Tirez coated tablets 5mg №30

Use Bisoprolol Alkaloid (Tyrez) is used in adults aged 18 years and older for the treatment of high blood pressure (hypertension), chest pain that occurs due to narrowing of the coronary arteries (ischemic heart disease: stable angina pectoris), as well as chronic heart failure (when the heart muscle is unable to pump a sufficient volume of blood to meet the body's needs). How to take The drug is taken orally, in the morning, on an empty stomach, without chewing, in an initial dose of 5 mg once daily. If necessary, the dose is increased to 10 mg once daily. The maximum daily dose is 20 mg/day. In patients with impaired renal function (creatinine clearance less than 20 ml/min) or severe hepatic impairment, the maximum daily dose should not exceed 10 mg. Dose adjustment is not required for elderly patients. Bisoprolol Alkaloid is not intended for use in children and adolescents under 18 years of age. Contraindications Do not take Bisoprolol (Tyrez) if you have: - an allergy to bisoprolol or any other components of the drug. - acute heart failure or chronic heart failure in the stage of decompensation requiring inotropic therapy. - cardiogenic shock. - atrioventricular (AV) block of II and III degree, without a pacemaker. - sinoatrial block. - sick sinus syndrome. - severe bradycardia (heart rate less than 50 beats per minute before treatment). - severe decrease in blood pressure (systolic blood pressure less than 90 mm Hg). - Prinzmetal's angina. - severe form of bronchial asthma or chronic obstructive pulmonary disease (COPD). - severe peripheral circulatory disorders or Raynaud's syndrome. - pheochromocytoma (adrenal gland tumor) that is not treated. - metabolic acidosis.