Description
Product details
Paracetamol Infusion IP is a sterile, non-pyrogenic, and clear solution of Paracetamol (Acetaminophen) formulated for intravenous administration. It is primarily used for the management of pain and fever when oral or rectal routes are not suitable, such as in hospitalized or post-operative patients. Recognized as one of the most widely used analgesic and antipyretic medications, Paracetamol Infusion IP offers rapid onset of action, consistent therapeutic effects, and excellent patient tolerance. This formulation ensures precise and controlled delivery of Paracetamol directly into the bloodstream, allowing for faster relief and improved bioavailability compared to oral administration. Composition Each 100 mL of Paracetamol Infusion IP typically contains: Paracetamol IP – 1000 mg (1% w/v) Excipients – as required for stability and isotonicity Water for Injection – q.s. to 100 mL The infusion is usually supplied in ready-to-use glass or plastic bottles or flexible bags, ensuring sterility and ease of use in hospital settings. Mechanism of Action Paracetamol (acetaminophen) exerts its therapeutic effects primarily through central inhibition of prostaglandin synthesis. Unlike nonsteroidal anti-inflammatory drugs (NSAIDs), Paracetamol has minimal peripheral anti-inflammatory activity, making it a safer option for patients with gastrointestinal or platelet-related concerns. The drug acts by: Inhibiting the cyclooxygenase (COX) enzymes, particularly COX-3, within the central nervous system, thereby reducing the synthesis of prostaglandins responsible for fever and pain. Modulating the endocannabinoid system and serotonergic pathways, enhancing its analgesic potential. As a result, Paracetamol Infusion IP provides effective fever reduction (antipyretic) and pain relief (analgesic) without significant gastrointestinal irritation or bleeding risks. Indications and Uses Paracetamol Infusion IP is indicated for: Management of Fever (Pyrexia): Reduces elevated body temperature in adults and children. Suitable for patients unable to take oral medication due to nausea, vomiting, or unconsciousness. Relief of Mild to Moderate Pain: Effective in conditions like headaches, dental pain, menstrual cramps, and musculoskeletal pain. Commonly used as part of multimodal pain management after surgical procedures. Post-Operative and Trauma Pain: Provides fast, reliable pain relief in surgical recovery and trauma cases where oral medication is not feasible. Adjunct Therapy: Can be used alongside opioids to enhance analgesic effect and reduce opioid requirements. Dosage and Administration Adults and adolescents (>50 kg): 1 g every 6 hours, not exceeding 4 g per day. Adults and adolescents (<50 kg): Dose adjusted based on body weight, typically 15 mg/kg every 6 hours. Children (≥10 kg): 15 mg/kg per dose every 6 hours. The infusion should be administered over 15 minutes, using aseptic technique. Paracetamol Infusion should not be mixed with other drugs in the same IV line unless compatibility is established. Key Benefits Rapid Onset of Action: Intravenous administration ensures faster absorption and onset of relief compared to oral or rectal forms. High Bioavailability: Since it bypasses gastrointestinal metabolism, almost the entire dose reaches systemic circulation, providing consistent therapeutic effect. Convenience in Critical Care: Ideal for patients who are unconscious, post-surgery, or unable to tolerate oral medications. Safe and Well-Tolerated: Has minimal gastrointestinal side effects and no significant effect on platelets or renal function when used within the recommended dose range. Effective Multimodal Pain Relief: Enhances pain control when combined with opioids, allowing reduced opioid dosage and minimizing associated risks. Stable Formulation: The isotonic and sterile composition ensures patient safety, stability, and reduced risk of contamination. Suitable for Broad Patient Demographics: Can be used in adults, elderly patients, and children under proper medical supervision. Precautions and Warnings While Paracetamol Infusion IP is generally safe, the following precautions should be observed: Liver Impairment: Use with caution in patients with hepatic insufficiency, chronic alcoholism, or pre-existing liver disease, as Paracetamol is primarily metabolized in the liver. Renal Impairment: Dosage adjustment may be required in severe renal dysfunction. Avoid Overdose: Exceeding the recommended dose can lead to severe liver toxicity and, in extreme cases, hepatic failure. Drug Interactions: Concomitant use with other Paracetamol-containing medications increases risk of overdose. Caution