Bisoprolol - Benefits, dosage and side effects

Bisoprolol is a drug used to treat hypertension or high blood pressure, angina pectoris, arrhythmias, and heart failure. Bisoprolol belongs to the class of beta-blocking drugs (beta blockers).

Bisoprolol works by slowing the heart rate and the pressure on the heart muscle when it contracts, so the burden on the heart in pumping blood around the body can be reduced. By lowering blood pressure, strokes, heart attacks, and kidney disorders can also be prevented.

Bisoprolol trademarks:Beta-One, Bipro, Biofin, Biscor, Bisoprolol Fumarate, Bisovell, Carbisol, Concor, Hapsen, Lodoz, Maintate, Miniten, Opiprol, Selbix

What's that Bisoprolol?

groupBeta blockers
CategoryPrescription drugs
BenefitTreating hypertension, angina, arrhythmias, and heart failure
Consumed byMature
Bisoprolol for pregnant and lactating womenCategory C:Animal studies have shown adverse effects on the fetus, but there are no controlled studies in pregnant women. The drug should only be used if the expected benefit outweighs the risk to the fetus. It is not known whether bisoprolol is absorbed into breast milk or not. If you are breastfeeding, do not use this medicine without consulting your doctor first.
Drug formTablet

Precautions Before Taking Bisoprolol

Bisoprolol should not be used carelessly. Follow the doctor's advice while undergoing treatment with this medicine. Before taking bisoprolol, you need to pay attention to the following:

  • Do not take bisoprolol if you have a history of allergy to this drug.
  • Tell your doctor if you have a history of asthma or respiratory distress, bradycardia, heart failure, cardiogenic shock, diabetes, low blood pressure, hyperthyroidism, liver disorders, pheochromocytoma, kidney disorders, myasthenia gravis, psoriasis, and severe peripheral arterial disease.
  • Avoid consuming alcohol while taking bisoprolol as it will increase the blood pressure lowering effect causing dizziness.
  • Tell your doctor if you are taking any other medicines, including herbal medicines and supplements, to avoid unwanted drug interactions.
  • Tell your doctor if you are taking this medication before having any medical procedures, including surgery and dental work.
  • If an allergic reaction or overdose occurs after using bisoprolol, see a doctor immediately.

Bisoprolol Dosage and Directions

Bisoprolol will be given by a doctor. The dose given will be adjusted according to the type of condition being treated, its severity, and the patient's response to the drug.

For adult patients, the starting dose of bisoprolol is 1.25–10 mg, once daily. Doctors may give a maximum dose of up to 20 mg per day if needed.

How to Take Bisoprolol Correctly

Follow your doctor's advice and read the information on the bisoprolol package before starting to take it. This medicine can be taken before or after meals, and should be taken in the morning.

Make sure that there is sufficient time between one dose and the next. Try to take bisoprolol at the same time each day to maximize its effects.

For patients who forget to take bisoprolol, it is advisable to do so as soon as they remember if the interval with the next consumption schedule is not too close. If it is close, ignore it and do not double the dose.

In order to maximize the effect of treatment, it is very important to follow the doctor's advice regarding a healthy lifestyle, such as eating nutritious foods, exercising regularly, and not smoking.

Treatment with bisoprolol is usually long-term. Do not stop using this drug without consulting your doctor first to avoid a recurrence of symptoms.

Store this medication at room temperature, away from humid air and direct sunlight. Keep out of reach of children.

Bisoprolol Interactions with Other Drugs

If bisoprolol is used together with certain drugs, there will be interaction effects such as:

  • Increased drug effect of bisoprolol when taken with class I antiarrhythmic drugs, such as lidocaine and phenytoin
  • Increased sympathetic nerve activity, such as heart palpitations when taken with reserpine and guanethidine
  • Increased risk of bradycardia (slow heart rate) if taken with digoxin
  • Increased risk of severe hypotension and atrioventricular block (blocking the flow of electrical impulses to the heart) when used with calcium antagonist drugs, such as diltiazem and verapamil
  • Increased risk of worsening heart failure if used with methyldopa or clonidine
  • Decreased effectiveness of bisoprolol when used with non-steroidal anti-inflammatory drugs (NSAIDs) and rifampicin

Bisoprolol Side Effects and Dangers

Just like other drugs, bisoprolol also has the potential to cause side effects. Some of the most common side effects after taking this drug are:

  • Dizzy
  • Nauseous
  • Throw up
  • Fatigue
  • Slow heart rate
  • Constipation
  • Diarrhea
  • Fingers and toes feel cold

In addition, more serious side effects can occur, such as:

  • Faint
  • Blue fingers and toes
  • Severe bradycardia
  • Hard to breathe
  • Mood swings
  • Confusion
  • Depression

Immediately consult a doctor if any of the side effects mentioned above occur or an allergic reaction occurs, such as rash, swelling and itching of the face, tongue, or throat, and shortness of breath.