{"id":55861,"date":"2024-02-07T05:43:14","date_gmt":"2024-02-07T05:43:14","guid":{"rendered":"https:\/\/medsname.com\/lodoz\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"lodoz","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/lodoz\/","title":{"rendered":"Lodoz"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Lodoz?<\/h3>\n<p style=\"margin:0;\"><strong>Lodoz<\/strong> je <strong>fixed-dose combination of bisoprolol + hydrochlorothiazide (HCTZ)<\/strong> from Merck &mdash; a beta-blocker plus a thiazide diuretic in a single daily tablet. The combination attacks hypertension at <strong>dva dopl\u0148kov\u00e9 mechanismy<\/strong>: bisoprolol reduces cardiac output and renin release, while HCTZ causes renal sodium-water loss and a direct vasodilator effect. Typical dose: <strong>jedna tableta jednou denn\u011b r\u00e1no<\/strong>. Beta-blocker contraindications apply (asthma, severe bradycardia, heart block, acute heart failure) + HCTZ-specific cautions (gout, severe renal \/ hepatic impairment, hypokalaemia, hyponatraemia, sulfonamide allergy). Monitor for <strong>hypokalaemia and hyperuricaemia<\/strong> (gout flare) during the first months. Do not stop abruptly &mdash; taper the bisoprolol component to avoid rebound.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">What Is Lodoz?<\/h2>\n<p>Lodoz is a fixed-dose combination oral tablet from Merck containing:<\/p>\n<ul>\n<li><strong>Bisoprolol<\/strong> &mdash; a highly beta-1-cardioselective beta-blocker (the same molecule in <a href=\"https:\/\/medsbase.com\/cs\/concor\/\">Concor<\/a>)<\/li>\n<li><strong>Hydrochlorothiazide (HCTZ)<\/strong> &mdash; a thiazide diuretic (the same molecule in <a href=\"https:\/\/medsbase.com\/cs\/aquazide\/\">Aquazide<\/a>, <a href=\"https:\/\/medsbase.com\/cs\/hydrocl\/\">Hydrocl<\/a>)<\/li>\n<\/ul>\n<p>Combining a beta-blocker with a thiazide was one of the first &#8220;fixed-dose combination&#8221; antihypertensive strategies, dating to the 1970s. It is still commonly used because the two mechanisms complement each other (RAAS suppression + sodium diuresis) and adherence is better with one tablet per day than two.<\/p>\n<h2 class=\"wp-block-heading\">How Lodoz Works<\/h2>\n<p>Bisoprolol + HCTZ lowers blood pressure via four complementary mechanisms:<\/p>\n<ul>\n<li><strong>Bisoprolol<\/strong> &mdash; reduces heart rate and cardiac output (beta-1 blockade in SA node + ventricle)<\/li>\n<li><strong>Bisoprolol<\/strong> &mdash; suppresses renin release (beta-1 blockade in juxtaglomerular cells), lowering angiotensin II and aldosterone over weeks<\/li>\n<li><strong>HCTZ<\/strong> &mdash; inhibits the Na-Cl cotransporter in the distal convoluted tubule, causing natriuresis and modest plasma volume reduction<\/li>\n<li><strong>HCTZ<\/strong> &mdash; direct vascular effect (not fully characterised) that maintains BP-lowering after plasma volume restores to baseline<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Pou\u017eit\u00ed &amp; D\u00e1vkov\u00e1n\u00ed<\/h2>\n<ul>\n<li><strong>Esenci\u00e1ln\u00ed hypertenze<\/strong> (primary indication) &mdash; typically as step-up when a single agent is insufficient<\/li>\n<li>Usually <strong>jedna tableta jednou denn\u011b<\/strong> in the morning (HCTZ causes diuresis; morning dosing avoids nocturia)<\/li>\n<li>Target BP: &lt;140\/90 in uncomplicated hypertension; &lt;130\/80 in diabetes, CKD, or cardiovascular disease<\/li>\n<\/ul>\n<p><strong>Monitorov\u00e1n\u00ed:<\/strong><\/p>\n<ul>\n<li>Baseline + at 4 weeks + periodically: electrolytes (sodium, potassium, calcium, magnesium), urea + creatinine (eGFR), uric acid, glucose, lipids<\/li>\n<li>Pulse and BP at 2, 4, 8 weeks<\/li>\n<li>Beta-blocker requires taper if discontinued &mdash; do not stop abruptly<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p><strong>Bisoprolol-related:<\/strong> fatigue, cold extremities, bradycardia, exercise intolerance, erectile dysfunction, mild depression.<\/p>\n<p><strong>HCTZ-related:<\/strong><\/p>\n<ul>\n<li><strong>Hypokal\u00e9mie<\/strong> (low potassium) &mdash; particularly with &gt;25 mg\/day HCTZ; check at 4 weeks<\/li>\n<li><strong>Hyponatr\u00e9mie<\/strong> &mdash; particularly in elderly; can cause confusion, falls<\/li>\n<li><strong>Hyperuricaemia \/ gout flare<\/strong><\/li>\n<li><strong>Hyperglycaemia \/ worsening insulin sensitivity<\/strong> &mdash; bisoprolol contributes modestly; HCTZ is the bigger driver. Monitor in diabetes.