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Bisoprolol is eliminated equally by renal and nonrenal pathways with about 50 of the dose appearing unchanged in the urine and the remainder in the form of inactive metabolites. Miscellaneous: The oculomucocutaneous syndrome associated with the beta-blocker practolol has not been reported with bisoprolol fumarate during investigational use or extensive foreign marketing experience. If more than one dose is missed, contact your health care provider or pharmacist. Since there is no indication that hydrochlorothiazide is cheap ziac online dialyzable, and limited data suggest that bisoprolol is not dialyzable, drug replacement is not necessary in patients undergoing dialysis.

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