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Bisoprolol

  • Do not stop taking these tablets without speaking to your doctor first as this can cause problems.
  • If you buy any cough or cold remedies, check with a pharmacist that they are suitable to take alongside bisoprolol.

About bisoprolol

Type of medicineBeta-blocker
Used forHypertension (high blood pressure)
Angina (chest pain)
In heart failure (a condition where the pumping action of the heart is reduced)
Also calledCardicor®
Congescor®
Emcor®, Emcor LS®
Vivacor®
Available asTablets

This belongs to the group of medicines known as beta-blockers. Bisoprolol is used to treat a number of different problems.

High Blood Pressure
Bisoprolol slows down the activity of the heart, decreasing blood pressure.

Angina
Bisoprolol slows down the activity of the heart and reduces the heart's need for oxygen. This makes angina attacks less likely to occur.

Heart failure
Bisoprolol works by blocking the transmission of messages to the beta receptors in the heart which slows down the activity of the heart and is of benefit in some types of heart failure.

Before taking bisoprolol

Before taking bisoprolol make sure your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you have liver or kidney problems.
  • If you have low blood pressure or poor circulation.
  • If you suffer from asthma or breathing difficulties.
  • If you have diabetes.
  • If you have psoriasis.
  • If you suffer from severe allergic reactions.
  • If you have heart block (a slow and irregular heart beat).
  • If you suffer from myasthenia gravis, Prinzmetal's angina or phaeochromocytoma (a growth on the adrenal glands).
  • If you have ever had an allergic reaction to this or any other medicine.
  • If you are taking any other medicines, including those available to buy without a prescription, herbal and complementary medicines.

How to take bisoprolol

  • Before beginning treatment, read the manufacturer's printed information leaflet.
  • Take bisoprolol exactly as directed by your doctor. It is usually taken just once each day.
  • Try to take bisoprolol at the same time each day to avoid missing any doses.
  • If you forget to take a dose, just take the next dose when it is due. Do not take two doses at the same time to make up.

Getting the most from your treatment

  • Do not stop taking bisoprolol without speaking to your doctor first as this can cause problems.
  • Keep your regular doctor's appointments so your progress can be monitored.
  • It is important to follow any dietary advice that you may have been given by your doctor.
  • If you have diabetes, you may need to check your blood glucose levels more regularly as bisoprolol can affect the levels of sugar in your blood.
  • Before buying any medicines (including cough, cold and flu remedies), check with your pharmacist which medicines are safe for you to take alongside bisoprolol.
  • Before having any kind of surgery, including dental or emergency treatment, tell the doctor, dentist or surgeon that you are taking bisoprolol.

Can bisoprolol cause problems

Along with their useful effects all medicines can cause unwanted side-effects which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side-effects continue or become troublesome.

Common side-effects - these affect less than 1 in 10 people who take this medicineWhat can I do if I experience this
Dizziness, drowsiness, light-headedness or fainting (especially when getting up from a sitting or lying down position)Getting up slowly may help. If you begin to feel dizzy, lie down so that you do not faint, then sit for a few moments before standing. If this continues, speak with your doctor as soon as possible
Feeling or being sickEat little and often. Stick to simple foods such as dry toast and drink plenty of water to replace any lost fluids
HeadacheAsk your pharmacist to recommend a suitable painkiller. If the headache continues speak with your doctor
Tiredness, coldness of the extremities (fingers, toes, and nose), disturbed sleep, or nightmaresSpeak with your doctor if you suffer from these effects

Important: if you experience shortness of breath or difficulty breathing, let your doctor know as soon as possible.

If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.

How to store bisoprolol

  • Keep all medicines out of the reach and sight of children.
  • Store in a cool, dry place, away from direct heat and light.

Important information about all medicines


  • Keep all medicines out of the sight and reach of children.
  • Make sure that the person prescribing this medicine knows about any other medicines that you are taking. This includes medicines you buy and herbal and homeopathic medicines.
  • If you buy any medicines check with a pharmacist that they are safe to take with your other medicines.
  • Before taking this medicine tell your doctor if you have ever had an allergic reaction after taking any medicine.
  • Never take more than the prescribed dose. If you suspect that you or someone else has taken an overdose of this medicine go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.
  • If you are having any treatment like an operation or dental treatment tell the person carrying out the treatment which medicines you are taking.
  • Always read the printed information leaflet that comes with your medicine.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • Never keep out of date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.

References

  • British National Formulary; 57th Edition (March 2009) British Medical Association and Royal Pharmaceutical Society of Great Britain, London (link to current BNF).
Comprehensive patient resources are available at www.patient.co.uk
© EMIS 2009DocID: 3450DocRef: dils2611Last Reviewed: 20 Jul 2009Version: 22
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