Bisoprolol overdose

[Octopus52]

Took 2.5mg bisoprolol at 8 am this morning and took another 2.5mg by mistake at 3.00pm. Should I be concerned? I feel fine and heart rate 58bpm - I realise I only take a low dose for PAF.

Lorraine

[jennydog]

Shouldn't be a problem. Just take your 2.5 as usual tomorrow.

[Octopus52 in reply to jennydog]

Thanks just needed a little reassurance

[CaroleF]

I wouldn't have thought you need to worry since there is 7 hours between the 2 doses you took. If you are concerned, and in the UK, I'd advise phoning 111 to see what they say and to ask their advice as to when to take your next dose.

[Octopus52 in reply to CaroleF]

Thanks - was in a world of my own and was supposed to be taking a different tablet!

[Hidden]

I should think you'll be ok. I take Bisoprolol as a Pill in the Pocket. I start at 2.5mg and work up to 7.5mg/10mg over a few hours. Some weeks back I mistook my 2.5mg pack for 1.25mg and ended up double dosing ie 17.5mg in a few hours.....still in fast AF though!

[Octopus52]

Oh no! Hope your rate goes back to normal soon.

[Hidden in reply to Octopus52]

Should have added that I phoned 111 for advice and they sent out paramedic practitioner who had me admitted and cardioverted next day ....( not before I was given a further 2.5mg Bisop though!)

[seasider18 in reply to Hidden]

Where do live ? We should all move there.

[Hidden in reply to seasider18]

Don't think I'm very far from you seasider ....Worthing !

[seasider18 in reply to Hidden]

The shoes I'm wearing I bought in Worthing but I live in Eastbourne.

I have twice gone local hospital the day I went into AF and never offered a cardioversion right away. Each time it was a 14 week waiting list. I tried to get one privately all along the cast from Kent to Torquay without success.

Now they say that my right atrium is to big for a cardioversion to work.

[Hidden in reply to seasider18]

I would imagine that it depends largely on your heart rate and response to meds. All of my trips to hospital with fast AF which wouldn't resolve have resulted in so called emergency cardioversions.....19 in total , the last being in April this year. Actually there was one time in 2008 when I was discharged from CCU with a heart rate down to 120 ish ( I think) to go on a waiting list for dccv. I converted to NSR in 3 weeks ..nightmarish time as I had also gone into heart failure ..pulmonary oedema.

[seasider18 in reply to Hidden]

My problems are caused by interference to my heart or vagus nerve. First was my aortic valve replacement and in NSR for fifteen months after cardioversion until a colonoscopy triggered my vagus nerve. Then in NSR after the next cardioversion for over a year until a digital rectal examination of my prostate again annoyed my vagus nerve.

They always say we've heard of patients it's happened to but you are our first.

[Hidden in reply to seasider18]

Gosh seasider, you have been through the mill! You deserve a nice long run of good health now.

Best wishes

Sandra

[seasider18 in reply to Hidden]

The older you get the less chance there is of that And the less chance there is of them wanting to do anything.

My neighbour who is 87 and has macular degeneration went to his doctor with chest pain. They gave him cream to rub into it. It didn't help so he went back and insisted it was not muscular. He was sent to cardiology who did tests and said that he needed a quad bypass and referred him to Brighton. He asked if he was not too old for that but they assured him that he was not.

He is slim and walks every day and takes the bus to other towns for lunch. When he sees a surgeon at Brighton he was told he was too old for such major surgery and as he says sent home to die of a heart attack. They did not even suggest stents.

[Hidden in reply to Hidden]

Your experience of going in to pulmonary oedema after being discharged from CCU with a heart rate of 120 to wait for a DCCV, is a terrible enditement of NHS cardiology services. I wonder why they did not do it in CCU.

I had to wait 4 months for dccv for relapsed AF after ablation. Needless to say, there was no prospect of it being meaningfully effective at that point.

I have been treated by 4 consultant cardiologists on the NHS, including as an inpatient. None of them seemed to feel any responsibility for the shambolic state of the service they worked in.

[Hidden in reply to Hidden]

It was not a good time Oyster. It was over 10 years ago and I am much more savvy now and would have asked more questions. Even my GP did not pick up the fluid in my chest although I was having difficulty walking more than a few yards. I presented at A&E and was immediately admitted with HF. Cardiac registrar said this was a direct result of my AF history.

[doodle68]

Hi

Octopus If you feel ok not dizzy or faint I wouldn't worry.

I take beta blockers once a day , my HR is always in the low 50's and I have been told I can take a second BB at any time if I have an episode of P-AF .

[BobD Volunteer]

No! Many people are on up to 10mg a day. Just carry on as usual tomorrow.