Ziac is made by Duramed Pharmaceuticals, Inc. Generic versions of this medication are made by various manufacturers.
How Does This Medication Work?
As mentioned, Ziac contains two different active ingredients,
bisoprolol and hydrochlorothiazide (also known as
HCTZ).
Bisoprolol belongs to a group of drugs called beta-adrenergic blocking agents, more often known as
beta blockers. These medications block beta receptors, which are located in a number of places within the body, including the heart and blood vessels. At lower doses in most people, bisoprolol helps to block a specific type of beta receptor, called beta-1 receptors (at higher doses, it also blocks beta-2 receptors). By blocking beta-1 receptors, this medication decreases both heart rate and
blood pressure.
Hydrochlorothiazide is a diuretic, which is commonly referred to as a "water pill." It works by increasing the amount of salt and water that the kidneys remove from the blood, which is then passed through urine. As a result, hydrochlorothiazide causes a decrease in blood volume. Because of this effect, this medication can
lower blood pressure and help with water retention.