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Bisoprolol

About Bisoprolol

Bisoprolol belongs to the group of antihypertensive medications used to treat hypertension (high blood pressure) and angina pectoris. Hypertension is a medical condition in which the blood exerts high blood pressure against the walls of the arteries (blood vessels). This increases the heart's workload, and if it continues for a long time, the heart and arteries may not function properly.

Bisoprolol contains Bisoprolol, which affects the body's response to some nerve impulses, particularly in the heart. As a result, Bisoprolol slows down the heart rate and makes it easier for the heart to pump blood around the body. Thereby, Bisoprolol helps lower the raised blood pressure and reduces the risk of having a stroke, a heart attack, other heart problems, or kidney problems in the future.

Bisoprolol should be taken as directed by the physician. The dose and duration will be based on your medical condition and response to the treatment. Bisoprolol can cause side effects like tiredness, weakness, nausea, vomiting, diarrhoea, or constipation. Most of these side effects of Bisoprolol do not require medical attention and gradually resolve over time. However, if these side effects persist longer, please consult your doctor.

If you are pregnant or breastfeeding, you should avoid taking Bisoprolol. Bisoprolol may cause tiredness, drowsiness, or dizziness, so do not operate vehicles or machines if you have any of these symptoms. Bisoprolol is not recommended in children. Before taking Bisoprolol, inform your doctor about your medical history and all medications you are currently taking to rule out any potential side effects and interactions.

Uses of Bisoprolol

Hypertension and angina pectoris.

Medicinal Benefits

Bisoprolol is an antihypertensive medication used to treat hypertension/high blood pressure and angina pectoris. Bisoprolol alters how the body responds to certain nerve impulses, particularly in the heart. As a result, Bisoprolol reduces the heart rate and makes it easier for the heart to circulate blood throughout the body. Thereby, Bisoprolol aids in reducing the high blood pressure and the risk of having a stroke, heart attack, other heart problems, or kidney problems in the future.

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Bisoprolol

  • Tiredness
  • Weakness
  • Nausea
  • Vomiting
  • Diarrhoea
  • Constipation
  • Dizziness
  • Headache
  • Feeling of coldness or numbness in hands or feet
  • Low blood pressure

Drug Warnings

If you are pregnant or breastfeeding, you should avoid taking Bisoprolol. If you are allergic to Bisoprolol or any other ingredients in this medicine, do not take it. Bisoprolol is not recommended for people who have severe asthma or chronic lung disease, as well as those who have a slow or irregular heart rate, very low blood pressure, severe blood circulation problems, heart failure, cardiogenic shock, metabolic acidosis (excess acid in the blood), untreated phaeochromocytoma, and a rare adrenal gland tumour (medulla). Bisoprolol may cause tiredness, drowsiness, or dizziness. Do not operate vehicles or machines if you have any of these symptoms. Bisoprolol is not recommended for children. Before taking Bisoprolol, inform your doctor about your medical history and all medications you are currently taking to rule out any potential side effects and interactions.

Drug Interactions

Drug-Drug Interactions: Bisoprolol may interact with medicines for controlling the blood pressure or medicines for heart problems (amiodarone, amlodipine, diltiazem, verapamil), anti-depression medications (imipramine, amitriptyline), medicines to treat mental illness (levomepromazine), anti-epileptic drugs (phenobarbital), certain pain killers (acetylsalicylic acid, diclofenac, ibuprofen, naproxen), anti-malarial medication (mefloquine), certain medicines to treat clinical shock (adrenaline, dobutamine, noradrenaline), certain antibiotics (rifampicin).

Drug-Food Interactions: Limit the consumption of alcohol.

Drug-Disease Interactions: Bisoprolol may interact with disease conditions, including bradyarrhythmia/AV block, cardiogenic shock/hypotension, CHF (Congestive Heart Failure), diabetes, hemodialysis, hypersensitivity, ischemic heart disease, PVD (Peripheral Arterial Disease) and renal/liver disease.

Drug-Drug Interactions Checker List:

  • AMIODARONE
  • AMLODIPINE
  • DILTIAZEM
  • VERAPAMIL
  • IMIPRAMINE
  • AMITRIPTYLINE
  • LEVOMEPROMAZINE
  • PHENOBARBITAL
  • ACETYLSALICYLIC ACID
  • DICLOFENAC
  • IBUPROFEN
  • NAPROXEN
  • MEFLOQUINE
  • ADRENALINE
  • DOBUTAMINE
  • NORADRENALINE
  • RIFAMPICIN
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Avoid alcohol consumption while taking Bisoprolol as it may cause dizziness or light-headedness.

