Double Dose of Bisoprolol

[lindyloo59]

Hi My husband has accidentally taken 2 x 5mg bisoprolol one x 5mg this morning at 6.40am then another x 5mg this evening at 6pm. He has been taking it for AF. He had a successful cardioversion on 29th March and has been taking bisoprolol since as a precautionary med to help keep him in nornal sinus rhythm would it be ok to miss next days dose and start taking it again day after? Any advice please?

[jeanjeannie50]

We had someone on here recently and I think it was two doses of 10mg Warfarin he took, the second dose was in error. He was told not too worry, but to miss his next dose.

However my memory is very poor and I think just for you to be re-assured you should ring the NHS advice helpline on 111.

Will have a look back and see if I can find the post.

Best wishes

Jean

[lindyloo59 in reply to jeanjeannie50]

Thank you for your help😀

[jeanjeannie50 in reply to lindyloo59]

Lindy Loo, have just re-read your post and see it's Bisoprolol he's taken not warfarin. I think the dose he's taken may make him feel very tired. I don't think it's anything to worry about, but would still advise ringing the 111 number.

Jean

[lindyloo59 in reply to jeanjeannie50]

He has since rang pharmacy and they said to miss his normal dose tomorrow morning 😊

[jeanjeannie50 in reply to lindyloo59]

Good idea - your mind at rest now - Phew!!!

[lindyloo59 in reply to jeanjeannie50]

Hopefully😬

[NickiC]

Yes best to check but my GP advised I could take an extra 2.5mg as a pill in the pocket after six hours had passed since my morning 5mg (I was having an unusually for me long episode of AF) so I wouldn’t over worry.

[BobD Volunteer]

1Omg is not uncommon so while it may knock his energy for six it will not kill him. Ring NHS direct if you worry . By the way the drug is not an anti-arrhythmic and merely slows the heart in the hope of keeping rates low enough that AF will not be damaging.

[Wightbaby in reply to BobD]

BobD...sorry to go off at a slight tangent, but is that what Metoprolol also does......no one has ever explained to me, exactly why i take it........I have just assumed its to slow down my heart rate (which is usually about 80) ...did not know about the "damaging" bit!!

[BobD Volunteer in reply to Wightbaby]

Beta blockers of all types with the possible exception of sotalol are not designed to control rhythm . They are rate control drugs. They are given to keep heart rate within reasonable bounds. Uncontrolled heart rate can over time allow the atria to become enlarged leading to muscle problems which could if not treated lead to heart failure. Sotalol is different as it has some rhythm control function as well as rate control.

"Normal" heart rate is considered anything between 60 and 100 by the way.

There is an excellent fact sheet on drugs available form AF Association website.

[lindyloo59 in reply to BobD]

Hi thanks for your reply. Reassuring to know that its ok 😊

[lindyloo59 in reply to lindyloo59]

He has since rang pharmacy and they said to miss his usual dose in the morning🤨

[Tudee in reply to BobD]

I believe Bisoprolol does have some anti arrhythmic properties as like Flecainide it works by suppressing the sympathetic nervous system.

[BobD Volunteer in reply to Tudee]

Bisoprolol is known as a rate control drugs like all beta blockers. See above. Flecainide works in a completely different way.

[Mazza23 in reply to Tudee]

Bisoprolol is rate control only

[lindyloo59]

Thank you 😀

[Hidden]

I am on a regular daily dose of 10mg of bisoprolol and am fine So I don't think you need to worry ☺

[mbheart in reply to Hidden]

Me too - I take 10 mg. each day - and 20 mg. Lisinopril - no problems.

[wilsond]

The maximum dose per days 10 mg so he should be fine to carry on with normal dose,but if you are worried check with gp .We've all done things like this!

[RichMert]

I was told that maximum dose per day was 10mg so given it was not taken in one dose, I doubt that they would be concerned. Best to check pulse and act if it falls below 50. My problem was always remembering to take it.

[Susangibbons]

After I had messed up my tablets a couple of times I asked the doctor to ask the chemists to give me a pill pack.

Its alot easier.

When things become automatic you dont concentrate as well and its easy to forget if you have taken or not taken tablets.