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

Bisoprolol works by slowing the heart rate and lowering the pressure on the heart muscle when it beats. In addition, bisoprolol also has the effect of dilating blood vessels.

This way of working results in a decrease in blood pressure and a reduced burden on the heart in pumping blood throughout the body. That way, the risk of complications from stroke , heart attack, and kidney disorders can also be reduced.

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

What is Bisoprolol

group Prescription drug
Category Beta blocker
Benefit Treating hypertension , angina, arrhythmias, and heart failure
Consumed by Mature
Bisoprolol for pregnant and lactating women Category 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 form Tablet

Precautions Before Taking Bisoprolol

Before taking bisoprolol, you need to pay attention to the following things:

  • Do not take bisoprolol if you have a history of allergy to this drug.
  • Tell your doctor if you have bradycardia , a history of asthma or other respiratory disorders, congestive heart failure , diabetes, hyperthyroidism, liver disorders, kidney disorders, myasthenia gravis , psoriasis , Raynaud's syndrome , or peripheral artery disease .
  • Do not drive a vehicle or do activities that require alertness after taking bisoprolol, as this medicine can cause dizziness.
  • Tell your doctor if you are taking other medications, including supplements and herbal products, to avoid unwanted drug interactions.
  • Tell your doctor if you are taking bisoprolol before any medical procedures, including surgery and dental work.
  • Tell your doctor if you are pregnant, breastfeeding or planning a pregnancy.
  • See your doctor immediately if you have an allergic reaction or overdose after taking bisoprolol.

Dosage and Rules for Use Bisoprolol

Bisoprolol is prescribed by a doctor . The dose given will be adjusted to the type of condition being treated, its severity, and the patient's body response to the drug. The following are common doses of bisoprolol:

  • Conditions: Angina pectoris , hypertension, arrhythmias
    Initial dose is 5 mg, once daily, according to patient response. Typical dosage is 10 mg, once a day, up to 20 mg per day.
  • Condition: Chronic heart failure
    The initial dose is 1.25 mg, once daily. Dosage can be doubled after 1 week if the drug is well tolerated by the patient's body. The dose is increased gradually at 1–4 week intervals, up to a maximum of 10 mg per day.

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 there is sufficient time between one dose and the next. Try to take bisoprolol at the same time every day to maximize its effect.

For patients who forget to take bisoprolol, it is advisable to do it immediately if the break with the next consumption schedule is not too close. If it is close, skip the dose and do not double the next 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.

Interactions of Bisoprolol with Other Drugs

Interactions that can occur if bisoprolol is used together with certain drugs are:

  • 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 in the heart) when used with calcium antagonist drugs , such as diltiazem and nifedipine
  • Increased risk of worsening heart failure when used with methyldopa or clonidine
  • Decreased effectiveness of bisoprolol when used with non-steroidal anti-inflammatory drugs and rifampicin

In people with diabetes, bisoprolol may mask early symptoms of hypoglycemia , which is a common side effect of antidiabetic drugs. This can make hypoglycemia too late to treat and cause complications.

To prevent this, diabetics who take bisoprolol are advised to check their blood sugar levels regularly, either independently or at a doctor.

Bisoprolol Side Effects and Dangers

Some of the side effects that can occur after consuming bisoprolol are:

  • Dizzy
  • Headache
  • Fatigue
  • Nausea or vomiting
  • Diarrhea
  • Hard to sleep

Consult a doctor if these side effects do not improve or get worse. See your doctor right away if you experience more serious side effects, such as:

  • Very slow heart rate (<60 beats per minute)
  • Faint
  • Hands and feet are cold , pale or blue, and painful
  • Mood changes, such as mood swings
  • Shortness of breath, swelling of the ankles, and excessive fatigue

Go to the emergency room immediately if you experience a severe drug allergic reaction or symptoms of an overdose, such as blurry vision, cold sweats, fast or irregular heartbeat, seizures, or anxiety and confusion.

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