Forgotten my bisoprolol : Hi any advice... - Atrial Fibrillati...

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Forgotten my bisoprolol

Lb184 profile image
14 Replies

Hi any advice appreciated.

I am abroad at the moment and realised that I have forgotten my bisoprolol. I normally take 2.5 mg daily for PAF.

I have 2 weeks before I go home, does anyone think it is ok to not go to the hospital to see a dr to get a prescription? ( I am in the Middle East).

Thanks

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Lb184 profile image
Lb184
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14 Replies

Keep calm and carry on and enjoy your holiday ... that said what was it prescribed for ??? Heart rate or blood pressure control. Unless your cardiac system has something actively sinister going on I would expect a small increase both in heart rate and blood pressure. DO NOT try and play catch up! Just carry on and take your next dose when it is due. DO NOT try and cut your pill in half and pro rata the dose, Just take your next dose when it is due.

When you take your next dose it may take s few days to re regulate whatever your condition is, BP or HR.

The usual caveat of course, I am not a GP, just a patient who has been on Bisoprolol for 10 years and who has done what you have done.

Of course, if you feel unwell clear off to an A & E unit someplace.

John

Lb184 profile image
Lb184 in reply to

Thanks John. Bisoprolol is for rhythm control. That said I have had 5 episodes of PAF this November (it seems to be increasing 😣, I have previously had 3 ablations). BP is fine. I am away for 6 weeks and inadvertently didn’t put enough bisoprolol in my bag, so have taken it for the last 4 weeks, during which time I have had the 5 episodes of AF. Husband suffers with anxiety so if he were to know and I had to go to the hospital he would be super stressed. 2 weeks left till we go home, I would never consider playing ‘catch up’ with meds.

Thanks to all the comments I think I will go with my gut instinct and worry about it only if I need to. I have my flecainide as PIP.

SpritzerAce profile image
SpritzerAce

I am the type who would worry if I have forgotten my medicine. But that’s just me. If I were you I would see if I could get someone to email over the prescription slip and get the Bisoporol from the pharmacy. But then again I don’t know which part of Middle East you are at right now. I will see if there is any way I could get it where I am and continue taking it as usual. Like Carneuny said, don’t play catch up. If that’s not possible where you are then try and just stay calm and not to worry too much about it. Unless of course if you feel super unwell and have fast HR and high BP go to the A&E. Hopefully everything will be OK for you.

My take on what you wrote was different to Spritzerace ...so, did you leave all your medication at home or did you forget just ONE dose??? You didn't specify ☹️

If you left it all at home, then try and do what Spritzerace suggests.

pottypete1 profile image
pottypete1

I read it as Bisoprolol left at home.

If this is the case firstly visit a Pharmacy, is no luck visit a doctor. It may be necessary for an email to be sent from UK.

I have done this twice in all the years and did both options.

I think you are not uncommon.

AF is more likely the older you get and so is memory loss.

For future trips do what we now do and make lists for reference when packing.

We have a Summer list, a Winter list and a Hospital list.

Pete

Melbuckton profile image
Melbuckton in reply to pottypete1

I would guess that the hospital list is specific to you. Are there any items that you would recommend anyone might need?

pottypete1 profile image
pottypete1 in reply to Melbuckton

Hello Mel

Well it may not be inspiring but here is my list.

You no doubt would vary it but it is a start.

Hospital List (Depends on time in hospital

Bathroom

Towel

Shaving

Razor

Shampoo

Flannel

Shower Gel

Toothpaste

Toothbrush

Clothes (Men)

Underpants

Teeshirt/vest

Jumper

Pyjamas

Dressing gown

Slippers

Odds

Book/Reading material

Hairbrush

Tissues

Recharge lead & Plug for phone

Phone

Tablets

Ear Plugs

Eye Mask

Water in a sport bottle

Pete

Melbuckton profile image
Melbuckton in reply to pottypete1

Thanks

pottypete1 profile image
pottypete1

See my reply to Hidden

Pete

I also read it as Bisoprolol left at home. Lot’s of things you can do. Do what has been suggested and ask surgery or your pharmacist to email a copy. Alternatively, establish a source of supply near you and ask your surgery/pharmacy to contact them direct. Bisoprolol is probably the most commonly available betablocker. If you have other AF related medication (anticoagulants) or other heart related medication with you, show the pharmacy and plead!

I would NOT do nothing, even stopping Bisoprolol under the instructions of your Doctor requires being weaned off the medication.

Good luck

Lulu2red profile image
Lulu2red

I would definitely get some replacement medication asap. You need to worry about your own health first. Your husband's anxiety will be worse if you get sick. Traveling is stressful to the heart so you should re start your meds sooner rather than later. You may find it's available over the counter, if not ring your GP and get them to fax a prescription. You will continue to worry if you don't and that is negative in itself. A few days missed dose maybe Ok but it depends on the half life of the tablet. If you have extended family in the Middle East you may find a relative who takes this medication and could help you out in the meantime, then you could just replace their supply. Just keep calm in the meantime. I am sure you can sort it and then you can enjoy your stay properly.

Lb184 profile image
Lb184 in reply to Lulu2red

Thanks Lulu2red

Leonardo3 profile image
Leonardo3

Hi I didn’t get on with it and was on a higher dose so I’m sorry I can’t help

Lb184 profile image
Lb184

Thanks for all your comments. I have been away from home (reside in UK and am in Middle East at present) for 4 weeks (out of a planned 6 weeks) I thought I brought 6 weeks supply of bisoprolol with me but when I checked I had brought another Med instead so do not have any bisoprolol for the remaining 2 weeks I am in the Middle East. Sorry for the confusion x

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