Concor Tablet: Uses, Dosage & Side Effects in Pakistan

Concor Tablet Uses, Dosage, Side Effects & Price in Pakistan

1. Quick Info (Mukhtasir Maloomat)

2. What is Concor Tablet? (Concor kya hai)

Concor Tablet contains Bisoprolol Fumarate 5mg, a highly selective beta-1 adrenergic receptor blocker (cardioselective beta-blocker) manufactured by Merck Pakistan. Bisoprolol acts by blocking the effect of adrenaline on the heart's beta-1 receptors, thereby reducing heart rate, myocardial contractility, and cardiac output. This lowers blood pressure and reduces the oxygen demand of the heart. Concor is one of the most prescribed beta-blockers in Pakistan for hypertension, stable angina, and stable chronic heart failure. It is a prescription-only medicine (Rx) — always take under medical supervision.

3. Uses (Fayde / Kis kaam aati hai)

• Treatment of hypertension (high blood pressure)
• Management of stable angina pectoris (chest pain)
• Adjunct treatment of stable chronic heart failure (CHF) — in specialist care
• Rate control in selected cardiac arrhythmias

4. Who Should Take (Kis ko leni chahiye)

• Adults diagnosed with hypertension (high blood pressure) under a doctor's care
• Patients with stable angina pectoris requiring long-term management
• Patients with stable, compensated chronic heart failure under cardiologist supervision
• Only on prescription — never self-prescribe

5. When NOT to Take (Kab nahi leni chahiye)

• Acute heart failure, cardiogenic shock, or decompensated heart failure
• Severe bradycardia (heart rate less than 45–50 bpm)
• Severe hypotension (systolic BP below 90 mmHg)
• Sick sinus syndrome or high-degree AV block (unless pacemaker present)
• Asthma or severe COPD — risk of bronchospasm
• Known allergy to bisoprolol or any excipient

6. Dosage (Kitni leni hai)

• Starting dose: 5mg once daily
• Maintenance: 5–10mg once daily, as directed by a doctor
• Maximum: 20mg/day (in some clinical situations)

• Starting dose: 1.25mg once daily — titrated very slowly under specialist supervision
• This indication requires specialist oversight and careful titration

• Usual adult doses apply; dose reduction may be needed in severe organ impairment — doctor's guidance required

• Take as soon as remembered on the same day. If the next dose is within a few hours, skip the missed dose. Do not double dose. Never skip doses or stop suddenly.

7. How to Take (Kaise leni hai)

• Take Concor in the morning to benefit from 24-hour blood pressure and heart rate control

• May be taken with or without food — consistent timing is more important than food

• Swallow with water; do not crush or chew

8. Best Time (Kab leni chahiye)

• Taking Concor in the morning helps control blood pressure and heart rate through the day

9. Empty Stomach or After Food (Khali pait ya khane ke baad)

Concor can be taken with or without food. Take it at the same time every day.

10. Warnings (Ihtiyat)

• Abrupt withdrawal of beta-blockers can cause rebound hypertension, worsening angina, and rarely myocardial infarction. Always taper under medical supervision.

• Even "cardioselective" beta-blockers like bisoprolol can trigger bronchospasm. Avoid unless specialist advises otherwise.

• Bisoprolol masks tachycardia (a key warning sign of hypoglycaemia) in diabetic patients. Monitor blood glucose carefully.

11. Precautions (Ahm ehtiyaat)

• Store below 30°C away from moisture and direct sunlight
• Keep in original packaging
• Keep out of reach of children

12. Side Effects (Nuksanat)

• Fatigue and tiredness, cold hands and feet, bradycardia (slower heart rate), dizziness on standing

• Severe bradycardia or heart block, worsening heart failure, bronchospasm, hypoglycaemia masking

13. Drug Interactions (Dawaon ke sath reaction)

• Calcium channel blockers (verapamil, diltiazem): additive bradycardia — avoid combination
• Digoxin: additive slowing of heart rate
• Amiodarone: additive risk of bradycardia and heart block
• NSAIDs: may reduce antihypertensive effect
• Antidiabetics (insulin, oral agents): bisoprolol masks hypoglycaemia symptoms
• Clonidine: do not stop bisoprolol before clonidine; risk of rebound hypertension

14. When to See Doctor (Kab doctor ke paas jayein)

• Heart rate falls below 50 bpm
• Severe dizziness, fainting, or worsening shortness of breath
• Signs of heart failure: sudden weight gain, ankle swelling, worsening breathlessness
• Any unusual adverse effect — never adjust dose yourself

15. Alternatives (Sasti Dusri Dawaein)

Discuss any switch with your cardiologist or physician — beta-blockers are not interchangeable without medical review.

16. Price in Pakistan (Price kitni hai)

(Prices may vary by pharmacy.)

17. FAQs (Aksar poochay jane walay sawalat)

Q: Concor Tablet kis kaam aati hai?

A: Concor Tablet (Bisoprolol Fumarate 5mg) is a prescription-only beta-blocker used to treat high blood pressure (hypertension), stable angina (chest pain), and as an adjunct in stable chronic heart failure. It reduces the heart rate and workload on the heart.

Q: Concor Tablet kaise leni chahiye?

A: Take Concor Tablet exactly as prescribed by your doctor. The usual dose is one 5mg tablet once daily in the morning. Do not stop taking it suddenly — always taper under medical guidance.

Q: Pakistan mein Concor ki price kitni hai?

A: Concor Tablet (5mg, 14 tablets) is available in Pakistan for approximately Rs. 200 to Rs. 280. Prices may vary by pharmacy.

Q: Kya Concor suddenly band kar sakte hain?

A: No. Concor must never be stopped abruptly. Sudden discontinuation can cause rebound hypertension, worsening angina, or in severe cases, myocardial infarction (heart attack). Always taper the dose gradually under a doctor's supervision.

Q: Kya asthma ke mareed Concor le sakte hain?

A: Bisoprolol is relatively cardioselective but can still cause bronchospasm in asthma or COPD patients, especially at higher doses. Concor should generally not be used in asthma or severe COPD. Consult your doctor for an alternative.

18. Medical Review (Medical jaiza)

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: 2026-06-21

19. Disclaimer (Zaroori tanbeeh)

The information on this page is for awareness only. It is not medical advice. Always consult your doctor or pharmacist before taking any medicine. PakVita is not responsible for any harm.