Concor or Concor 2.5 is a type of medication used in treating hypertension and certain types of heart disease. Hypertension is also known as high blood pressure. Hypertension is a chronic disease characterized by an elevated blood pressure of more than 140 for systolic blood pressure and/or more than 90 for diastolic blood pressure. Hypertension is similar to diabetes in the sense that both of them are chronic diseases and will never achieve a cure. Chronic disease means a disease that lasts for so many years and even for a lifetime.

The active ingredient of Concor is bisoprolol fumarate. Concor in Malaysia exists in 5mg and 10mg tablets. Other than that, Concor also contains inactive ingredients or also known as excipients to make the tablets stable. The inactive ingredients are microcrystalline cellulose, maize starch, anhydrous calcium hydrogen phosphate, anhydrous colloidal silica, magnesium stearate, and crospovidone.

The consequences of taking concor beyond the prescription dosage (overdosage) are:

  • Acute heart failure
  • Low blood pressure
  • Low blood sugar
  • Slow heart rate
  • Spasm of the bronchus

Those who should not take Concor are:

  • Allergy towards bisoprolol
  • Patient on an episode of acute heart failure
  • Severe asthma
  • Hypotensive individuals
  • Severe chronic airway disease (COAD)
  • Severe peripheral arterial disease
  • Metabolic acidosis patients
  • Those with untreated pheochromocytoma

There are a few types of anti-hypertensive. They are:

1- Angiotensin receptor blocker

2- Angiotensin-converting enzyme inhibitor

3- Calcium channel blocker

4- B-blocker such as Concor

There are a few types of hypertension. They are:

1- Primary hypertension

The causes are unknown but strongly associated with a family history of hypertension and high salt intake.

2- Secondary hypertension

This type of hypertension has so many causes. The causes are polycystic kidney disease, obstructive sleep apnoea, pregnancy, the use of birth control pills, and tumors of the adrenal glands.

Some patients with hypertension will take a single anti-hypertensive. Some will need more depending on their condition and your doctor will discuss with you the suitable medications regimens.

Let’s say if you are recently diagnosed with hypertension, lifestyle modifications will be the desired and preferred initial intervention by doctors before start prescribing medications for you. The lifestyle modifications are:

  • Exercise

You should exercise at least three times every seven days. Every session should last for a minimum of 30 minutes of moderate-intensity exercises. You can do any physical activities like swimming, jogging, skipping, yoga, or any other exercise of your choice.

  • Well-balanced and healthy diet

Consume a healthy and balanced diet that consists of a sufficient amount of vegetables, fruits, protein, and carbohydrates. You can just follow the recommendation by the ministry of health by consuming a quarter a plate of protein, a quarter a plate of carbohydrates, and half a plate of vegetables and fruits. Change the method of preparing food from frying to boiling, stewing, or grilling.

  • Low salt diet

Put a very minimal amount of salt in your food. This is easier to be done if you cook on your own. Do not use any artificial seasonings as they usually contain a high amount of salt and sugar.

  • Live a stress-free life

You must learn how to manage your stress. There are so many ways in managing your stress like venting out your problem to someone, going for counseling, doing a deep breathing technique, going for exercise and learning the best way to cope with your stress.

Concor should be cautiously used in certain groups of patients and physicians will decide whether these groups of individuals require bisoprolol or not. These groups of people are:

  • Diabetic patients
  • Asthmatic patients
  • Those who are going for general anesthesia
  • Hyperthyroid patients
  • Pheochromocytoma patients
  • Pregnant lady
  • Lactating mother

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