Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure. Treatment with Bisoprolol fumarate tablet requires regular medical check up. This is particularly important in the initiation of therapy and during dose increase. Bisoprolol fumarate tablet should be taken in the morning, with or without food. Swallow the tablet whole with some water and do not chew or crush them. The tablet can be divided into equal doses. Treatment with Bisoprolol fumarate tablet is usually prolonged.

DO NOT take Bisoprolol Fumarate if you:• are allergic to bisoprolol fumarate or any of the other ingredients of this medicine.• have severe asthma or severe chronic lung disease.• have a slow or irregular heart rate. Ask your doctor if you are not sure.• have very low blood pressure.• have severe blood circulation problems (such as Raynaud’s syndrome), which may cause your fingers and toes to tingle or turn pale or blue.• have heart failure that suddenly becomes worse and/ or may require hospital treatment.•Cardiogenic shock, which is an acute serious heart condition causing low blood pressure and circulatory failure.• have excess acid in the blood, a condition known as metabolic acidosis.

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