Ziac (Hydrochlorothiazide / Bisoprolol) Prescriptions Available Online Today

Ziac works in two ways. It helps your kidneys flush out more salt and water, which reduces edema (fluid retention) that can be caused by high blood pressure. It also prevents certain chemicals in your body (like adrenaline) from working on your heart and blood vessels, which help lower high blood pressure.

The starting dose of Ziac is usually one tablet per day that contains 2.5 mg of bisoprolol and 6.25 mg of hydrochlorothiazide. Dosages may go as high as one tablet daily that has 20 mg of bisoprolol and 12.5 mg of hydrochlorothiazide. You should always follow the dosage prescribed by your doctor and written on your medication.

Ziac has two primary benefits: it reduces fluid retention (edema) and lowers blood pressure. Fluid retention can cause swollen, painful hands, feet, or legs. Ziac also lowers blood pressure. High blood pressure can lead to stroke, kidney problems, or heart attack. Ziac is a combination pill and allows you to take one pill instead of two for these conditions.

As with any medication, Ziac has been determined to be generally safe. However, it does carry a risk of side effects. Some side effects you may experience on Ziac include:

• Headache

• Upset stomach

• Lightheadedness

• Nausea

• Fatigue

• Dizziness

• Constipation

• Diarrhea

• Cough

• Drowsiness

• Low blood sugar

• Low blood pressure

• Low potassium

• Trouble sleeping

• Reduced heart rate

• Increased blood glucose

• Cold feet or hands

• Impotence

• Dehydration

• Heart block

• Congestive heart failure

• Abnormal heart rhythms

• Severely reduced heart rate

• Bronchospasms

• Serious skin reactions

While Ziac is generally considered safe, it isn’t right for everybody. Always tell your doctor about your current medications and medical history to prevent potentially serious complications.

Always be sure to tell your doctor your full medical history. Ziac may cause complications with certain medical conditions. Especially be sure to mention if you have or have had any of the following:

• Heartbeats slow enough to make you faint

• Uncontrolled or severe heart failure

• Inability to urinate

• Serious heart condition

• Asthma or other breathing disorder

• Diabetes

• Glaucoma

• Thyroid problems

• Liver disease

• Kidney disease

• Peripheral vascular disease

• Gout

• Lupus

• Allergy to penicillin or sulfa drugs

Ziac may cause serious interactions with certain medications. This may mean that you shouldn’t take Ziac, or your doctor may choose to adjust the dosage of one or both of the medications. Always tell your doctor about every medication you take, including vitamins, supplements, and over the counter drugs. Especially be sure to mention if you take any of the following:

• Rifampin

• Calcium channel blockers (CCBs) like diltiazem (Cardizem, Tiazac) and verapamil (Calan, Isoptin)

• Digoxin (Lanoxin)

• Lithium

• Corticosteroids

• Cholestyramine (Questran)

• Colestipol (Colestid)

• NSAIDs like naproxen (Aleve) or ibuprofen [Advil, Motrin)

Yes you can buy Ziac online. Book an appointment online with one of PlushCare's licensed doctors, who can electronically send a prescription to your trusted pharmacy if they determine it’s right for you.

When you book your appointment, you will input all your medications and medical history. That helps your doctor better understand your condition. Next, you will talk to one of our trusted doctors. If they decide that Ziac is right for you, or that you would benefit from a different medication, they will electronically send the prescription to the pharmacy of your choice, where you can pick it up as soon as it’s ready.