Bisoprolol

Molecule Description

Bisoprolol is a beta-blocker which controls high blood pressure. Beta-blockers

affect heart and circulation i.e., blood flow within the heart.

Uses

Contraindications

Side effects

Precautions and Warnings

Uses of Bisoprolol

High blood pressure (hypertension)
Heart failure
Angina pectoris-chest pain

Contraindications of Bisoprolol

When should one not use Bisoprolol

If you are allergic to Bisoprolol
If you have any chronic lung disease or asthma
If you have any heart problems like irregular heartbeat or slow heart rate
If you have very low blood pressure
If you had any cardiogenic shock - it's a serious condition of heart
If you have metabolic acidosis - condition where excess of acid is in blood
If you have phaeochromocytoma (rare tumor of the adrenal gland (medulla))

Side effects of Bisoprolol

Common side effects of this drug are:

Swelling of ankle and feet
Difficulty in breathing
Worsening in chest pain
Dizziness
Increased urination
Fatigue
Breathing difficulty
Bradycardia (very slow heartbeat)
Fainting
Blue fingers/toes- cold extremities
Mental/mood changes (such as confusion, mood swings and depression)

Precautions and Warnings of Bisoprolol

Pregnancy

Can I take Bisoprolol during pregnancy?

Do not take this medicine during pregnancy as this medication may be harmful to the unborn baby. Discuss the risks and benefits with your doctor.

Breast Feeding

Can I take Bisoprolol while breastfeeding?

It is unknown whether Bisoprolol passes into breast milk, so there may be chances of causing low blood pressure in the baby, also affect the growth of the baby. As a precaution, consult with the doctor once before taking Bisoprolol.

Driving

Can I drive if I have consumed Bisoprolol?

Do not drive if you feel dizzy or drowsy after taking Bisoprolol.

Alcohol

Can I consume alcohol with Bisoprolol?

Avoid alcohol while on Bisoprolol as it may worsen the side effects.

Other General Warnings

Talk to your doctor if

If you have diabetes
If you have specific heart disease like (Prinzmetal’s angina- chest pain)
If you have had skin rash
If you have severe chest pain
If you have thyroid problems
If you have liver or kidney problems
If you have asthma or lung disease

Mode of Action of Bisoprolol

How Does It Work?

Bisoprolol is cardioselective beta-blocker. Medicine blocks the beta receptors and works by slowing the heart rate and relaxing blood vessels. Due to this, the heart does not have to work hard to pump...

Interactions of Bisoprolol

Interactions with other medicines

Bisoprolol may interact with calcium channel blockers like Amlodipine, Diltiazem
There exist an interaction with Furosemide, Alprazolam, Terbutaline and Clopidogrel

Interactions with food items

If you have any food allergy, tell your doctor and try to avoid fish oil as it may increase the risk of side effects.

Dietary Restrictions of Bisoprolol

No information is available on dietary restrictions while you are taking Bisoprolol, consult your doctor or pharmacist for further information.

Dosage of Bisoprolol

Overdose

You must strictly avoid overdose, as it may lead to fatal consequences. The immediate symptoms of overdose are lethargy, breathing disorders, wheezing (whistle-like sound from the chest), missing hear...

Missed a Dose

If you forget the dose of Bisoprolol, skip the missed dose and continue with the regular schedule. Do not take the dose twice to compensate for a missed one.

Content Details

WRITTEN BY

Dr. Abhishek B L

MBBS, MD (Pharmacology)

REVIEWED BY

Dr. Ritu Budania

MBBS, MD (Pharmacology)

Frequently Asked Questions (FAQs)

Q: Can I stop the medication of Bisoprolol on my own?

A: Do not suddenly stop taking a beta blocker without talking to your doctor. If you stop a beta blocker suddenly, you can suffer from chest pain, irregular heartbeat or heart attack. Your doctor may advise you to decrease your dose gradually.

Q: Can an asthmatic patient use this medicine?

A: Bisoprolol causes the narrowing of bronchioles due to bronchospasm; therefore, this medicine is not used in asthma patients or cautiously used under doctor's guidance.

Q: How long does this medicine stay in body?

A: Bisoprolol has a half-life of 9 to 12 hours and can stay up to 24 hrs in the body.

References

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Last Updated on: 05 Oct 2020 | 10:47 PM (IST)

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