedVoluntary: Firm initiated
Class II03/15/2021

Cardinal Health Inc.

CGMP Deviations: Intermittent exposure to temperature excursion during storage.

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

dyspnoea9,034 reports
acute kidney injury7,006 reports
fatigue7,003 reports
diarrhoea6,467 reports
nausea6,298 reports
dizziness6,103 reports
drug interaction5,707 reports
off label use5,553 reports
hypotension5,351 reports
fall5,290 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

INDICATIONS AND USAGE Bisoprolol fumarate tablets are indicated in the management of hypertension. It may be used alone or in combination with other antihypertensive agents.

Dosage & Administration

DOSAGE AND ADMINISTRATION The dose of bisoprolol fumarate tablets must be individualized to the needs of the patient. The usual starting dose is 5 mg once daily. In some patients, 2.5 mg may be an appropriate starting dose (see Bronchospastic Disease in WARNINGS ). If the antihypertensive effect of 5 mg is inadequate, the dose may be increased to 10 mg and then, if necessary, to 20 mg once daily. Patients with Renal or Hepatic Impairment In patients with hepatic impairment (hepatitis or cirrhosis) or renal dysfunction (creatinine clearance less than 40 mL/min), the initial daily dose should be 2.5 mg and caution should be used in dose-titration. Since limited data suggest that bisoprolol fumarate is not dialyzable, drug replacement is not necessary in patients undergoing dialysis. Geriatric Patients It is not necessary to adjust the dose in the elderly, unless there is also significant renal or hepatic dysfunction (see above and Geriatric Use in PRECAUTIONS ). Pediatric Patients There is no pediatric experience with bisoprolol fumarate tablets.

Warnings

WARNINGS Click here to enter Warnings Cardiac Failure Sympathetic stimulation is a vital component supporting circulatory function in the setting of congestive heart failure, and beta-blockade may result in further depression of myocardial contractility and precipitate more severe failure. In general, beta-blocking agents should be avoided in patients with overt congestive failure. However, in some patients with compensated cardiac failure it may be necessary to utilize them. In such a situation, they must be used cautiously. In Patients Without a History of Cardiac Failure Continued depression of the myocardium with beta-blockers can, in some patients, precipitate cardiac failure. At the first signs or symptoms of heart failure, discontinuation of bisoprolol fumarate tablets should be considered. In some cases, beta-blocker therapy can be continued while heart failure is treated with other drugs. Abrupt Cessation of Therapy Exacerbation of angina pectoris, and, in some instances, myocardial infarction or ventricular arrhythmia, have been observed in patients with coronary artery disease following abrupt cessation of therapy with beta-blockers. Such patients should, therefore, be c

Contraindications

CONTRAINDICATIONS Bisoprolol fumarate tablets are contraindicated in patients with cardiogenic shock, overt cardiac failure, second or third degree AV block, and marked sinus bradycardia.

Adverse Reactions

ADVERSE REACTIONS Safety data are available in more than 30,000 patients or volunteers. Frequency estimates and rates of withdrawal of therapy for adverse events were derived from two U.S. placebo-controlled studies. In Study A, doses of 5, 10, and 20 mg bisoprolol fumarate were administered for 4 weeks. In Study B, doses of 2.5, 10, and 40 mg of bisoprolol fumarate were administered for 12 weeks. A total of 273 patients were treated with 5-20 mg of bisoprolol fumarate; 132 received placebo. Withdrawal of therapy for adverse events was 3.3% for patients receiving bisoprolol fumarate and 6.8% for patients on placebo. Withdrawals were less than 1% for either bradycardia or fatigue/lack of energy. The following table presents adverse experiences, whether or not considered drug related, reported in at least 1% of patients in these studies, for all patients studied in placebo-controlled clinical trials (2.5-40 mg), as well as for a subgroup that was treated with doses within the recommended dosage range (5-20 mg). Of the adverse events listed in the table, bradycardia, diarrhea, asthenia, fatigue, and sinusitis appear to be dose related. Body System/Adverse Experience All Adverse Experi

Frequently Asked Questions

What is Bisoprolol used for?

Bisoprolol contains Bisoprolol fumarate. It is a tablet, film coated taken oral. Consult your doctor for specific uses.

Is Bisoprolol a controlled substance?

Bisoprolol is not classified as a controlled substance by the DEA.

What is the generic name for Bisoprolol?

The generic name for Bisoprolol is Bisoprolol fumarate. There are 10 other brand versions of Bisoprolol fumarate.

What is the NDC code for Bisoprolol 10 mg/1?

The NDC (National Drug Code) for Bisoprolol 10 mg/1 is 63629-6907, listed by Bryant Ranch Prepack.