when used with hepatotoxic drugs or alcohol. Pregnancy and Lactation: Generally considered safe when used under medical supervision, though benefits should outweigh potential risks. Possible Side Effects Although rare and usually mild, Paracetamol Infusion IP may cause: Allergic Reactions: Skin rash, itching, urticaria, or swelling. Hypotension: A transient drop in blood pressure may occur during infusion in some patients. Liver Toxicity: Overdose or prolonged use can lead to hepatocellular injury or elevated liver enzymes. Injection Site Reactions: Mild pain, redness, or inflammation at the infusion site. Blood Disorders (Very Rare): Thrombocytopenia or leukopenia may occur in extremely rare cases. If any severe reaction such as jaundice, persistent vomiting, or allergic swelling occurs, medical attention should be sought immediately. Storage and Handling Store below 30°C, protected from light and freezing. Do not use if the solution appears cloudy or contains particles. Single-use only; discard any unused portion after opening. Conclusion Paracetamol Infusion IP stands as a trusted, fast-acting, and safe intravenous formulation of one of the most widely used analgesic and antipyretic agents worldwide. Its ability to deliver rapid and predictable pain and fever relief makes it invaluable in hospitals, emergency care, and post-surgical settings. With its favorable safety profile, high efficacy, and compatibility with multimodal pain management strategies, Paracetamol Infusion IP continues to be a first-line choice for clinicians seeking a reliable and well-tolerated solution for pain and fever management.



![Bisoprolol 1.25mg is the smallest tablet strength of bisoprolol, a heart-selective beta-1 blocker. Doctors usually prescribe it to start treatment or to build up the dose gradually in people with high blood pressure, chronic stable heart failure, or fast heart rhythms. It suits older adults, people with mild heart failure, and anyone who reacts strongly to beta-blockers. The medicine slows the heartbeat and eases the force of each contraction, so the heart works less hard. BISOGARD 1.25 from Steris Healthcare Pvt. Ltd. comes in a strip pack of 15 tablets. It is a Schedule H medicine, so it must only be started, changed, or stopped on a doctor's advice.
Product Snapshot
Brand: BISOGARD 1.25
Manufacturer/Marketer: Steris Healthcare Pvt. Ltd., a WHO-GMP and ISO-certified pharmaceutical company in India
Active ingredient: Bisoprolol Fumarate 1.25mg
Form: Tablet
Pack size: 15 tablets
Drug class: Cardioselective beta-1 blocker
Legal status: Schedule H (valid prescription required)
Availability: Through Steris Healthcare's authorized pharmacies and its B2B PCD franchise network across India
What Is Bisoprolol 1.25mg?
If your doctor has just prescribed bisoprolol 1.25mg, you have been given the lowest dose on purpose. Bisoprolol is a cardioselective beta-1 blocker, meaning it acts mostly on receptors in the heart and has much less effect on the lungs and blood vessels. This is a major reason it is preferred over older, non-selective beta-blockers, especially for people who also have a mild breathing problem.
The 1.25mg tablet is not a “light” medicine for mild illness. It is a carefully chosen entry point. In heart failure, a weakened heart can struggle if its rate or pressure drops too quickly, so cardiologists follow a “start low, go slow” approach. Treatment begins at 1.25mg, the response is watched for one to two weeks, and the dose is raised step by step (commonly 2.5mg, 3.75mg, 5mg, 7.5mg, and up to 10mg) as the heart adapts. That is why BISOGARD 1.25 is often the first tablet a newly diagnosed heart failure patient takes.
What Is Bisoprolol 1.25mg Used For?
Doctors commonly prescribe this strength for:
Chronic heart failure (HFrEF): as the first step of dose titration in patients with a reduced ejection fraction, alongside ACE inhibitors/ARBs and diuretics
High blood pressure: especially in older adults, people with low body weight, and those who are sensitive to blood-pressure-lowering drugs
Stable angina: to reduce the heart's oxygen demand and relieve chest discomfort
After a heart attack: in selected patients, under a cardiologist's care
Heart rate control in some arrhythmias: sometimes used off-label at a low dose to gently bring down a fast heart rate
At 1.25mg, bisoprolol is seldom meant as the long-term sole treatment for high blood pressure in an otherwise healthy adult. It is usually the first rung of a titration ladder, or a steady maintenance dose for patients who are unusually beta-blocker sensitive (older age, low body weight, or borderline low pressure or pulse).
