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Bisoprolol: General Information and Side Effects

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This video is about Bisoprolol uses, dosing and Side Effects. Do not start or change your medication without discussing it with your doctor. This video presents medical education, not medical advice. For education about preventing heart attacks, visit my website http://CardioGauge.com
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Text Comments (58)
Benjamin Igwe (3 days ago)
It seems like Doctors in the US are more reasonable. I Was prescribed Bisoprolol Fumarate 2.5mg in the morning and 3.75mg in the evening. I am a 52 year old man and as a result of taking these medicine, including Doxazosin 4mg and various others. I suffer from severe breathlessness. I walk only a few paces and I am out of breath. My Doctor here in the UK insists that I keep taking them because he is unable to prescribe me any thing else with less side affects. So I have decided to take control back from the doctors and drop the medicines and adopt a health eating and exercise regime in an attempt to reduce my blood pressure naturally. I understand there are a whole host of foods that can help reduce your blood pressure naturally. I just hope it works. Because at the moment I just simply am not enjoying my life. I have a 5 year old daughter I have difficulty keeping up with. It looks like I am the 1 in 10 patients you talked about earlier who suffers from this debilitating side effect.
Nando BT (19 days ago)
Hello i was prescribed 10mg biso, one in morning one in night, feeling a few side effects mostly nausea upset stomach but I went to do some fast walking and jogging then I got home and took 5mg of biso and started to get rapid heart rate and feeling like I was gonna faint is this normal or is something wrong? Blood pressure was ok when I felt that bad and pulse was 125, stress eco, chest xray and EKG all came back okay I just have a light case of SVT
Nando BT (4 days ago)
CardioGauge Yep, around 360-400 episodes of SVT showed in the 24 hour holter monitor, is this a lot or not so bad?. This is now my third week on 10mg of Bisoprolol daily and I have had zero rapid pulses no chest tweaks nothing. Been sleeping more hours too.
CardioGauge (5 days ago)
Hi, the 360 SVT, I don’t know what that means. Did you have 360 episodes of SVT?
Nando BT (13 days ago)
CardioGauge Hi thanks for your reply Dr, well apparently what happened was my pressure dropped because i did excessive exercise when I was bearly starting Bisoprolol but now after almost two weeks with it I feel really good my pulses went from 105 while resting to 70!! And my pressure was from 140/84 to 114/65 what do you think?? And yeah I was diagnosed with SVT but only at nighttime, the holter monitor showed I had 360 SVT (which is not so high right?) And the stress ecocardiogram came back negative! So been feeling much better with Bisoprolol no more heart racing at nighttime the only bad thing is I get nausea and fatigue sometimes that’s it!
CardioGauge (13 days ago)
It would be unusual for the bisoprolol to actually cause your heart rate to be fast. If you have a diagnosis of SVT, then, it seems more likely that you had SVT, when you had the episode of rapid heart rate and feeling faint. The only way you could know this for sure would be if you had an EKG while you are having the symptoms. If you have further episodes like you described, your doctor may order a monitor for you to wear, to try and catch your heart rhythm when you're having the fast heart rate. Perhaps you have already had this test, since you mentioned a diagnosis of SVT, which is usually made using some form of EKG monitor. It's definitely worth it to report these type of symptoms to your doc, especially if they keep recurring.
Khalida Khan (5 months ago)
hi doctor. i am using this drug from 5 years ,as i have mitral stenosis due to rheumatic fever.my question is that is there any natural alternative to this drug? how long shuld i use this drug? is there any other alternate drug that have less side effects especially short term memory losses?
Jean Williams (1 month ago)
Khalida Khan check out doctor Bergman on YouTube.
CardioGauge (5 months ago)
Hi Khalida, I am not an expert in natural remedies. I don't know of anything that would be a direct substitute. The digitalis plant can slow heart rate in people with atrial fibrillation, which perhaps you have (that would be the most common reason to be on bisoprolol for someone with mitral stenosis). But Digitalis can poison you if the dose isn't exactly right, and I don't recommend it to anyone. digoxin is a medication that is similar to the chemical in the digitalis plant, sometimes this is an option for people with mitral stenosis and atrial fibrillation. Other medication options for mitral stenosis and atrial fibrillation (again, which I am guessing you have but I don't know for sure) are diltiazem and verapamil, neither of which would cause memory loss. Many people take bisoprolol, or something similar, indefinitely, without stopping or switching. I have patients who have been on similar medication for 25 years. Some patients will have an ablation procedure (advanced procedure on heart) and get a pacemaker, and as a result no longer need bisoprolol, but that is an unusual situation. Best Wishes
mukti akil (5 months ago)
hallo i have a question,I used 5 mg, but sometimes the blood pressure drops to 100/60, and I lower the dose to 2.5 mg but it feels weak and heavy what to do if it remains 5 mg or 2.5 mg.
