Bitoprol-A2 Tablet ER contains two medicines, both of which help to control high blood pressure and heart rate. It is also used for heart-related chest pain, abnormal heart rhythms and chronic (long-term) heart failure. You can take Bitoprol-A2 Tablet ER at any time of day, with or without food, but it is best to take it at the same time each day. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight and eating a healthy diet will also help control your blood pressure. Follow your doctor’s advice while taking this medicine. It may cause side effects like headache, ankle swelling, slow heart rate, and nausea. It may also cause dizziness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. This might raise the level of potassium in the blood, hence avoid potassium rich food or supplements. You may be asked for regular monitoring of blood pressure, kidney function, and electrolytes level while on the treatment. Before taking it, let your doctor know if you have any liver or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking especially those used to treat high blood pressure or heart conditions.

• Slow heart rate
• Abdominal pain
• Dizziness
• Fatigue
• Sleepiness
• Ankle swelling
• Constipation
• Edema (swelling)
• Flushing (sense of warmth in the face, ears, neck and trunk)
• Palpitations
• Headache
• Vomiting
• Visual disturbance
• Orthostatic hypotension (sudden lowering of blood pressure on standing)
• Breathlessness
• Muscle cramp

If you miss a dose of Bitoprol-A2 Tablet ER, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

• Q. Q. Can I stop taking Bitoprol-A2 Tablet ER if I feel well??
  Ans: No, keep using Bitoprol-A2 Tablet ER as advised by your doctor, even if you feel well. Stopping Bitoprol-A2 Tablet ER suddenly may lead to serious complications such as heart attack and stroke.
• Q. Q. What are the instructions for the storage and disposal of Bitoprol-A2 Tablet ER??
  Ans: Keep this medicine in the packet or the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
• Q. Q. Can the use of Bitoprol-A2 Tablet ER cause headache??
  Ans: Yes, the use of Bitoprol-A2 Tablet ER can cause headaches at the beginning of the treatment. Headaches usually go away after the first week of the treatment. Contact your doctor if the headaches are frequent and do not go away.
• Q. Q. What are the contraindications associated with the use of Bitoprol-A2 Tablet ER??
  Ans: Bitoprol-A2 Tablet ER Succinate is considered to be harmful for patients who are allergic to any of its active or inactive ingredient. It should be avoided in patients with a history of asthma or lung disease. Inform your doctor about the your medical history and medicines to avoid any side effects.
• Q. Q. Can I feel dizzy after taking Bitoprol-A2 Tablet ER??
  Ans: Yes, the use of Bitoprol-A2 Tablet ER can make you feel dizzy. This may occur when you suddenly rise up from lying or sitting position. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.

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