Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.
Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than usual. You can easily become dehydrated while taking hydrochlorothiazide and bisoprolol. This can lead to very low blood pressure, a serious electrolyte imbalance, or kidney failure.
Your blood pressure will need to be checked often. Your blood and urine may both be tested if you have been vomiting or are dehydrated.
If you are diabetic, check your blood sugar carefully. Taking bisoprolol may make it harder for you to tell when you have low blood sugar. Your insulin or diabetes medication needs may change while you are taking hydrochlorothiazide and bisoprolol. Do not change your medication dose or schedule without your doctor's advice.
If you need surgery or medical tests, tell the doctor you currently use hydrochlorothiazide and bisoprolol. You may need to stop for a short time.
Do not skip doses or stop using hydrochlorothiazide and bisoprolol suddenly. Stopping suddenly may make your condition worse. Follow your doctor's instructions about tapering your dose.
Keep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medicine for the rest of your life.
Store at room temperature, away from heat and moisture. Keep the bottle tightly closed when not in use.