Lucija P (8 months ago)
hello. i have a question, i've just been given Concor Cor by a heart doctor because of my heart beating too fast. so my question is, will i have to take it all my life or does the treatment end after a while of taking the drug? thank you.
Zee Juniad (5 months ago)
Lucija P .. visit with good friends help the poor people and walk one hourse daily you will more better feel try it.
CardioGauge (8 months ago)
Hi, it is usually not a permanent medication in your situation. Your heart rate could decrease and you could not need it anymore. I have some patients like you who have continued the medicine indefinitely, and others who end up coming off it. Disclaimer: this is not medical advice but rather health education. Only your doctor can tell you what to do with your medications.
sapphire22011 (9 months ago)
Hi Doctor, I have been using this drug sine May 2017, in combination with Ramipril, which was increased from 5mg to 10mg (now reduced to 7.5mg). The problem is I am suffering a lot of dizziness, muscle weakness, fatigue and bad sweating even when undertaking light exercise that would have caused me no probs before the beta blocker. My doctor is reluctant to stop the betablocker, and we did try reducing the dosage from 2.5mg to 1.25mg, but the side effects still continued, and I now want to stop taking it, as I am afraid of passing out one day.
Val O'Brien (4 months ago)
sapphire22011 Yes I too experienced this, and frightening breathlessness, accompanied by such lethargy that I could not climb the few stairs to my bedroom. I also was put on Ramipril but that doesn't suit me either. Please look at Dr Johnathan Wright the video is called " Green Medicine ". He knows what he is talking about. He has also been a specialist and general practitioner. He appears to have many qualms about pharmaceutical products and the body's ability to assimilate them ! Get onto MAGNESIUM TABLETS, as they regulate heart action, and drink pure pomegranate and cranberry juices. I am told by a cousin, also a doctor, to drink lots of water because it stops blood congealing.
Val O'Brien (4 months ago)
I was put n Bisoprolol but it caused me to have very frightening BREATHLESSNESS, in which I thought I would totally expire. I won't take it, I have got Arythmia but notice that the Bisoprolol literally causes such a delayed heartbeat, that results in such breathlessness, but also that the electro force of my heart comes almost to a standstill. !
CardioGauge (9 months ago)
Fantastic, it sounds like you are making great progress. Your Blood Pressure numbers are well within normal range so far! Some people do better with smaller doses of multiple medications, other folks do better with one medication at maximum dose. You make the important point that you have to listen to your body, it will usually tell you if a medicine is a problem for you! Best Wishes!!
sapphire22011 (9 months ago)
Hi again Doctor - well, I attended my GP today about the side effects I've had with the bisoprolol. She has agreed to take me off it, although she is not very happy about it, but I told her that I can no longer tolerate the side effects (and after all, it is my body, therefore my choice). She said to take just the Ramipril 7.5mg and checkup in a week, and is talking about adding a possible calcium channel blocker. I am hoping it won't come to that, and that just the Ramipril will suffice. She is a good doctor, but I'm really unsure how logically she is thinking, as I personally would rather go to 10mgs of Ramipril if necessary. I think that adding too many combinations of meds can backfire - eg, back in May, she increased the Ramipril from 5 to 10mgs AND added the betablocker. Therefore when the weakness/dizziness started, it was very hard to tell what was causing what. I tend to believe in the least medications necessary. As an aside, the last betablocker I took was Saturday, and while I am still having the dizziness, the weakness has subsided significantly. Today was the first day in a long time that I was able to go for my walk, and do it quite easily without tremors and being drenched with sweat. I am hopeful for further improvements, and intend listening to my own body from here on in. I just wish I had put my foot down 2 months ago, and insisted on stopping the betablocker. However I knew it was decreasing my heartrate. BTW, I had my BP checked Sunday - it was 117/84, yesterday it was 125/82 and today it was 124/82.
