Interactions
The following medications may interact with Belok Zok Mite® when used in combination with it:
- Other antihypertensive drugs: The combination of Belok Zok Mite® (as well as all other beta-blockers) with other antihypertensive drugs (e.g. diuretics (water tablets), nitrates, calcium antagonists) can lead to an excessive lowering of blood pressure, so here the dosage should be carefully and controlled. – Drugs for the treatment of cardiac arrhythmia: A combination of Belok Zok Mite® with calcium channel blockers that also act on the heart (verapamil and diltiazem) is contraindicated due to the risk of cardiac arrhythmia (AV block). For this very reason, Belok Zok Mite® should also be combined carefully with other drugs for the treatment of cardiac arrhythmias (antiarrhythmics, e.g. amiodarone, sotalol).
- Antidiabetics:When treating patients with diabetes, it should be noted that Belok Zok Mite® in combination with antidiabetics can increase the risk of hypoglycemia and mask the warning symptoms of hypoglycemia. – Bronchial asthma:Belok Zok Mite® must also be used with caution in patients with respiratory diseases treated with beta-2 mimetics for dilating the airways (bronchodilators). The reason is that beta-blockers – depending on the type – sometimes significantly weaken the effect of the drugs used to widen the airways, as they block the receptors to which these drugs are applied. – Antidepressants:A combination of Belok Zok Mite® with MAO inhibitors (treatment of depression) can lead to an excessive increase in blood pressure with blood pressure crises. – Before anaesthesia, it is essential to inform the doctor that treatment with Belok Zok Mite® is being administered, as there can be numerous interactions between beta blockers and narcotics and muscle relaxants.
Contraindications
Absolute contraindications for treatment with Belok Zok Mite® (and other beta blockers) are Relative contraindications (use only very cautiously and with careful consideration of benefits and risks) are In case of liver dysfunction, a careful dose adjustment must be made, as Belok Zok Mite® is then excreted at a reduced rate. During pregnancy and lactation Belok Zok Mite® should only be used after careful consideration of the benefits and risks. – a previously known hypersensitivity to this or similar preparations
- A too slow heartbeat (bradycardia) with a heart rate of less than 50 beats per minute
- Acute or decompensated (unstable) chronic heart failure
- Cardiac arrhythmia in the sense of a 2nd or 3rd degree AV block
- Bronchial asthma
- Shock
- Higher stages of circulatory disorders (e.g. peripheral arterial occlusive disease)
- A strongly decreased blood pressure (hypotension)
- Circulatory disorders in early stages (e.g. Raynaud’s syndrome)
- Diabetes mellitus
- Chronic obstructive respiratory diseases like COPD
- Psoriasis.
Costs
On a private prescription, 100 tablets of Beloc Zok Mite® (47.5 mg) cost about 27 euros, 100 tablets of Beloc-Zok® (95 mg) cost about 31 euros, 100 tablets of Beloc Zoc forte® (190 mg) cost about 34 euros. If you have a cash prescription, 100 tablets of Beloc Zok Mite® cost about 16 Euro, 100 tablets of Beloc Zok® cost about 18 Euro, 100 tablets of Beloc Zoc forte® cost about 20 Euro.
