Bisoprolol
Brand Names of Bisoprolol: Zebeta, Concor, Cardicor, Emcor, Biselect
What is Bisoprolol?
Bisoprolol is a medication commonly used to treat high blood pressure, control heart rates, manage angina, heart failure, and aid in recovery after heart attacks.
It falls under the category of beta-blockers.
How Does it Work and Why is it Important to Take?
Bisoprolol blocks adrenaline, easing heart stress and slowing the heart rate.
Vital for high blood pressure control, maintaining heart rhythm, preventing angina, reducing heart attack risk, and supporting heart failure.
Ensures efficient blood circulation, promoting overall heart health and well-being.
The Dose of The Medication
The usual starting dose is 1.25mg or 2.5mg once a day, adjusted based on your condition, blood pressure, and heart rate.
Gradually titrated up over a few weeks if appropriate/needed.
Maximum daily dose is usually 10mg, rarely increased to 20mg.
How and When to Take It
First dose best taken at night to manage potential dizziness.
Subsequent doses ideally in the morning for consistency.
What to Expect
Bisoprolol can start working within a couple of hours, with full effects potentially visible after up to 6 weeks.
What to Do if You Miss a Dose
If you forget a dose, take it when you remember.
If it's close to your next scheduled dose, skip the missed one—never double up.
Possible Side Effects
Fatigue
Dizziness
Cold hands or feet
Dizziness
Weakness
Headaches
Feeling or being sick
Diarrhoea
Constipation
Management of Side Effects
Click here for common side effects and how to manage them.
For cold hands and feet, warm them up and avoid smoking or caffeine.
Some side effects improve as your body adjusts.
If severe, persistent or bothersome side effects occur, consult your GP, local pharmacy, or NHS 111.
Common Interactions
Inform your clinician about all medications, including over-the-counter and herbal supplements.
Avoid over-the-counter ibuprofen as they can stop Bisoprolol working as effectively
Avoid cough medicine that contains pseudoephedrine or xylometazoline
Special Warnings
Caution in asthma; only started under specialist supervision.
Initial worsening in heart failure; contact GP clinician or NHS 111 if experienced.
Monitoring Your Progress
Regular check-ups with your GP clinician essential for blood pressure, heart rate, and overall health.
Where to Find More Information and Who to Contact
Refer to the patient information leaflet and the NHS website for more details.
If you have questions or experience unusual symptoms, contact your GP clinician, local pharmacy, or NHS 111.