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High Blood Pressure

Bisoprolol

Bisoprolol tablets are a medication for managing blood pressure and protecting patients from potential issues such as angina. When prescribed it, this medication is taken on a daily basis but the exact dosage for each patient can vary a lot depending on current health and response to treatment.

Last PIL Review Date: 22/01/2020

See Bisoprolol Patient Information Leaflet

This medicine is not available to request via our online service. If you are still having trouble with your symptoms please visit the NHS website for services in your area.


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Dr. Diana Gall GMC No. 7685129

Dr Diana Gall graduated from medical school in 2005 and has since undertaken further intensive training in many different areas of medicine. Dr Diana has reached consultant level and has practiced medicine all over Europe.

Shamir Patel GPHC No. 2049338

Shamir is a well-respected pharmacist with extensive experience running online pharmacies in the UK.

What is Bisoprolol?

Bisoprolol is a medicine taken to treat high blood pressure and can also tackle heart problems such as angina and an uneven heartbeat. It belongs to a group of medicines called beta-blockers and changes how adrenaline affects the body. The medication is taken as tablets, which are available in several different strengths to suit different circumstances.

How does Bisoprolol work?

This medication contains Bisoprolol Fumarate as its active substance. It works by blocking the effects of the hormone called adrenaline in the body. In other words, it alters the body’s response to some nerve impulses, especially those around the heart.

Consequently, the heart beats more slowly and with less force and blood is pumped around the body in a more efficient manner. This naturally brings your blood pressure down. Bisoprolol is commonly taken alongside some lifestyle change (related to diet and exercise etc.) to keep a patient’s blood pressure in check. It can also be used to treat angina pectoris (chest pain caused by blockages in arteries that supply the heart muscle) and in combination with another medicine to treat stable heart failure.

How do I take Bisoprolol?

These tablets should ideally be taken in the morning and swallowed whole with some water (without crushing or chewing them). The tablets can be taken with or without food.

The usual dosage when you start this medication will be the lowest possible, 5mg daily, and your doctor will monitor you closely during the start of treatment. In time, your doctor will increase the dosage to establish which is the best possible one for you. The maximum recommended dose is 20mg once per day. For patients with a kidney or liver disease, the daily dosage should not exceed 10mg.

What are the side effects of Bisoprolol?

Not everyone who takes Bisoprolol tablets will experience side effects, but they are possible and some are more common than others. The most commonly reported side effects include the following:

  • Tiredness, dizziness and headaches
  • Feelings of coldness or numbness in hands or feet
  • Low blood pressure (more likely in patients with history of heart failure)
  • Stomach or intestine problems including nausea, vomiting, constipation and diarrhoea

Other side effects are possible but are also rarely experienced by patients. Some of the rare side effects can be serious though, so you should seek medical help as soon as possible if any happen to you while using Bisoprolol. The most serious of the rare side effects are related to the heart function. They include:

  • Slowing of the heart rate
  • Worsening of heart failure
  • Slow or irregular heartbeat
  • Worsening of the symptom where there is a blockage of the main blood vessel to the legs, especially at the start of treatment

Can I take Bisoprolol?

Before using Bisoprolol tablets, you should check that you do not have any conditions which mean this medication should be avoided. Do not take this treatment if any of the following apply to you:

  • You have severe asthma or a chronic lung disease
  • You have severe blood circulation problems in the limbs
  • You have untreated pheochromocytoma – a rare tumour of the adrenal gland
  • You have metabolic acidosis – a condition where there is too much acid in the blood
  • You have suffered from acute heart failure
  • You have a slow heart rate
  • You have very low blood pressure

You should also speak to your doctor about any other medications that you are currently taking before you start Bisoprolol. Certain medicines could interfere with the effects of blood pressure treatment or vice versa. It’s important not to take these following medicines with Bisoprolol without special advice from your doctor:

  • Other medicines for controlling blood pressure or for heart problems
  • Medicines for depression (such as imipramine and amitriptyline)
  • Medicines for treating mental illness (such as levomepromazine)
  • Medicines for treating epilepsy (such as phenobarbital)
  • Medicines for treating asthma or a blocked nose
  • Medicines for treating certain eye disorders like glaucoma or used to widen the pupil of the eye
  • Medicines for treating severe headaches or migraines (ergotamine derivatives)
  • Medicines that are used for anaesthesia during an operation
  • Certain painkillers including ibuprofen, naproxen, acetyl salicylic acid, diclofenac and indomethacin
  • Certain medicines that treat clinical shock (such as adrenaline, dobutamine and noradrenaline)
  • Mefloquine (used for treating malaria)
  • Rifampicin (used for treating infections)

You should also inform your doctor if you are currently pregnant or breast-feeding before starting this treatment, so they can determine if it’s ok to take. There is a risk that Bisoprolol tablets can harm the baby during pregnancy.

What if I take too much Bisoprolol?

If you accidentally take more of these tablets than you should, contact your doctor or nearest hospital emergency department for advice and risk assessment. When going to see a doctor, bring any tablets and the product’s information leaflet with you if possible. Some symptoms may crop up when you take too much of this medication, including a slow heartbeat, breathing difficulties or dizziness.

What if I forget to take Bisoprolol?

If you forget a dose of this medicine, then take your dose as soon as you remember it, unless it is just before time for your next dose. If it’s close to when your next dose is due, simply skip the forgotten dose. Never take a double dose to make up for a forgotten one.

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The following delivery methods are currently available within the UK: All orders are sent in discreet, plain packaging.

UK Standard Delivery, £1.99

Order before 12pm to have your order delivered using Royal Mail Tracked 48 Service

standard UK delivery within 3-5 working days

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UK Express Delivery, £2.99

Order before 12pm to have your order delivered using the Express delivery service* (deliveries are made Monday - Saturday)

If you order after 12pm, your order will be dispatched the next working day and will be with you within 48 hours once dispatched. This excludes weekends and bank holidays

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Order before 12pm to have your order delivered using Royal Mail Special Delivery Service, which includes Saturday deliveries.

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Order before 12pm to have your order delivered before 1pm next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

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Order before 12pm to have your order delivered before 9am next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

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Orders signed by the doctor before 12 noon the day before will be delivered the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

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Orders signed by the doctor before 12 noon the day before will be delivered by 12 noon the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

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DPD Next Day Delivery, by 10:30am, £14.99  (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

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Orders signed by the doctor before 12 noon the day before will be delivered the following Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

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DPD Saturday Delivery, by 12:00am, £21.99

Orders signed by the doctor before 12 noon the day before will be delivered by 12:00am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

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DPD Saturday Delivery, by 10:30am, £29.99

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

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