Buy Zebeta
Zebeta

$0.47
Active Ingredient
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Prescription
Issued on site / Included
Availability
In Stock
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Zebeta Properties

Active Ingredients
Primary Category
Pharmacological Class
Beta-1 Selective Adrenergic Blocker
Minor Side Effects
Moderate Side Effects
Dosage Forms
Tablets
Administration Route
Oral
Mechanism of Action
Blocks the effects of adrenaline on the heart, slowing the heart rate and reducing the force of heart contractions, which lowers blood pressure and reduces the heart's workload.
Prescription Status
Rx
Patient Summary
Helps lower blood pressure and manage certain heart conditions by slowing the heart rate.
Onset Time
Within 2-3 hours, full effect within 2 weeks
Duration
About 24 hours
Storage Instructions
Store at room temperature, away from moisture
Pregnancy Use
Consult doctor before use during pregnancy
Alternative Drugs

About Zebeta

Zebeta is a prescription-only beta-1 selective blocker marketed under the brand name Zebeta and contains the active ingredient bisoprolol. It is approved in Singapore for the treatment of hypertension and to reduce the risk of cardiovascular events in patients with chronic heart failure. By selectively dampening cardiac β-1 receptors, Zebeta lowers heart rate and myocardial contractility, easing the workload on the heart and helping to control blood pressure. Typical dosing starts at 5 mg once daily, with the option to increase to 10 mg based on clinical response and tolerability.

What is Zebeta?

Zebeta is a brand formulation of bisoprolol, manufactured by Merck. Classified as a cardio-selective beta-blocker, it received approval from Singapore’s Health Sciences Authority for use in hypertension and stable chronic heart failure. The tablet is available in 5 mg and 10 mg strengths, intended for oral administration once daily. As a prescription-only medication, Zebeta should be obtained under the guidance of a qualified healthcare professional.

How Zebeta Works

Bisoprolol binds reversibly to β-1 adrenergic receptors located primarily in the heart. By blocking the action of endogenous catecholamines (epinephrine and norepinephrine), it reduces the rate of spontaneous depolarization in the sinoatrial node, leading to a lower heart rate (negative chronotropy). It also diminishes the force of myocardial contraction (negative inotropy) and slows atrioventricular conduction (negative dromotropy). The combined effect lowers cardiac output and arterial pressure, decreasing myocardial oxygen demand-a key therapeutic goal in hypertension and heart failure.

Pharmacokinetically, bisoprolol is well absorbed from the gastrointestinal tract, reaching peak plasma concentrations within 2-4 hours. It has an elimination half-life of roughly 10-12 hours, allowing once-daily dosing. Metabolism occurs mainly via hepatic CYP3A4 and CYP2D6 pathways, with renal excretion of metabolites accounting for most of the clearance. Food does not significantly affect its absorption, permitting flexible dosing times.

Why Zebeta is Used for Cardiovascular Conditions

  • Hypertension: By lowering heart rate and contractility, Zebeta reduces systolic and diastolic pressures, fitting guideline-recommended first-line therapy for patients with primary hypertension.
  • Chronic Heart Failure (Reduced Ejection Fraction): Clinical trials such as CIBIS-II demonstrated that bisoprolol improves survival, reduces hospitalizations, and enhances left-ventricular function. Its ability to blunt sympathetic activation is central to these benefits.
  • Post-Myocardial Infarction: β-blockade mitigates recurrent ischemic events and arrhythmias by stabilizing cardiac electrical activity.
  • Angina Pectoris (off-label in some regions): Decreased heart rate lessens myocardial oxygen consumption, alleviating chest pain.
  • Guideline Position: International and Singaporean cardiology guidelines list β-blockers, including bisoprolol, as a cornerstone of therapy for the above conditions, often alongside ACE inhibitors, diuretics, or mineralocorticoid receptor antagonists.

Off-Label and Investigational Uses of Zebeta

Evidence from controlled trials suggests that bisoprolol can be useful for rate control in atrial fibrillation and for preventing recurrent ventricular arrhythmias after myocardial infarction. However, these indications are not formally approved by Singapore’s Health Sciences Authority. Off-label use should only be considered under the supervision of a qualified healthcare provider.

Is Zebeta Right for You?

Zebeta is appropriate for adults with diagnosed hypertension or stable chronic heart failure who require β-blockade and have no contraindications such as severe bradycardia, advanced atrioventricular block, or uncontrolled asthma. The drug is generally well tolerated in the elderly, although dose adjustments may be needed for renal or hepatic impairment. Pregnant or breastfeeding women should avoid bisoprolol unless the potential benefit outweighs the risk, as safety data are limited. Patients with diabetes should monitor blood glucose closely, as β-blockade can mask hypoglycaemic symptoms.

