Just been diagnosed with Allergic Bronchitis as I have breathing probs associated with pollen. It occurred to me when I got home that I have read that you cannot take Bisoprolol if you have asthma.
Does anyone know if I can take Bisoprolol as pip if I have Allergic Bronchitis? Or should I check with Dr?
Thanks all
Check with your doctor or pharmacist.
Hi I have Asthma,it is worse in the Summer months or if I have a chest infection! I am on Bisopral ,my Doctor said it is the most selective medication than other betablockers for Asthmatics! I have been on 1-25mgs for almost a year,together with Symbicort inhalers.
Good Luck!
Thank you for your reply Annekw. That's reassuring. Do you find Symbicort inhalers work well. I have been given Sulbutamol and don't find it does an awful lot. My GP has just prescribed antihistamines to take as well and told me if they don't help after a week she will prescribe steroid inhaler. Feeling a bit fed up with all this😕
Sorry you share same probs as me but feel better to know I'm not alone
Keep well
Hi Loobylou777, yes I find Sybicort 200mgs twice daily works fine for me,I also have Symbicort 400mgs twice daily for use with chest infections! (I have Rheumatoid Arthritis and I take Methotrexate,which lowers your resistance to infections so with looking after Grandchildren,I have my fair share of chest infections unfortunately! )
In the Hay Fever season I also take an antihistamine !
I have been juggling this AF and 16 yrs with Rheumatoid Disease for nearly a year now so getting used to all the ups and downs! Good Luck!
Gosh Annekw
You certainly have had more than your share. Yes I look after grandchildren and they do unfortunately share their colds around!
Let's hope for low pollen counts this summer
Wishing you well
Linda
One thing you can always do is to read up what the British National Formulary says, then ask your doctor to explain it. Then, if they are ignoring this advice, to ask them why. In Britain you can access this online somewhere. My copy says:
**Beta-blockers can precipitate bronchospasm and should therefore usually be avoided in patients with a history of asthma. When there is no suitable alternative, it may be necessary for a patient with well-controlled asthma, or chronic obstructive pulmonary disease (without significant reversible airways obstruction), to receive treatment with a beta-blocker for a co-existing condition (e.g. heart failure or following myocardial infarction). In this situation, a cardioselective beta-blocker should be selected and initiated at a low dose by a specialist; the patient should be closely monitored for adverse effects. Atenolol, bisoprolol, metoprolol, nebivolol, and (to a lesser extent) acebutolol, have less effect on the beta2 (bronchial) receptors and are, therefore, relatively cardioselective, but they are not cardiospecific. They have a lesser effect on airways resistance but are not free of this side-effect.**
Several doctors evaluated my slight asthma problem as too small to worry about. I took bisoprolol for several months and it was hard to notice a problem for sure. In the end, there was a slight enhanced asthma component, which contributed to low grade bronchitis. So the doctor told me to stop it for a few weeks to allow the bronchitis to clear itself, then restart.
Recently, a bad attack of bronchitis did not respond properly to antibiotics. My wife noticed I still had inflammation so asked the question, was the problem infection or inflammation? I mention this, to show you reasoning. I then checked back in my files for when I was treated for several months for bronchitis, and found the anti-inflammatories prescribed. I eliminated tablets, and noticed inhaled beclometasone. The BNF spoke quite highly of it, and I knew I could tolerate it. So, Off I went to buy some. It had immediate effect.
So, with bisoprolol. Can you tolerate it? Then, can you still tolerate the asthma? Does your asthma lead to bronchitis, in which case, paradoxically, it may not be antibiotics that you need, it may be an anti-inflammatory.
The other thing is, I found by personal experiment (not recommended) that if I halved the recommended dose of bisoprolol, it had the same effect on the heart. It may be that you can tolerate a low dosage. In your case that is between you and your doctor, but, at least you can draw their attention to some issues like I mentioned here.
Ask if you are suitable to be changed to nebivolol which is the most cardio-selective of all the beta-blockers.
Bisoprolol
BISOPROLOL
Bisoprolol + indapamide
BISOPROLOL
