Sopral Plus

Introduction

Sopral Plus is a combination medicine containing Bisoprolol (a beta-blocker) and Hydrochlorothiazide (a thiazide diuretic). In Pakistani medical practice, this combination is often prescribed for patients who need dual therapy to control high blood pressure more effectively.

Primary Uses

As recognized in clinical use across Pakistan:

• Management of Hypertension (high blood pressure) when single therapy is not enough

• Reducing long-term risks of stroke, heart failure, and heart attack associated with uncontrolled hypertension

How it Works

• Bisoprolol reduces the heart rate and workload by blocking stress hormones.

• Hydrochlorothiazide helps the body eliminate excess salt and water through urine, which lowers blood pressure.
  Together, they act on the heart and blood vessels to maintain better control of blood pressure.

Composition / Formula

• Active Ingredients:

  • Bisoprolol

  • Hydrochlorothiazide

• Form: Tablet

• Strength & Pack Size: (Varies; check packaging for exact dosage, commonly 2.5mg/6.25mg or 5mg/12.5mg combinations)

Side Effects (Possible, but not in everyone)

• Dizziness or fatigue

• Slow heart rate (bradycardia)

• Low blood pressure

• Increased urination (from the diuretic)

• Muscle cramps, electrolyte imbalance (low potassium/sodium)

• Rash, headache, or dry mouth

Warnings & Precautions

• Pregnancy & Breastfeeding: Not recommended unless clearly advised by a doctor.

• Driving/Alertness: May cause dizziness or tiredness. Avoid driving if not feeling alert.

• Electrolytes: Regular monitoring of potassium and sodium levels may be needed.

• Kidney/Liver patients: Use with caution under supervision.

• Diabetes: May mask low blood sugar symptoms; monitor closely.

Contraindications

Avoid Sopral Plus if you have:

• Severe heart failure or very slow heart rate

• 2nd or 3rd degree AV block without pacemaker

• Severe kidney disease or inability to pass urine

• Allergy to sulfonamides (related to diuretics)

Reviewed by: Dr. Muhammad Imran, MBBS, FCPS (Internal Medicine)

“Sopral Plus combines a beta-blocker with a thiazide diuretic, and is a reliable option in Pakistan for patients with hypertension not fully controlled by a single medicine. In practice, it is effective in reducing blood pressure and lowering cardiovascular risks. However, careful monitoring of electrolytes, kidney function, and blood sugar is important during long-term use.”

FAQs (Frequently Asked Questions)

Q. Why is Sopral Plus given instead of Bisoprolol alone?
It provides stronger blood pressure control by combining two different mechanisms.

Q. Will it make me urinate more often?
Yes, because of the diuretic component (Hydrochlorothiazide).

Q. Can diabetics take Sopral Plus?
Yes, but with close monitoring of blood sugar levels.

Q. Can it be taken during pregnancy?
Not recommended unless prescribed by a specialist.

Q. Does it cause electrolyte problems?
Yes, in some cases. Potassium and sodium levels should be checked periodically.

Disclaimer:
This content is for informational and product awareness purposes only. It is not a prescription. Always consult a licensed doctor or pharmacist in Pakistan before starting or changing any medicine.