CardioGauge (9 months ago)
You're welcome and Good Luck!!
mukti akil (9 months ago)
I have checked ekg, echo and test treadmil the results are normal, the doctor who handles me told to stop drinking bisoprol but the feeling is still tense and anxious and sometimes pounding a bit, how do you think, thanks regards from Indonesia
CardioGauge (9 months ago)
This is health education, not medical advice. Hello. Bisoprolol can be helpful for people who have a pounding heart feeling. When my patients have this symptom, I let the patient decide if they feel better on or off medication. So I tell the patient "if you feel better taking the bisoprolol than when you don't take it, we will continue the medication." I leave it up to the patient to decide based on how they are feeling. When someone stops bisoprolol, it takes a week or two to get adjusted to being off of it. It is common for people to have pounding heart beat for a while after stopping the medication. Hope this helps!
Nikolas Stanley (10 months ago)
I've struggled with panic disorder and agoraphobia for the past 7 years, and though we had discussed beta blockers in the past as an off label adjunct, we never went through with it. I started 2.5mg bisoprolol 8 days ago for moderate hypertension, and though it seems to be working very effectively for my HTN, it's already starting to change my life with regards to my anxiety. Within days I was taking on average 1/3 less clonazepam daily, and I've been taking benzos daily for 4-5 years. What a wonderful drug. It also lessens the frequency and severity of my PVCs. I almost wish I had found this medication before I was ablated for AVNRT! Although that's thankfully not an issue anymore.
CardioGauge (10 months ago)
Thanks for your comment!
Marcelo Paraiba (1 year ago)
Every time I take bisoprolol my blood pressure goes up I'd like to know why
Mzmummacita (1 year ago)
I take 5mg of Bisoprolol daily....i tried using apple cider vinegar twice before bed and noticed I was getting some palpitations and feeling week from head to toe.......i stopped taking the ACV.....was wondering if that's a side effect of mixing the 2?
Mzmummacita (1 year ago)
Nathan Ritter hey, thanks. I did speak to my consultant and he said there isn't any link between the 2. so maybe my body doesn't agree with ACV!!
CardioGauge (1 year ago)
I doubt it, but I don't know for sure. I don't have any patients that have taken those two things together.
Michael Maylor (1 year ago)
Prescribed for high BP. Now not for me!! Nearly all those side effects. Thought I was Dying even started to put things in order at home in case I didn't wake up..After a spell off this drug and returning to fit and normal . I've been prescribed all sorts but I seem to react to all now-but in a lesser reaction. So for me from today it's all stop pills and back to the drawing board.
Jean Williams (1 month ago)
I am off all drugs now. I recently had a blood test and discovered I was extremely low on iron. So taking a gentle iron tablet now. From my experience i won't ever be taking drugs again.
Val O'Brien (3 months ago)
Jean Williams Thanks for that wise advice, through Bisopholol, I had extreme tiredness and very alarming breathlessness, I got scared, living alone, I felt I was going to die very soon . No you are right ! Bisopholol IS A VERY NASTY, DANGEROUS DRUG, like most others and should be scrapped. I will mention APIXABAN to you. don't take it as there have been several thousand deaths attributed to APIXABAN, anything with " aban" on the end is suspect. Natural cures exist to help us, God put them there for us but the medics like the profit s rolling in.
Jean Williams (3 months ago)
This drug causes rapid weight gain, over 2 stones in a year. Dizziness, fainting, breathless, extreme tiredness, puts you in a fug, like cancer drugs do. DO NOT TAKE THIS DRUG.
Marcelo Paraiba (1 year ago)
Does bisoprolol have the same indication as atenolol? Because I want to change beta-blocker because atenolol causes red and dry eyes and halos in vision.
CardioGauge (1 year ago)
All the beta blockers can do that. I would expect bisoprolol to have similar effect. But you only know if that occurs by trying the bisoprolol.
Guy Incognito (1 year ago)
how long should i be on it after takotsubo
CardioGauge (1 year ago)
We don't know how long to continue it after takotsubo cardiomyopathy. I continue it at least until there is recovery of the pumping function of the heart, which is usually over 1-4 weeks. Beyond that, it is unknown how long to take it, and you go with the judgment of your doctor.
Paul McNamara (1 year ago)
I been taking 2.5 since March now i been put on 5mg and i am worried that it make my palpitations worse as i been suffereing from for a while now. Also want to know do these pills make go to the toilet a lot of the time i was wondering if the 2.5 Bisoprolol was part of the reason i been doing this for a while. Also is this a heart tablet more than a blood pressure tablet?
Paul McNamara (1 year ago)
I am was taking a 2.5 with Amlodipine 10 mg now doctor put me on 5mg Is the 5 mg a lot more powerful than the 2.5 or is it still a low does?