    • Safety Warning

      Pregnancy

      caution

      Avoid taking Bisoprolol during pregnancy as it may harm the unborn baby. Please consult your doctor if you have any concerns. If Bisoprolol therapy is required in pregnancy, the uteroplacental blood flow and fetal growth should be closely monitored.

    • Safety Warning

      Breast Feeding

      caution

      Caution should be exercised, and please consult a doctor before using Bisoprolol. Your doctor will weigh the benefits and potential risks before prescribing them.

    • Safety Warning

      Driving

      caution

      Bisoprolol may make you feel tired, drowsy or dizzy. Do not operate vehicles and/or machines if you suffer from these side effects.

    • Safety Warning

      Liver

      caution

      Please consult the doctor. Bisoprolol to be taken with caution, especially if you have a history of liver disease/conditions. The dose may have to be adjusted by your doctor.

    • Safety Warning

      Kidney

      caution

      Please consult the doctor. Bisoprolol to be taken with caution, especially if you have a kidney disease/conditions history. The dose may have to be adjusted by your doctor.

    • Safety Warning

      Children

      caution

      Bisoprolol is not recommended for use in children or adolescents.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Limit consumption of excess sodium and sugary drinks.
    • Keep your weight under control with a BMI of 19.5-24.9.
    • Quitting smoking is the best strategy to lower the risk of heart disease. 
    • Make a habit of regular exercising for at least 1-2 hours a day, or at least one should walk for about half an hour for good health.
    • Avoid chronic stress, as it can raise your blood pressure.
    • Try to include heart-healthy omega-3 fatty acids-containing food in your daily diet. 
    • Limiting salt intake and including high fhigh-fiber in the diet is best.

    Special Advise

    • Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).
    • Get up slowly while rising from a lying or sitting position as Bisoprolol may cause dizziness.
    • Do not skip any doses or stop taking Bisoprolol without consulting your doctor. Quitting Bisoprolol on your own may raise the blood pressure and increase heart attack chances.

    Patients Concern

    Disease/Condition Glossary

    Hypertension: Hypertension is a chronic medical condition when blood pressure is too high. Blood pressure is the measurement of the force that the heart uses to pump blood to all body parts. When the heart pumps more blood, the arteries become narrower, and blood pressure becomes high. If the blood pressure becomes uncontrolled, it may cause serious heart diseases like brain damage (stroke), heart attacks, and kidney failure.

    Angina pectoris: It is a kind of chest pain caused due to decreased blood flow to the heart, which means insufficient oxygen supply to the heart muscle. The chest pain is often triggered by emotional stress or physical activity. Angina is a symptom of coronary artery disease. The symptoms of angina include dizziness, shortness of breath, nausea, tiredness, anxiety or excessive sweating. The risk factors for angina include smoking, diabetes, overweight, high blood pressure, high cholesterol, not exercising, or a history of heart disease.

    FAQs

    Yes, Bisoprolol can be taken in the morning or at any other time. Take your first dose before bedtime as it can make you feel dizzy. If you don't feel dizzy after taking the first dose, take Bisoprolol in the morning. It is better to take it at a fixed time.

    Usually, Bisoprolol is prescribed for a long-term treatment ranging from weeks to months for treating heart-related conditions. However, taking it on your own for a year without a doctor's consent can be fatal. Hence, only take it as long as your doctor prescribes it.

    No, you are not recommended to stop taking Bisoprolol without consulting your doctor as it may cause blood pressure rise and this may increase your risk of heart attack and stroke. Therefore, take Bisoprolol for as long as your doctor has prescribed it, and if you experience any difficulty while taking Bisoprolol, please consult your doctor so that the dose may be gradually reduced.

    No, you are not recommended to consume alcohol with Bisoprolol as it may increase the risk of side effects like dizziness, tiredness, and sleepy.

    No, Bisoprolol is not safe to be taken in pregnancy. It can have many harmful effects on the newborn and can even cause complications in pregnancy. The use of Bisoprolol may decrease the blood supply to the fetus, slow down its growth, cause intrauterine death, abortion, or early labour. Therefore, it is advised to consult your doctor if you are planning a baby or if you become pregnant during the course of treatment with this medication.

    Available Medicines for

    Bisoprolol

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