Taking Zebeta Effectively

  • Timing: Take the tablet at the same time each day, preferably in the morning to align with the circadian rise in sympathetic activity.
  • Food: The tablet can be swallowed with or without food; consistency aids adherence.
  • Missed Dose: If a dose is missed by less than 12 hours, take it as soon as remembered. If longer, skip the missed dose and resume the regular schedule; do not double-dose.
  • Travel: For long-haul flights crossing time zones, maintain the local dosing time to preserve therapeutic steadiness.
  • Drug Interactions: Caution with other agents that lower heart rate (e.g., digoxin, calcium channel blockers) or potent CYP3A4 inhibitors (e.g., erythromycin, ketoconazole), which may increase bisoprolol concentrations.

Understanding Side Effects and How to Manage Them

  • Fatigue & Dizziness: Result from reduced cardiac output and lowered blood pressure. Rising slowly from a seated position and maintaining adequate hydration can mitigate symptoms.
  • Bradycardia: If heart rate falls below 50 bpm, seek medical advice; dose reduction may be required.
  • Cold Extremities: Peripheral vasoconstriction may cause tingling; wearing warm clothing helps.
  • Bronchospasm: In patients with reactive airway disease, β-2 blockade can precipitate wheeze; such individuals should avoid bisoprolol or be monitored closely.
  • Serious Reactions: Signs of heart block, severe hypotension, or allergic rash warrant immediate medical attention.

Buying Zebeta from Our Online Pharmacy

Why Choose Our Service?

Our online pharmacy bridges the gap for patients who face limited access to specialist prescriptions or who seek cost-effective alternatives without compromising quality.

Quality & Safety

We partner with licensed international pharmacies that operate under stringent regulatory frameworks, ensuring every tablet meets WHO-recognized Good Manufacturing Practice standards.

Pricing & Access

Zebeta is offered at competitive prices, with savings of up to 30 % compared with retail outlets. Bulk orders receive an additional 10 % discount on all reorders, making long-term therapy more affordable.

Discreet Delivery

Orders ship via express (≈ 7 days) or standard (≈ 3 weeks) routes, packaged in unbranded, tamper-evident containers to protect your privacy.

Frequently Asked Questions

  • Can I take Zebeta with other blood pressure medicines? Yes, combination therapy with ACE inhibitors, diuretics, or calcium-channel blockers is common, but dose adjustment may be needed to avoid excessive blood pressure reduction.

  • What should I do if I feel unusually tired after starting Zebeta? Fatigue often lessens after the first two weeks as the body adapts; if it persists beyond this period, contact your clinician for possible dose titration.

  • Is Zebeta safe for people with asthma? Because bisoprolol is β-1 selective, it carries a lower risk of bronchospasm than non-selective β-blockers, yet caution is advised. Discuss alternatives with your doctor if you have moderate to severe asthma.

  • How quickly will my blood pressure improve? Clinically significant reductions are typically observed within 2-4 weeks, with full effect emerging after several weeks of steady dosing.

  • Can I stop Zebeta abruptly? No. Sudden discontinuation may precipitate rebound hypertension or tachyarrhythmias. Gradual tapering under medical supervision is recommended.

  • Does Zebeta interact with alcohol? Moderate alcohol intake can enhance the blood-pressure-lowering effect, potentially causing dizziness; limiting alcohol is prudent.

  • What distinguishes Zebeta from other beta-blockers? Its high β-1 selectivity reduces the likelihood of bronchial side effects and peripheral vasoconstriction, making it a preferred option for patients with comorbid respiratory conditions.

  • Is a generic version of bisoprolol available in Singapore? Yes, several generic bisoprolol tablets are approved and bioequivalent to Zebeta, offering lower-cost alternatives while delivering the same therapeutic effect.

  • Can I use Zebeta for migraine prevention? Some studies suggest β-blockers help reduce migraine frequency, but bisoprolol is not formally indicated for this purpose in Singapore and should only be used off-label under specialist guidance.

  • How often should I have my heart rate checked while on Zebeta? Regular monitoring-at baseline, after dose adjustments, and during routine clinical visits-ensures the heart rate remains within a safe range (typically 60-80 bpm at rest).

Glossary

β-1 Selective Blocker
A class of drugs that preferentially inhibit β-1 adrenergic receptors in the heart, minimizing effects on β-2 receptors in the lungs and vasculature.
Negative Chronotropy
Reduction in heart rate caused by pharmacologic agents.
Pharmacokinetics
The study of drug absorption, distribution, metabolism, and excretion over time.
Rebound Hypertension
A rapid rise in blood pressure that can occur after abrupt cessation of β-blockers.
Bioequivalence
Demonstration that a generic product delivers the same amount of active ingredient into the bloodstream as the reference brand.

Disclaimer

The information provided about Zebeta is for general knowledge only. It does not replace professional medical consultation. All treatment decisions, including those regarding off-label use, should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Zebeta for individuals who may have limited availability through traditional pharmacies, prescription-based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.

External Resources about Zebeta


Information Prepared By

Nawin Kittisak
Vikneswaran V Paranjothy