Drugplain

bisoprolol fumarate and hydrochlorothiazide 10 mg/1

bisoprolol fumarate and hydrochlorothiazide · TABLET · Unichem Pharmaceuticals (USA), Inc.

4 Recalls on Record
Plain English

Bisoprolol Fumarate and Hydrochlorothiazide is a combination medication used to treat high blood pressure, containing a beta-blocker and a diuretic that work together to help lower blood pressure. This prescription tablet is taken by mouth and comes in a 10 mg/1 strength.

Key Facts

Brand Name
bisoprolol fumarate and hydrochlorothiazide
Generic Name
bisoprolol fumarate and hydrochlorothiazide
NDC Code (Product)
29300-189
Manufacturer
Unichem Pharmaceuticals (USA), Inc.
Strength
10 mg/1
Dosage Form
TABLET
Route
ORAL
Marketing Status
Application #
ANDA079106
Drug Class
Thiazide Diuretic [EPC]
Marketing Start
10/12/2010

Recall History

4 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 III10/20/2023

Glenmark Pharmaceuticals Inc., USA

Failed Impurities/Degradation Specifications

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

headache50 reports
fatigue44 reports
drug ineffective43 reports
nausea41 reports
pruritus39 reports
pain38 reports
hypertension37 reports
vomiting36 reports
rash33 reports
arthralgia31 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

INDICATIONS & USAGE Bisoprolol fumarate and hydrochlorothiazide tablets are indicated in the management of hypertension.

Dosage & Administration

DOSAGE & ADMINISTRATION Bisoprolol is an effective treatment of hypertension in once-daily doses of 2.5 to 40 mg, while hydrochlorothiazide is effective in doses of 12.5 to 50 mg. In clinical trials of bisoprolol/hydrochlorothiazide combination therapy using bisoprolol doses of 2.5 to 20 mg and hydrochlorothiazide doses of 6.25 to 25 mg, the antihypertensive effects increased with increasing doses of either component. The adverse effects (see WARNINGS ) of bisoprolol are a mixture of dose-dependent phenomena (primarily bradycardia, diarrhea, asthenia, and fatigue) and dose-independent phenomena (eg, occasional rash); those of hydrochlorothiazide are a mixture of dose-dependent phenomena (primarily hypokalemia) and dose-independent phenomena (eg, possibly pancreatitis); the dose- dependent phenomena for each being much more common than the dose-independent phenomena. The latter consist of those few that are truly idiosyncratic in nature or those that occur with such low frequency that a dose relationship may be difficult to discern. Therapy with a combination of bisoprolol and hydrochlorothiazide will be associated with both sets of dose- independent adverse effects, and to minimize

Warnings

WARNINGS Cardiac 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 these agents. In such situations, they must be used cautiously. 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 and hydrochlorothiazide tablets should be considered. In some cases bisoprolol fumarate and hydrochlorothiazide tablet therapy can be continued while heart failure is treated with other drugs. Abrupt Cessation of Therapy Exacerbations 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 cautioned against interruption or discontinuation of therapy without the physician’s advice. Even in patients without overt coronary artery disease, it may be advisable to taper therapy with bisoprolol

Contraindications

CONTRAINDICATIONS Bisoprolol fumarate and hydrochlorothiazide tablets are contraindicated in patients in cardiogenic shock, overt cardiac failure (see WARNINGS ), second or third degree AV block, marked sinus bradycardia, anuria, and hypersensitivity to either component of this product or to other sulfonamide-derived drugs.

Adverse Reactions

ADVERSE REACTIONS Bisoprolol fumarate and hydrochlorothiazide tablets Bisoprolol fumarate/HCTZ 6.25 mg is well tolerated in most patients. Most adverse effects (AEs) have been mild and transient. In more than 65,000 patients treated worldwide with bisoprolol fumarate, occurrences of bronchospasm have been rare. Discontinuation rates for AEs were similar for bisoprolol fumarate/HCTZ 6.25 mg and placebo-treated patients. In the United States, 252 patients received bisoprolol fumarate (2.5, 5, 10, or 40 mg)/HCTZ 6.25 mg and 144 patients received placebo in two controlled trials. In Study 1, bisoprolol fumarate 5/HCTZ 6.25 mg was administered for 4 weeks. In Study 2, bisoprolol fumarate 2.5, 10, or 40/HCTZ 6.25 mg was administered for 12 weeks. All adverse experiences, whether drug related or not, and drug related adverse experiences in patients treated with bisoprolol fumarate 2.5­ 10/HCTZ 6.25 mg, reported during comparable, 4 week treatment periods by at least 2% of bisoprolol fumarate/HCTZ 6.25 mg-treated patients (plus additional selected adverse experiences) are presented in the following table: a) Averages adjusted to combine across studies. b) Combined across studies. Other adv

Frequently Asked Questions

What is bisoprolol fumarate and hydrochlorothiazide used for?

Bisoprolol Fumarate and Hydrochlorothiazide is a combination medication used to treat high blood pressure, containing a beta-blocker and a diuretic that work together to help lower blood pressure. This prescription tablet is taken by mouth and comes in a 10 mg/1 strength.

Is bisoprolol fumarate and hydrochlorothiazide a controlled substance?

bisoprolol fumarate and hydrochlorothiazide is not classified as a controlled substance by the DEA.

What is the generic name for bisoprolol fumarate and hydrochlorothiazide?

The generic name for bisoprolol fumarate and hydrochlorothiazide is bisoprolol fumarate and hydrochlorothiazide. There are 8 other brand versions of bisoprolol fumarate and hydrochlorothiazide.

What is the NDC code for bisoprolol fumarate and hydrochlorothiazide 10 mg/1?

The NDC (National Drug Code) for bisoprolol fumarate and hydrochlorothiazide 10 mg/1 is 29300-189, listed by Unichem Pharmaceuticals (USA), Inc..