How Does Bisoprolol Work?
Bisoprolol selectively blocks beta-1 adrenergic receptors, which are packed mainly into heart muscle. This leads to several effects:
Slower heart rate: the heart has more time to fill and rest between beats
Gentler contractions: the heart muscle needs less oxygen and energy
Less renin from the kidneys: this helps blood pressure fall gradually over time
Lower overall cardiac workload: a real advantage for a heart that already struggles to pump well, as in heart failure
Key Benefits of BISOGARD 1.25
A gentle starting dose, well suited to careful titration in frail or elderly patients
Heart-focused action, with less effect on the lungs and peripheral blood vessels than non-selective beta-blockers
Once-daily dosing, which makes it easier to stay on treatment
A guideline-recommended beta-blocker for HFrEF with well-established outcomes data [Reviewer note: insert specific outcome statistics/trial citation pending medical sign-off]
Made by Steris Healthcare Pvt. Ltd. under WHO-GMP and ISO-certified standards
Dosage Guidance
Usual starting dose (heart failure): 1.25mg once a day, preferably in the morning
Dose increases: typically every 1–2 weeks (2.5mg, 3.75mg, 5mg, 7.5mg, up to a maximum of 10mg daily), depending on how well you tolerate it and on your pulse and blood pressure
High blood pressure (sensitive patients): 1.25mg to 5mg once daily, as set by your doctor
How to take it: at the same time every day, with or without food, swallowed whole with water
If you miss a dose: take it when you remember, unless the next dose is almost due. Never take a double dose.
Never stop suddenly: abrupt withdrawal can cause a rebound rise in heart rate, blood pressure, or chest pain. The dose must be reduced gradually under medical supervision.
Is It Better to Take Bisoprolol in the Morning or at Night?
Most doctors advise a morning dose. Bisoprolol lowers pulse and blood pressure, and taking it early matches its action to your daytime activity. A night-time dose could add to the body's natural overnight dip in blood pressure and raise the chance of dizziness when getting up in the dark. Some people who feel tired during the day are told by their doctor to switch to the evening. Do not change your dosing time without your doctor's approval.
Side Effects of Bisoprolol 1.25mg
Common side effects
Tiredness or fatigue
Dizziness or light-headedness, especially on standing quickly
Cold hands or feet
Slow pulse (bradycardia)
Headache
Mild stomach upset (nausea, loose stools)
Disturbed sleep
Serious side effects (get medical help promptly)
Very slow heartbeat or fainting
Increasing breathlessness or swollen legs/ankles, which may mean heart failure is worsening
Allergic reaction: rash, swelling of the face or throat, trouble breathing
Cold, numb, or bluish fingers and toes
Wheezing or new breathing difficulty, particularly in people with asthma or COPD
Mood changes, low mood, or confusion
What Are the Bad Side Effects of Bisoprolol?
The effects that need urgent attention are a dangerously slow pulse, fainting, signs of worsening heart failure (swelling, breathlessness), severe allergic reactions, and airway tightening in people with lung disease. These are uncommon at the 1.25mg dose, but anyone who notices them should seek medical help right away. [Reviewer note: specific incidence rates pending clinical/medical sign-off]
Substitutes & Comparable Beta-Blockers
Molecule Selectivity Typical Use Case
Bisoprolol Highly cardioselective Heart failure titration, hypertension
Metoprolol Succinate ER Cardioselective Hypertension, angina, heart failure
Atenolol Cardioselective (older agent) Hypertension
Carvedilol Non-selective with alpha-blocking action Heart failure (adds vasodilation)
Propranolol Non-selective Migraine prevention, anxiety-related fast heartbeat, essential tremor
Precautions & Who Should Avoid Bisoprolol
Not suitable for people with severe bradycardia, certain forms of heart block (unless a pacemaker is fitted), unstable or acutely decompensated heart failure, or severe uncontrolled asthma
Use carefully in diabetes, because beta-blockers can hide the warning signs of low blood sugar
Take care in peripheral vascular disease, as cold extremities or leg pain on walking may worsen
Never stop it abruptly; always taper under a doctor's guidance
Tell your doctor about every medicine you use, especially other blood-pressure drugs, calcium channel blockers, and certain antiarrhythmics
In pregnancy and breastfeeding, use only if your doctor advises it after weighing benefits and risks
Is Bisoprolol Safe for Kidneys?