<\/li>\n<li>Hyperlipidaemia (mild)<\/li>\n<li>Fotosensitivn\u00ed vyr\u00e1\u017eka<\/li>\n<li>Erektiln\u00ed dysfunkce<\/li>\n<li>Mild volume depletion, dizziness<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Kontraindikace<\/h2>\n<ul>\n<li>Asthma, severe COPD (bisoprolol component &mdash; highly selective but still avoid in severe disease)<\/li>\n<li>Second\/third-degree heart block, sinus bradycardia &lt;50, sick sinus syndrome<\/li>\n<li>Dekompenzovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed<\/li>\n<li>Severe hepatic or renal impairment (eGFR &lt;30 &mdash; HCTZ ineffective below this)<\/li>\n<li>Anurie<\/li>\n<li>Refraktern\u00ed hypokal\u00e9mie, hyponatr\u00e9mie, hyperkalc\u00e9mie<\/li>\n<li>Gout (relative)<\/li>\n<li>Sulfonamide allergy (cross-reactivity with HCTZ rare but possible)<\/li>\n<li>Feochromocytom bez p\u0159edchoz\u00ed alfa-blok\u00e1dy<\/li>\n<li>P\u0159ecitliv\u011blost na kteroukoli slo\u017eku<\/li>\n<\/ul>\n<p><strong>T\u011bhotenstv\u00ed:<\/strong> avoid. HCTZ reduces plasma volume which can impair placental perfusion; beta-blockers have the neonatal bradycardia \/ IUGR considerations. Switch to <a href=\"https:\/\/medsbase.com\/cs\/labebet\/\">labetalol<\/a> and\/or methyldopa in pregnancy.<\/p>\n<h2 class=\"wp-block-heading\">Storage &amp; Frequently Asked Questions<\/h2>\n<p>Skladujte p\u0159i teplot\u011b do 25\u00b0C; uchov\u00e1vejte v suchu. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h3 class=\"wp-block-heading\">Why both drugs in one tablet?<\/h3>\n<p>Adherence. Two BP drugs in one tablet is substantially more likely to be taken reliably than two separate pills. For patients who need dual therapy and tolerate both components, FDC is the rational choice.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Lodoz if I have gout?<\/h3>\n<p>Relative contraindication. HCTZ raises uric acid and can precipitate gout flares. If gout is well-controlled on allopurinol or febuxostat, low-dose HCTZ (like the 6.25 mg in Lodoz) is often tolerated, but flares can still occur. Alternative combinations (bisoprolol + amlodipine, or ACE-inhibitor + amlodipine) avoid the uric acid issue.<\/p>\n<h3 class=\"wp-block-heading\">Do I need to take Lodoz in the morning?<\/h3>\n<p>Yes, recommended. HCTZ causes diuresis for 6-12 hours after a dose &mdash; if taken in the evening, it disrupts sleep with nocturia. Morning dosing lets the diuretic effect wear off by night.<\/p>\n<h3 class=\"wp-block-heading\">Where can I buy Lodoz online?<\/h3>\n<p>You can buy Lodoz (bisoprolol + HCTZ 2.5 mg + 6.25 mg, 30-180 tablets) from MedsBase with discreet packaging and worldwide shipping.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed beta-blok\u00e1tory a antihypertenziva<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/ciplar-la\/\">Ciplar LA \u2014 Propranolol 20\/40 mg s prodlou\u017een\u00fdm \u00fa\u010dinkem (Cipla)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/lobet\/\">Lobet \u2014 Labetalol 100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/metolar\/\">Metolar \u2014 Metoprolol Tartrate 25\/50\/100 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/nebicard\/\">Nebicard &mdash; Nebivolol 2.5\/5 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/nilol\/\">Nilol \u2014 Kombinace atenololu a nifedipinu<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/p-nolol\/\">P-Nolol \u2014 Propranolol 20\/40 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/high-blood-pressure-medication\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky na vysok\u00fd krevn\u00ed tlak<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed.<\/strong> Tato str\u00e1nka slou\u017e\u00ed pouze pro informa\u010dn\u00ed \u00fa\u010dely a nenahrazuje l\u00e9ka\u0159skou p\u00e9\u010di kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. Hypertenze, srde\u010dn\u00ed selh\u00e1n\u00ed a arytmie vy\u017eaduj\u00ed diagn\u00f3zu, monitorov\u00e1n\u00ed a individu\u00e1ln\u00ed d\u00e1vkov\u00e1n\u00ed l\u00e9ka\u0159em \u2014 v\u017edy u\u017e\u00edvejte betablok\u00e1tory pod l\u00e9ka\u0159sk\u00fdm dohledem.<\/div>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3>How does Lodoz work?<\/h3>\n<p>Lodoz contains a clinically-validated active ingredient that targets the specific pathway involved in the condition it treats. Once absorbed, the medicine reaches its site of action and produces its effect over the dosing interval. Your prescriber or specialist can explain the exact mechanism for your indication.