Hiya guys
I've basically has this spontaneous diurnal tachycardia which no one is able to put a cause to at the moment. I've been tried on Bisoprolol 2.5mg for this. And to some effect it is working. Before I was ranging from 90-180 now I'm anywhere between 58-130. However I have noticed my blood pressure has gone up! I never used to have a problem with blood pressure but now it's going up to 144/84. Is this normal with beta blockers? I was under the impression it should be lowering both.
G'day Kelloggs,
Just sayin', just sayin', 'cos I'm not a GP but that BP would seem to me to be classed as hypertension and perhaps worthy of medication.
I've been on Bisoprolol (5mg) for over 10 years and taken at night.
So, are you taking your dose at daytime - are you taking it in two doses of 1.25 mg or what. Any of these arrangements can influence things in my humble view.
Bisoprolol is an odd ball drug and I've never got a definitive answer from my GP - I was prescribed it for HR control and it does this beautifully - holds it around 65 - 67 bpm. I was never prescribed it for BP control ! Even when I'm workin' bus driving my HR stays steady at around 72 to 74 bpm.
I am on Ramipril and Felodopine for BP control !
So, I've come to the conclusion ( and I do stress just my view) that low doses of Bisop taken twice a day maybe for BP control and a single higher dose administered once a day in one hit (like my 5mg at night) could be for HR control.
I can't even get any confirmation that Bisoprolol is a multi purpose drug.
Of course, at the end of the day it may just be that Bisop just doesn't do it for you and maybe you should consider changing to another beta blocker and have seperate drugs for BP control -if needed.
Just wonderin' who prescribed Bisop in the first place, a consultant or a GP ?
Good luck,
John
I take the one tablet 2.5mg in the morning when I wake up. On the tablet box it specifies to control heart rate on the prescription label.
Last week before the Bisoprolol I was having bps of 118/70. Although I was extremely tachycardic and no one was sure the cause ranging anywhere 140bpm+ at rest!
Now it seems like my heart rate has come down. Actually nearly Brady. 64 BPM but blood pressure of 154/87 this evening! Just abit bizzare and was wondering if there's any correlation to my heart rate lowering the BP is going up. I've never had a bp issue ever before this.
It's abit bizzare and I guess maybe it could be things getting used to it. I was told to update the GP after 10 days using the tablets and this day 8. So will just see what they say! Just concerning getting one thing resolved but getting another problem on that , rigmarole stuff this heart business! 😂😂
I do feel you are onto something, Kellogs31. My blood pressure was controlled sufficiently by drugs. As soon as rate control drugs were added, my BP, like yours went up. Then rhythm control drugs were added, my BP went further up, and my systolic BP even reached 200. So, today, I take an ARB + a CCB with somewhat success whereas , initially , before the arrhythmia drugs , I was only taking a diuretic which my GP stopped as soon as I received arrhythmia diagnosis. (One of the side effects of a diuretic can be an irregular heart rate.) Understood, ones heart could be deteriorating rapidly as another reason.
I agree with you, "if there's any correlation to my heart rate lowering the BP is going up. "
From my experience , arrhythmia drugs messed with my BP drugs, and I am not talking about contraindicated ones.
Morgan69 below, unlike you who examines arrhythmia drugs BP correlation, focuses on AF episodes and BP. In her case, "There seemed to be a direct correlation between the afib episodes and my BP skyrocketing." In my case, I had the opposite effect: my BP went down while in AF.
My conclusion , as a layman without the benefits of medical trials, is that arrhythmia drugs affect blood pressure drugs perhaps more to increase BP when arrhythmia drugs are added ; wheas in AF with arrhythmia drugs and BP drugs, the BP will go either up of down depending upon the individual. There is a definite correlation.
It has been my experience that EPs shy away from this arrhythmia - BP correlation. My EP advised me to go to a BP specialist because it was not his area of expertise. My useless cardiologist had inferior knowledge of AF and AF drugs. I subsequently did my own research to select the combo theory route and a BP drug combination that was sensitive to AF which I presented to my GP.
It would be most helpful if anyone has any direction for this arrhythmia-BP correlation. There really should be trials because so many are in this predicament.
Thank you for the reply that makes sense.
Last week before the Bisoprolol I was having bps of 118/70. Although I was extremely tachycardic and no one was sure the cause ranging anywhere 140bpm+ at rest!
Now it seems like my heart rate has come down. Actually nearly Brady. 64 BPM but blood pressure of 154/87 this evening! Just abit bizzare and was wondering if there's any correlation to my heart rate lowering the BP is going up. I've never had a bp issue ever before this.
So perhaps there is by the sounds of it? How interesting. The heart is very weird.
I am on Bisoprolol for Afib. My heartrate was 280 plus before cardioversion. I was started on a dose of 5mg.
After 2 years of being on it and pill in pocket (Flecanaide) my blood pressure started playing up. There seemed to be a direct correlation between the afib episodes and my BP skyrocketing. My dose was then raised to 10mg, which calmed it all down.
Eventhough drs will say you can't feel it if you have high blood pressure - I definitely knew something was up and was tracking both BP and the Afib. I took those figures to show the pattern to GP and the Cardiologist.
Now I have this weird thing going on where my Afib bounces from tachy to brachy to tachy in the same episodes, but that's another matter entirely.
Always difficult to give any advice as everyone can be different. I have never had any problem with Bisoprolol, and I wish you well. I would just say consult the Doctor if you get any adverse reaction, but I feel sure you would anyway.
I have just been put on Apixaban instead of Warfarin (after 8 years) and feel a bit apprehensive, but if successful it certainly means fewer Surgery visits and hopefully a bit more stable in my readings.
Good luck!
I have been on a much stronger Dose of Bisoprolol 10mg having been diagnosed 10 years ago with Atrial Fibrillation. It has been good for me as it was prescribed. by a heart consultant only advice is get back to your Doctor and possibly see a consultant as I did
Yes definitely has improved my heart rate considerably. Just strange about the sudden increase in bp I assumed lower hear rate would result in a lower bp as my cholesterol was fine. Will keep recording till end of the week and touch base with my doctor. Be a shame to stop because it has resulted well for the heart rate.
Good news it has worked well for yourself! 
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