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Ziac and Renal/liver disease

Result of checking the interaction of drug Ziac and disease Renal/liver disease for safety when used together.

Check result:

Ziac <> Renal/liver disease

Relevance: 23.07.2019 Reviewer: Shkutko P.M., M.D., in

When checking interaction based on authoritative sources Drugs.com, Rxlist.com, Webmd.com, Medscape.com there are contraindications or side effects that may cause harm or increase the negative effect from drug use in presence of concomitant diseases.

Consumer:

Bisoprolol is eliminated by both the kidney and liver. Patients with renal and/or liver disease may be at greater risk for adverse effects from bisoprolol due to decreased drug clearance. Initial dosage adjustments and cautious titration are recommended in patients with a creatinine clearance below 40 mL/min and/or liver disease.

References:

Kirch W, Rose I, Demers HG, Leopold G, Pabst J, Ohnhaus EE "Pharmacokinetics of bisoprolol during repeated oral administration to healthy volunteers and patients with kidney or liver disease." Clin Pharmacokinet 13 (1987): 110-7
Hayes PC, Jenkins D, Vavianos P, Dagap K, Johnston A, Ioannides C, Thomas P, Williams R "Single oral dose pharmacokinetics of bisoprolol 10 mg in liver disease." Eur Heart J 8 (1987): 23-9
"Product Information. Zebeta (bisoprolol)." Lederle Laboratories, Wayne, NJ.
Payton CD, Fox JG, Pauleau NF, Boulton-Jones JM, Ioannides C, Johnston A, Thomas P "The single dose pharmacokinetics of bisoprolol (10 mg) in renal insufficiency: the clinical significance of balanced clearance." Eur Heart J 8 (1987): 15-22

Ziac

Generic Name: bisoprolol / hydrochlorothiazide

Brand Name: Ziac

Synonyms: n.a.

What is Ziac?