<\/p>\n<h3>How long does Lodoz take to start working?<\/h3>\n<p>N\u00e1stup \u00fa\u010dinku se li\u0161\u00ed podle indikace a formulace. N\u011bkter\u00e9 \u00fa\u010dinky (nap\u0159\u00edklad \u00faleva od bolesti nebo p\u0159\u00edznak\u016f) za\u010d\u00ednaj\u00ed do 30\u201360 minut; u l\u00e9\u010dby chronick\u00fdch stav\u016f m\u016f\u017ee pln\u00fd klinick\u00fd benefit trvat n\u011bkolik dn\u00ed a\u017e t\u00fddn\u016f pravideln\u00e9ho u\u017e\u00edv\u00e1n\u00ed. Pokra\u010dujte v p\u0159edepsan\u00e9 l\u00e9\u010db\u011b, i kdy\u017e se rychle c\u00edt\u00edte l\u00e9pe \u2014 p\u0159ed\u010dasn\u00e9 ukon\u010den\u00ed m\u016f\u017ee v\u00e9st k n\u00e1vratu p\u0159\u00edznak\u016f.<\/p>\n<h3>What are the most common side effects of Lodoz?<\/h3>\n<p>Most patients tolerate Lodoz well. Mild, self-limiting effects can include gastrointestinal upset, headache, or transient changes in sleep or appetite. Stop the medication and seek medical advice if you develop a rash, swelling, breathing difficulty, severe abdominal pain, jaundice, or any symptom that feels rapidly worsening.<\/p>\n<h3>Can I take Lodoz with food or alcohol?<\/h3>\n<p>V\u011bt\u0161inu formulac\u00ed lze u\u017e\u00edvat s j\u00eddlem i bez n\u011bj, pokud v\u00e1m l\u00e9ka\u0159 neur\u010d\u00ed jinak \u2014 u\u017e\u00edv\u00e1n\u00ed s mal\u00fdm j\u00eddlem \u010dasto sni\u017euje \u017ealude\u010dn\u00ed pot\u00ed\u017ee. Alkohol by m\u011bl b\u00fdt obecn\u011b omezen nebo vynech\u00e1n b\u011bhem l\u00e9\u010dby, zejm\u00e9na u antibiotik, sedativ a l\u00e1tek metabolizovan\u00fdch j\u00e1try. P\u0159esn\u00e9 pokyny ohledn\u011b j\u00eddla\/alkoholu najdete v p\u0159\u00edbalov\u00e9m let\u00e1ku dod\u00e1van\u00e9m s balen\u00edm.<\/p>\n<h3>What should I do if I miss a dose of Lodoz?<\/h3>\n<p>Vynechanou d\u00e1vku u\u017eijte, jakmile si vzpomenete. Pokud je t\u00e9m\u011b\u0159 \u010das na dal\u0161\u00ed d\u00e1vku, vynechanou vynechejte a pokra\u010dujte v pravideln\u00e9m re\u017eimu \u2014 nikdy nezdvojujte d\u00e1vky. Pokud vynech\u00e1te n\u011bkolik d\u00e1vek nebo se va\u0161e p\u0159\u00edznaky zhor\u0161\u00ed, kontaktujte sv\u00e9ho l\u00e9ka\u0159e pro radu ohledn\u011b op\u011btovn\u00e9ho zah\u00e1jen\u00ed l\u00e9\u010dby.<\/p>\n<h3>Where can I buy Lodoz online?<\/h3>\n<p>MedsBase ships Lodoz worldwide from a WHO-GMP certified manufacturer in discreet plain packaging. Every order is backed by our Reshipment Assurance Policy: if your parcel does not arrive within the published window we will reship at our expense, subject to the policy terms. Add Lodoz to your cart and pay by card (the statement descriptor is the crypto-payment processor \u2014 never &ldquo;MedsBase&rdquo; or any medication name), SEPA, or crypto.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Chronick\u00e1 onemocn\u011bn\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/flucort-n-cream\/\">Flucort-N Cream<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/zolitas-ods\/\">Zolitas ODS<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/vilano\/\">Vilano<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/seroflo-rotacaps\/\">Seroflo Rotacaps<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/cresar\/\">Cresar<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Lodoz is a fixed-dose combination of bisoprolol 2.5 mg + hydrochlorothiazide 6.25 mg in one daily tablet from Merck \u2014 beta-blocker plus thiazide diuretic for hypertension. Complementary mechanisms; improves adherence vs two separate pills. Take in the morning. Monitor potassium and uric acid.<\/p>","protected":false},"featured_media":55862,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[3375,3401,3999],"class_list":{"0":"post-55861","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-heart-blood-pressure","9":"product_cat-high-blood-pressure-medication","10":"product_tag-bisoprolol","11":"product_tag-hydrochlorothiazide","12":"product_tag-lodoz","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/55861","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=55861"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55862"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55861"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55861"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55861"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55861"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}