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Bisoprolol – a tablet for high blood pressure
Bisoprolol is a tablet primarily for high blood pressure. But it has other uses as well.
What is bisoprolol?
- Bisoprolol is a beta-blocker – specifically a cardioselective beta-1 adrenergic blocker (or B1-blocker), meaning it primarily targets the heart.
How it works
- It slows the heart rate and reduces how hard the heart pumps. This lowers blood pressure and reduces strain on the heart.
Uses
Bisoprolol is used to treat people with:
- High blood pressure
- Angina (chest pain)
- Heart failure
- Atrial fibrillation (AF) – slows the heart rate
Note. Also useful in anxiety
Dosage
- Taken once daily
- Often started at a low dose (e.g. 1.25–2.5 mg) and increased gradually
- Typical dose is 5–10 mg once daily, depending on the condition
Side-effects
Common side-effects
- Slow pulse
- Tiredness
- Dizziness
- Cold hands or feet
Less common (and more serious) side-effects
- Respiratory: Severe bronchospasm, especially in patients with asthma or COPD
- Cardiovascular: Heart block
- Psychiatric/Neurological: Hallucinations, vivid nightmares, or memory loss
- Liver problems: Hepatitis
- Endocrine: Masking symptoms of low blood sugar (hypoglycaemia) in people with diabetes
Note. Do not stop bisoprolol suddenly without medical advice.
Monitoring
Your doctor should monitor:
- Blood pressure
- Heart rate
- Symptoms such as dizziness, fainting, or worsening breathlessness
Other resource
10 Common BP Tablets