I have increased my Bisoprolol to 12.5mg to try and hold back Afib until my ablation on the 13 April - it didn't work. I flipped into Afib on Wednesday 5 April and had to be cardioverted. Now back home and feeling very week and breathless.
I have left a message with my Cardiologist but I wondered if anyone else had been on this high level of Bisoprolol?
That sounds like a very high dose. I'm on 3.75mg am (used to be 2.5mg) and 2.5mg pm but it doesn't stop my afib, which happens like clockwork every 8 days and lasts 2 - 4 days. In fact since my cardiologist increased the morning dose my episodes last longer! Do you take your bp to check on that, as I would worry it would make it too low at the dose you are having.
I think 10mg is considered 'normal'. Good point on the BP side of things. My BP is 136 / 74, so not very low. My bpm is 44 which is probably a tad low and may explain the breathlessness.
Hi there... I just wanted to wish you well... I am planning to have ablation due to afib... I know how you must feel it's so tiring. Take care and please let me know how you get along.. Dave.
djbgatekeeper,
Thanks and good luck - when are you due in?
Not got a date yet... seeing my doctor this Wednesday for a referral... probably in 4 or 5 weeks if I stay in NSR ... Take care
I was on 10mg when I was first diagnosed with AF. I was told that was the max dose. Mind you I have found that different countries have different max dose such as Ramipril is 10mg here but max is 20mg in europe. I must admit though I would have asked my gp before increasing any dose
rjr681,
I would never mess about with my medication. It was the Cardiologist that suggested it - I wasn't keen because it really messes me up, but I thought it worth doing so I stayed in NSR prior to the ablation.
I have now called the Cardiologist to tell him I am reducing it back to 10mg. Lets hope my breathlessness improves.
You were cardioverted on April 5th for your ablation on April 13. Do you need to be in sinus rhythm for your ablation?
I was on 10mg twice daily when first diagnosed with AF
I take 15mg of bisoprolol 10mg in a morning 5mg at night, (the highest dose my GP says he has ever prescribed) and my af is still not under control!
Wow Ogilvie! I know it's "different strokes for different folks" (pardon the pun), but I would be like a breathless zombie on that dose of bisoprosol! I'm on 2.5 and in NSR but hoping to reduce this dose as I still feel short of breath weak and fatigued. When my dose was increased to 3.75mg last year because my bp always presents as high in a clinical setting, I went into slow AF for 8 months. For that reason I keep a written record of my own random bp monitoring to present to any medic I consult. I do hope you get a swift reply from your cardiologist and start to feel better soon. Val
I am on 10mg and would be higher if it was not for my lung issues?
As I understand it, Bisoprolol is used to keep the heart-rate below 100 when in AF, but it is not normally expected to stop the AF. To stop the AF one needs a rhythm-control drug. (Bisoprolol may be helpful to decrease the amount of AF as well as slowing the heart-rate) A heart-rate below 100 seems to be considered 'safe'.
I was on 12.5mg before my fist cardioversion. I could barely function! and it didn't stop the AF, just slowed my heart from 195bpm to around 100bpm!
Unfortunately they said I should continue on 12.5mg a day after the cardioversion and my HR was about 40bpm. I called my EP's secretary and my EP called back and I was told to gradually reduce my dose.
I am normally on 2.5mg bisoprolol a day, it doesn't stop AF, but it possibly reduces the number of episodes I have. But I still feel awful on this drug.
I'm off Bisop for 2 days now until my ablation on the 13th, still feel like c**p but with added palpitations 😞
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