Bisoprolol and Hydrochlorothiazide Side Effects and Warnings

What are the precautions when taking this medicine?

• Do not run out of this medicine.

• Wear disease medical alert identification.

• If you have any circulation problems, talk with healthcare provider.

• If you have diabetes, talk with healthcare provider. This medicine can increase blood sugar.

• If you are diabetic and have low blood sugar, talk with healthcare provider. This medicine hides the signs of low blood sugar except sweating.

• If you have high cholesterol, talk with healthcare provider.

• If you have kidney disease, talk with healthcare provider.

• If you have liver disease, talk with healthcare provider.

• If you have lung disease, talk with healthcare provider.

• If you have mental illness, talk with healthcare provider.

• If you have myasthenia gravis, talk with healthcare provider.

• If you have a weakened heart, talk with healthcare provider.

• Check medicines with healthcare provider. This medicine may not mix well with other medicines.

• Talk with healthcare provider before using over-the-counter products that may increase blood pressure. These include cough or cold remedies, diet pills, stimulants, ibuprofen or like products, and certain natural products or supplements.

• Tell dentists, surgeons, and other healthcare providers that you use this medicine.

• You may not be alert. Avoid driving, doing other tasks or activities until you see how this medicine affects you.

• Avoid alcohol (includes wine, beer, and liquor) or other medicines and natural products that slow your actions and reactions.

• Avoid grapefruit and grapefruit juice.

• You can get sunburned more easily. Avoid sun, sunlamps, and tanning beds. Use sunscreen; wear protective clothing and eyewear.

• Be careful in hot weather. Drink plenty of fluids to prevent dehydration.

• Watch for gout attacks.

• Use birth control that you can trust to prevent pregnancy while taking this medicine.

• Tell healthcare provider if you are breast-feeding.

What are some possible side effects of this medicine?

• Low potassium level. Signs include feeling tired, weak, numbness, or tingling; muscle cramps; constipation; vomiting; or fast heartbeat.

• Feeling lightheaded, sleepy, having blurred vision, or a change in thinking clearly. Avoid driving, doing other tasks or activities that require you to be alert or have clear vision until you see how this medicine affects you.

• Feeling dizzy. Rise slowly over several minutes from sitting or lying position. Be careful climbing.

• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.

• Dry mouth. Frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.

• Change in sexual ability or desire. This is usually reversible.

Reasons to call healthcare provider immediately

• If you suspect an overdose, call your local poison control center or emergency department immediately.

• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.

• Excessive perspiration, dehydration, vomiting, or diarrhea. May lead to low blood pressure.

• Signs of low potassium.

• Severe dizziness or passing out.

• Severe nausea or vomiting.

• Difficulty breathing.

• Feeling extremely tired or weak.

• Unable to pass urine.

• Any rash.

• No improvement in condition or feeling worse.