Bisoprolol
- Heartselective daily betablocker
- Lowers pressure and pulse together
- Proven survival benefit in heart failure
Product Information
Better health begins with the right choices.
Dr. M. Sharoyko
Internal Medicine Physician | MNr. 80134
Dr. Marina Sharoyko is a medical specialist in clinical pharmacology and internal medicine, with additional expertise in cardiology and physiology.
Description
Bisoprolol is a beta-blocker used to manage high blood pressure. It works by slowing the heart rate and reducing the force of each heartbeat, which decreases the amount of work the heart has to do. This leads to lower pressure in the arteries and helps prevent long-term complications associated with uncontrolled hypertension.
High blood pressure is a condition that often develops silently, without noticeable symptoms. However, over time, it can lead to serious health issues such as heart attack, stroke, heart failure, or kidney damage. Bisoprolol helps reduce these risks by targeting the effects of stress hormones like adrenaline, which normally increase heart rate and blood pressure.
The medication is usually taken once daily. Treatment often starts with a low dose, which may be adjusted based on how the body responds. In many cases, Bisoprolol is used alongside other blood pressure-lowering medications to achieve better control.
Unlike pain relievers or fast-acting treatments, Bisoprolol doesn’t offer immediate symptom relief. Its benefits become clear over time by maintaining stable blood pressure levels and reducing cardiovascular strain. Taking the medication consistently as prescribed is important, even if no symptoms are present.
Side effects can occur, particularly at the beginning of treatment. These may include tiredness, dizziness, or cold hands and feet. Such effects are usually mild and temporary as the body adapts. Regular check-ups are helpful to monitor blood pressure and ensure the treatment remains appropriate.
General Information
Bisoprolol is a prescription tablet in the beta1 selective blocker class that slows the heart and lowers blood pressure.
Doctors prescribe it to treat high blood pressure, chronic stable angina, certain rhythm disorders such as atrial fibrillation, and to improve survival and symptoms in chronic heart failure.
It selectively blocks beta1 receptors on cardiac tissue, reducing heartrate, contractility, and renin release from the kidneys, which together decrease blood pressure and oxygen demand.
Hypertension usually starts at 5 mg once daily; heartfailure often begins at 1.25 mg with slow uptitration to a target of 10 mg once daily, all under physician guidance.
The blood pressure-lowering effect begins within a few hours of taking bisoprolol. However, the full therapeutic benefit for angina or chronic heart failure often develops gradually over several days to weeks, especially as the dose is slowly titrated to the optimal level.
If you forget a dose of bisoprolol, take it as soon as you remember, as long as it’s not within 12 hours of the next scheduled dose. If it is, skip the missed dose and simply continue with your regular schedule the next day. Do not double the dose to make up for a missed one.
Safety & Side Effects
- The most common are slow pulse, tiredness, cold fingers or toes, dizziness when standing quickly, and vivid dreams.
- Less often people notice headache, mild stomach upset, or depression.
- Rare but serious reactions include severe bradycardia, heart block, worsening asthma, or acute heartfailure.
- An allergic response rash, itch, swelling of lips or face, or sudden wheezeoccurs rarely but needs immediate medical help.
Do not use it if you have severe asthma or COPD with active wheeze, second or thirddegree heart block without a pacemaker, cardiogenic shock, severe bradycardia (<50 bpm), or allergy to betablockers.
Often yes, bisoprolol is commonly used alongside other heart medications—but you must inform your doctor about all the drugs you take.
Special caution is needed with:
- Other heart-rate–lowering drugs such as verapamil, diltiazem, digoxin, or clonidine, as these can increase the risk of bradycardia or heart block.
- Insulin or oral diabetes medicines, since bisoprolol may mask low blood sugar symptoms.
- CYP450 inhibitors (e.g., certain antidepressants or antifungals) that may affect bisoprolol levels.
Data are limited; betablockers may slow the baby's heart and restrict growth. Use only if the benefit outweighs risk and under obstetric guidance. Bisoprolol appears in breast milk in tiny amountsmonitor the infant for lethargy or poor feeding.
Moderate alcohol is acceptable but may enhance dizziness or low blood pressure; avoid heavy drinking.
Usage & Administration
Swallow the tablet whole with water, preferably at the same time each morning. It can be taken with or without food.
Store bisoprolol tablets in their original blister packaging, at a temperature below 30 °C, and protected from moisture. Always keep the medication out of reach of children.
Food is optional though a light breakfast can reduce any initial nausea.
Yes, if swallowing is difficult the scored tablets can be crushed and mixed with soft food, but the taste is bitter. Rinse and swallow immediately.
Ordering & Delivery
To get [Product name], fill out a medical form or book a video consult with a doctor via Transtoyou. After approval, your prescription is sent to the pharmacy for fast delivery.
[Product name] requires a valid prescription, which is issued after the doctor reviewed your answered in the medical questionnaire or via a video consultation with the doctor.
After approval by a doctor from Transtoyou, the prescription of [Product name] is forwarded to an affiliated pharmacy and typically shipped within 1–2 working days.
For safety and legal reasons prescription medication (RX) and in this case [Product name] is non-returnable once shipped.