The body clears bisoprolol through both the liver and the kidneys in roughly equal measure. It is generally considered safe for people with normal or mildly reduced kidney function. When kidney impairment is significant, drug levels in the blood can rise, so your doctor may lower the dose or monitor you more closely. Always tell your prescriber about any kidney disease before starting.
Is Bisoprolol a High-Risk Medication?
Bisoprolol is not a narrow therapeutic index drug like tacrolimus or warfarin, where small dose differences matter greatly. Even so, it needs supervised use because it directly affects heart rate and blood pressure. The main dangers are stopping it suddenly, which can set off rebound cardiac events, and using it with certain existing rhythm disorders. Taken as prescribed and checked regularly, it has a long and reassuring safety record.
Does 1.25mg Bisoprolol Lower Blood Pressure?
Yes. Even the smallest dose measurably reduces heart rate and blood pressure by lightening the heart's workload and reducing renin-driven narrowing of blood vessels. At this strength the effect on blood pressure is fairly mild, which is exactly why it is a safe place to begin, especially for older adults or people starting heart failure treatment. The dose is then raised gradually to reach full benefit.
Frequently Asked Questions
1. What is 1.25 mg of bisoprolol used for?
Mainly as a low starting dose when building up treatment for chronic heart failure, and for high blood pressure in people who are very sensitive to beta-blockers, such as older adults.
2. What are the bad side effects of bisoprolol?
The more serious ones are a very slow pulse, fainting, worsening heart failure signs (swelling, breathlessness), severe allergy, and breathing trouble in people with lung conditions.
3. What are the common side effects of bisoprolol fumarate 1.25 mg tablets?
Tiredness, dizziness, cold hands and feet, mild headache, and a slightly slower pulse.
4. Is it better to take bisoprolol in the morning or at night?
Morning is usually preferred so its effect fits daytime activity, though your doctor may suggest evenings in some cases.
5. What is the cost of bisoprolol?
Price depends on strength, pack size, and brand. Use the “Check Price” option above for current BISOGARD 1.25 pricing from Steris Healthcare.
6. Does 1.25 mg bisoprolol lower blood pressure?
Yes, though only modestly at this dose. The dose is often stepped up over time.
7. Is bisoprolol safe for kidneys?
Generally yes for normal or mildly reduced kidney function. People with significant kidney impairment need dose adjustment and monitoring.
8. Is bisoprolol a high-risk medication?
It is not a narrow therapeutic index drug, but it must never be stopped suddenly and should be used under medical supervision because of its direct effect on the heart.
9. Can I take bisoprolol 1.25mg for the rest of my life?
Many people with chronic heart failure or hypertension do take bisoprolol long term, but the dose usually rises as tolerated. Your doctor should review it regularly.
10. What happens if I miss a dose of bisoprolol?
Take it when you remember, unless the next dose is nearly due. In that case skip the missed one. Never take two together.
11. Can bisoprolol 1.25mg cause weight gain?
It is not commonly reported at this dose. Fluid retention linked to heart failure itself should be reported to your doctor.
12. Is bisoprolol safe for diabetic patients?
It can be used, with care, because beta-blockers may hide warning signs of low blood sugar such as a racing heartbeat.
13. Can I stop taking bisoprolol suddenly if I feel fine?
No. Stopping abruptly can cause a rebound rise in heart rate, blood pressure, or chest pain. Reduce the dose gradually under medical guidance.
14. Does bisoprolol interact with other blood pressure medicines?
Yes. Combining it with other drugs that lower heart rate or pressure (such as calcium channel blockers) can cause a very low pulse or pressure. Tell your doctor about all your medicines.
15. Is BISOGARD 1.25 available without a prescription?
No. Bisoprolol is a Schedule H medicine in India and needs a valid prescription.
16. How long does it take for bisoprolol 1.25mg to start working?
Some effect on heart rate appears within hours, but the full benefit for blood pressure or heart failure symptoms builds over several weeks of regular use.
17. Can pregnant women take bisoprolol?
Only if clearly necessary and prescribed by a doctor, as it may affect the baby's heart rate and growth.](https://productimages.withfloats.com/tile/6abe4474c205678e0b16a23a.png)


