Betaloc ZOK 100 mg. 28 tablets
Betaloc ZOK 100 mg. 28 tablets
WHAT Betaloc ZOK AND WHAT IT IS USED
Betaloc ZOK belongs to a class of drugs called beta-blockers, and beta1-selective beta-blocker. This means that Betaloc ZOK acts more on the beta receptors of the type known as beta1 than on beta2 at the dosages administered in most people.
Treatment with Betaloc ZOK reduces the effects of stress hormones on beta1-receptors located in the heart but also in other organs such as the kidneys and brain.
Betaloc ZOK is a controlled release tablet which releases the content in a controlled manner over time. Controlled release tablets provide a more uniform effect, even for longer than 24 hours. Tablet Betaloc ZOK 50 mg (containing 47,5mg metoprololov- succinate) is a white to cream, round, scored on one side and marked with a / it from the other side. Tablet Betaloc ZOK 100 mg (containing 95 mg metoprolol succinate) is a white to cream, round, scored on one side and marked with A / mS other side.
Betaloc ZOK is approved to treat:
• Increased blood pressure and to reduce the risk of complications due to high blood pressure such as stroke, infarction and sudden death. (Hypertension: to reduce blood pressure and reduce the risk of cardiovascular and coronary death, including sudden death and morbidity)
• Stroke and prevention of reinfarction. (Maintenance treatment after the acute phase of myocardial infarction)
? pain in the heart and the thorax, caused by stress or effort in patients with ischemic heart disease (angina)> Chronic heart failure, for prolonging survival, reducing hospitalization and improvement in cardiac function and cardiac symptoms. Symptomatic mild to severe heart failure as adjunct to other therapy of heart failure: increase survival, reduce hospitalization, improve left ventricular function, improvement of functional class according to New York Heart Association (NYHA))
• abnormal heart rhythm in patients with or without heart disease, especially in heart rate. (Cardiac arrhythmias, including supraventricular tachycardia particular)
• To prevent migraine attacks. (Prophylaxis of migraine)
Always follow the advice of your doctor if you need more information, ask your doctor or pharmacist.
2 Before taking Betaloc ZOK
Do not take Betaloc ZOK:
• if you are allergic to metoprolol succinate or any of the other ingredients of Betaloc ZOK or related products. Therefore tell your doctor if you have had any abnormal reactions to other medications, always tell your doctor about other health problems, especially if they are associated with heart, blood pressure, lungs, liver or kidneys. Do not forget to mention conditions such as allergic reactions to insect stings, food or other substances.
You should tell your doctor if you have signs / symptoms of low blood sugar.
Do not give the tablets Betaloc ZOK children.
Be especially cautious with Betaloc ZOK
If you develop more slow heartbeat while taking Betaloc ZOK, inform your doctor as soon as possible. The doctor may give you a lower dose of metoprolol and gradually stop the drug. If you are undergoing a general anesthetic during a visit to the dentist, or if you operate a hospital, tell the doctor or dentist that you take Betaloc ZOK tablets.
Treatment should not be stopped suddenly. Where necessary it can be done progressively, possibly over a period of at Molko two weeks, as the dosage is reduced to a half tablet of 25 mg once daily for at least four days prior to the interruption.
Tell the doctor about any medical problems you've had in the past.
Adoption of Betaloc ZOK with food or drink
When taken with metoprolol alcohol increases blood levels of metoprolol and therefore can enhance the effects of the drug.
Before taking Betaloc ZOK, tell your doctor if you are pregnant or trying to become pregnant. Do not take if you are pregnant, unless your doctor tells you.
Metoprolol may cause side effects, e. Slow heart beat of the fetus and newborn. If you become pregnant while taking Betaloc ZOK, you should tell your doctor as soon as possible.
Before taking Betaloc ZOK, tell your doctor if you are breastfeeding.
Driving and using machines
Before you drive or operate machinery need to know how you react to this medicine because it can occur dizziness or fatigue.
Taking other medicines
Treatment may be affected if Betaloc ZOK taken simultaneously with certain medications used to treat heart and blood vessels (such as digitalis / digoxin, calcium channel blockers, antiarrhythmics, simpatikomimetmichni ganglioblokeri or other drugs as inhibitors of monoamine oxidase (MAO ), inhalation agents, antibacterials, anti-ulcer, anti-inflammatory, certain antidepressants, other beta blockers, and other substances (e. alcohol, certain hormones, agents that induce or inhibit the action of the enzymes).
If you are taking oral anti-diabetic drugs may need your doctor to adjust the dose.
HOW TO TAKE Betaloc ZOK?
Always take Betaloc ZOK exactly as your doctor prescribes. If you are unsure, ask a doctor.
Betaloc ZOK tablets should not be chewed or crushed. They should be swallowed with liquid. Usually recommended to take once daily with or without food.
Your doctor will tell you how and when to take the tablets.
The recommended dose for patients with mild to moderate high blood pressure is 50 mg once daily. If you do not respond adequately to treatment with 50 mg, your doctor may increase the dose to 100-200 mg once daily and / or combined with other drugs used to lower high blood pressure.
It has been shown that long term treatment with metoprolol in daily doses of 100-200 mg reduces the risk of complications due to high blood pressure (stroke, myocardial infarction, vnemapna cardiovascular death).
Maintenance treatment after myocardial infarction
The usual dose for patients treated continuously, is 200 mg once daily. It has been shown that long term treatment with metoprolol in daily doses of 200 mg reduced the risk of death and reinfarction.
The recommended dose is 100-200 mg once-daily. Your doctor may combine with other medicines used to treat angina.
The dose should be selected individually and the recommended starting dose is half a tablet of 25 mg or 25 mg of a once daily for one more week. Recommended dosage should be doubled in a week to a maximum dose of 200 mg once daily or the highest tolerated dose.
A heart rhythm disorder
The recommended dose is 100-200 mg once-daily.
Functional disorders of the heart with palpitations
The recommended dose is 100 mg once daily. If necessary, the physician may increase the dose to 200 mg.
Prophylaxis of migraine
The recommended dose is 100-200 mg once-daily.
If you feel that the effect of ZOK Betaloc is too strong or too weak, talk to your doctor.
POSSIBLE SIDE EFFECTS
In patients treated with metoprolol reported the following side effects, although the relationship to treatment with metoprolol has not been established in all cases. If any of these effects and they still surely tell your doctor.
Very common - fatigue
Common - dizziness, headache, slow heart rate, dizziness, associated with changes in body position, cold hands and feet, nausea, stomach pain, diarrhea, constipation, shortness of breath on exertion, feeling palpitations in the chest.
Not common - a burning sensation, numbness, muscle spasms, symptoms of heart disease, such as shortness of breath, fatigue or swollen grezeni may temporarily worsen during a heart attack blood pressure can sharply decrease, small ECG changes that do not affect work of the heart, swelling, chest pain, depression, worsening of concentration, drowsiness, difficulty sleeping, nightmares, skin rash, difficulty breathing, vomiting, increased sweating, weight gain.
Rare - ECG conduction of the heart, irregular heartbeat, nervousness, anxiety, liver problems, hair loss, fever due to an allergic reaction, visual disturbances, dry and / or eye irritation, dry mouth, watery eyes, due to an allergic reaction, impotence.
Very Rare: deterioration of poor circulation in the limbs of patients with severe circulatory, joint pain, memory loss, confusion, hallucinations, skin reaction due to increased sensitivity to sunlight, worsening of psoriasis, tinnitus, impaired taste, blood disorders, and hepatitis.