CardioGauge (1 year ago)
The higher dose should cause less palpitations, usually Bisoprolol does not make person need to go to the bathroom more. Sometimes, it is combined with Hydrochlorothoazide, which does make a person urinate more. Bisoprolol is used for blood pressure and heart problems, so I don't think of it as a heart pill more than a blood pressure pill.
mukti akil (1 year ago)
I am from Indonesia, I've been for a year consumes bisoprol 5 mg, but why now sometimes every drink bisoprol heart is pounding and the body feeling tired, beg explanation. thank you
CardioGauge (1 year ago)
I'm sorry but there isn't enough information for me to know what to tell you.
mukti akil (1 year ago)
Thank you for the information, another problem that at one o'clock chest tightness if it was part of the side effects of bisoprolol and I use trizedon 35 mg, to reduce the tightness. explanation please thanks
CardioGauge (1 year ago)
There are a lot of possibilities for your symptoms. Only your doctor can tell you what is going on for sure. Knowing your heart rate (pulse, which you get by counting the number of times your heart beats in one minute) when you get the symptoms can help your doctor figure out what is going on. If the symptoms start 30 minutes to 2 hours after taking the bisoprolol, then possibly the bisoprolol is causing the pounding and tired feeling. Often I tell my patients to split the pill and take half in the morning and half at night when they are having side effects from any pill. If the symptoms start before taking the bisoprolol, then it could be getting low in your system before each dose. When this happens to my patients, I tell them to split the pill the same as I mentioned above. Bisoprolol commonly causes fatigue as a side effect. For my patients who have too much tiredness with bisoprolol, I will try them on a different medication. Best Wishes
Faiza Bekouche (1 year ago)
thank You very much doctor
Abdus samad Khanzada (1 year ago)
Nose stiffness and postural hypotension side effect or not
CardioGauge (1 year ago)
You're welcome
Faiza Bekouche (1 year ago)
Hi Doctor., is it safe to take bisoprolol while pregnant?
Jean Williams (1 month ago)
Check out doctor Bergman on YouTube. I personally wouldn't take anything that even has the slightest chance it might affect my baby.
CardioGauge (1 year ago)
For something like this, your doctor should give you an answer. However, I will do my best to explain about this topic. This is health education, not medical advice. Bisoprolol is a class C medication in pregnancy, which means that there can be a risk to the baby, it is not known for certain. The benefit of using the medication to you should be greater than the risk to the baby. So, for example, if you had a significant heart rhythm problem that was helped substantially by the bisoprolol, it could possibly be Worth it to take it. In general, beta blocker type of medications (bisoprolol, atenolol, labetalol, metoprolol) can cause decreased birth weight, and slow heart rate in the baby when it is born. However, they do not always cause these problems. If bisoprolol is being used to treat high blood pressure, generally, labetalol or Alpha methyldopa are preferred instead of bisoprolol. Finally, I will say that I have had numerous patients in the past who required being on a beta blocker type medication when they were pregnant. Things worked out fine in these cases. Hope this helps.
Retr0 (2 years ago)
3 years on bisoprolol (5mg/day in the morning) : before - 13/8 blood pressure now 10/6 , HR before 90 , 60 now (resting). I had alot of extrasystoles before and now i have almost none. My heart was beating with power that i felt in the tips of my fingers and in my head. My stamina was very low before because my heart started racing from the easiest effort. Bad dreams went away after 6 months (moving shadows on walls if i woke up during the night) I feel normal now, my body adapted to the morning fatigue and i can exercise for longer - it increased my stamina (the old arrhythmias made me give up effort). I feel great, i keep the weight gain in check with exercise and diet. I'm affraid about the diabetes risc i heard about. Hope it won't increase the risc of liver disease, kidneys disease or cancer :(
CardioGauge (2 years ago)
Thanks for your comment. I have never seen a patient get liver disease, kidney disease, or cancer from bisoprolol.
hamza baasto (2 years ago)
Hi Doctor , I wanted to ask , my mom has blood pressure , she got it less than one year and in almost 5 months she is using Bisoprolol 5 mg per day , so Doctor what i want to want is can she stop a while for using it ? can it cause other problems ? and how long can she stop using it? Thank You hope you will answer to me as soon as posiible
hamza baasto (2 years ago)
thank you very much +Atallah Hamad​ i appreciate it
Atallah Hamad (2 years ago)
+hamza baasto stop using a medication depends on the type and the cause of high blood pressureso u should ask the doctor who prescribed this medication for her depending on examination and history

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