Byscard tablet belongs to the class of beta-blocker drugs. It is primarily used for the treatment of high blood pressure (hypertension) and certain heart conditions, including:

  1. Hypertension: Byscard tablet is commonly used to manage high blood pressure. It works by blocking the beta-adrenergic receptors in the body, leading to a decrease in heart rate and the force of contraction. This helps relax and widen the blood vessels, allowing blood to flow more easily and reducing blood pressure.
  2. Heart Failure: Byscard tablet may be used as part of the treatment regimen for heart failure. It helps improve symptoms and overall heart function by reducing the workload on the heart and improving its efficiency. Byscard is selective for beta-1 adrenergic receptors, which means it has a specific action on the heart and has been shown to have vasodilatory properties as well.

Off-label Uses of Byscard Tablet

  1. Migraine Prevention: Some healthcare providers may prescribe Byscard tablets off-label for the prevention of migraines.
  2. Anxiety and Stage Fright: In certain cases, Byscard tablets may be used off-label to help manage symptoms of anxiety and performance-related anxiety, such as stage fright.
Byscard Uses and Indications

What is Byscard?

Byscard is one of the leading brands of Nebivolol, manufactured and marketed by Searle Pakistan.

Byscard Alternatives : Other Similar Brands

The following are some alternative brands of Byscard and their manufacturers.

  • Nebil : Getz Pharmaceuticals (Pvt) Ltd, Pakistan.
  • Betanorm : Werrick Pharmaceuticals, Pakistan.
  • Nebix : Highnoon Laboratories (Pvt) Ltd, Pakistan.
  • Nebilol : Genix Pharmaceuticals (Pvt) Ltd, Pakistan.
  • Byvas : Pharmevo (Pvt) Ltd, Pakistan.
  • Bynevol : Atco Laboratories (Pvt) Ltd, Pakistan.
  • Nebiloc : Nabiqasim Pharma, Pakistan.
  • NIB : Wilson Pharmaceuticals, Pakistan.
  • Nabiz : Consolidated Chemical Laboratories (Pvt) Ltd, Pakistan.
  • Nibovo : Scilife Pharmaceuticals (Pvt) Ltd, Pakistan.

Byscard : Available Formulations and Strengths

Presently, Byscard is available in Tablet Form with the following strengths.

Byscard Tablets : 2.5mg, 5mg, and 10mg strengths.

Who Should Not Use Byscard?

Byscard, like any medication, has certain contraindications, which are situations or conditions in which the use of Byscard is not recommended or should be avoided.

  • Hypersensitivity or Allergy: Individuals who have a known hypersensitivity or allergic reaction to Byscard or any of its components should not use this medication.
  • Severe Bradycardia: Byscard can decrease heart rate as a part of its mechanism of action. It should be avoided in individuals with a resting heart rate less than 60 beats per minute (bradycardia) or individuals who have experienced symptoms of bradycardia, such as dizziness, fainting, or fatigue, as it may further slow the heart rate and lead to cardiovascular complications.
  • Severe Heart Failure: Byscard is not recommended for use in individuals with severe heart failure (New York Heart Association class IV) who require inotropic therapy (medications to increase the heart’s pumping ability).
  • Cardiogenic Shock: Byscard is contraindicated in individuals with cardiogenic shock, a severe condition where the heart is unable to pump enough blood to meet the body’s needs.
  • Second- or Third-Degree Heart Block: Byscard should be avoided in individuals with second or third-degree heart block (unless a functioning pacemaker is in place) as it can further impair the electrical conduction in the heart.
  • Severe Liver Dysfunction: Byscard is metabolized by the liver, and severe liver dysfunction can lead to a significant accumulation of the medication. Therefore, it is contraindicated in individuals with severe liver impairment.
  • Pulmonary Hypertension: Byscard is generally not recommended in individuals with pulmonary hypertension, a condition characterized by increased blood pressure in the arteries of the lungs.

What is the Recommended Daily Dosage of Byscard?

Byscard Dose for Hypertension:

  • Starting dose: One Tablet of 5mg once daily
  • Maintenance dose: 5-40 mg once daily

Byscard Dose for Heart Failure:

  • Starting dose: One or a half tablet of 2.5mg once daily
  • Maintenance dose: 2.5-10 mg once daily

How Byscard Works?

Byscard works by selectively blocking the beta-1 adrenergic receptors in the body. These receptors are primarily found in the heart. By blocking these receptors, it reduces the effects of the stress hormone adrenaline (epinephrine) and other substances that stimulate the beta-1 receptors. This results in a decrease in the heart rate and the force of contraction, reducing the workload on the heart.