How much bisoprolol should one take
Bisoprololol: How much bisoprolol... - Atrial Fibrillati...
Bisoprololol
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Dottilind
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BobDVolunteer
Whatever your doctor tells you. It can be anything from 2.5mg to 10 mg per day.
Hi Bob I was recently in hospital with AF as I get the chest pains. The cardio came to see me and put me on an extra 5mg at night and took me off blood pressure tab. I am now waiting for ablation. Although I have pace maker fitted they want to do this on 14th April. I find I am very tired now and cannot walk too far with my dog as I did a week ago. Thanks for your reply.
Just to clarify its actually anything from 1.25mg up to 10mg (and in some extreme cases 12.5mg)
As much as your doctor tells you, I use 2.5 a day and another 2.5 as a pip if I have any hiccups
Actually I responded to JulieWoo re my ''extreme'' levels that I have taken. I take Bisoprolol in conjunction with a large daily dose of Digoxin. What a super mix!. Recently after some very depressive bouts of feeling particularly awful, I have really been questioning what is happening to me. Should I feel the way I do? Have I grown used to feeling like this? Is it the medication, the condition, a combo of both, or at 63 years of age should you actually feel crap? Not all of the time, but a lot of the time. My Doctors cannot assist. Friend who was on 7.5 per day stopped taking his meds overnight. That was 8 months ago and he is still walking the dog. I must make a point of asking him how it is going.
Was put on 5mg this week, it has slowed me down big time feeling very tired all the time, was taken off channel blockers and put on this, don't like it 😒
I was on Bisoprolol 1.25mg and had the worst side effects ever couldn’t open my eyes with dizziness, now on channel blocker, best thing ever for me. I don’t understand how drs automatically assume this tablet is best for everyone as all I have heard is how badly it is affecting everyone!!
Same here. It was the first med they put me on and I felt awful. After 3 months of not being able to breath properly or walk further than the gate, I did my own research and told the cardiologist I wanted taking off it and putting on Diltiazem.......which they agreed to. My pharmacist explained that, even though cardiac specific, Bisoprolol can attach to receptors in the lungs as well as the heart and that is what caused the issue. Bisoprolol seems to be the Gold Standard treatment but with AF, one size does not fit all.
We are not medically trained and therefore cannot advise. Best to be guided by your doctor.
For example 1.25mg per day was deemed too much by my EP because I have heart conductivity problems that causes Bradycardia (slow heart rate).
Many find even a low dose makes them feel very lethargic.
Pete
Caused breathlessness and panic attacks for me stopped taking after one week
I think every ones experiences are different and you need to consult with those medically trained. My wife's experience was as follows...
On initial diagnosis of PAF was put on 2.5mg of Bisoprolol which she found very debilitating with her heart thumping 'out of her chest. Was dropped to 1.25 mg shortly afterwards which was tolerable but didn't stop the PAF.
GP was advised by consultant to put her on BP pills as well as thought her mild hypertension might be a trigger. GP choose to switch her to calcium chain inhibitors as ghe one pill did both rate limiting and reducing BP. This was fhe worst 6 weeks of my wife's life. Constant bouts of very debilitating PAF. We got in touch with consultant who got Gp to put her back on 1.25mg Bisoprolol and a separate BP tablet.
6 months later a bad and long AF attack had her hospitalised and she eventually left on 3.75 mg Bisoprolol which she could cope with. Note this is higher than the original 2.5mg she could, so in her case she seemed to have got used to it.
Another year down the line, few AF incidents, and shedding a lot of weight her resting HR was steadily dropping. Gp has dropped her back down to 1.25mg of Bisoprolol which has stopped the decline. She's had one short AF incidence since but that was on Valentines day when we over indulged on food and drink.
As much as the doctor prescribes. I was on 12.5mg at one time. Admittedly I was pretty much a zombie...
People need very different doses. The maximum dose for high blood pressure is 20mg a day, but the more usual dose for that is 10mg. For heart failure the max dose is 10mg. I was started on 10mg when I developed AF, but that made my pulse very slow and it was soon reduced to 8.75mg a day. Some people only need 1.25mg - we're all different. There are warnings in the leaflet inside the pill packet against suddenly stopping or changing the dose drastically, as this can make conditions worse.
Are you feeling OK on the dose you've been prescribed?
Hi. The dose the cardio consultant put me on the other week in hospital after I came out of AF is 15mg I was on 10. I have a pace maker fitted and they are doing ablation on the 14th April. I feel so tired though and lethargic when I am walking my dog. They stopped my blood pressure to up my dosage of bisoprol. Thanks for your reply.
My gp put me on 5mg which wiped me out and my ep couldn't believe gp put me on 5mg he said their motto is low and slow so he put me on 1.25 mg everyone differs but see your gp and monitor how your feeling
I've been on 10mgs since May 2014 and I've had no trouble at all. Doesn't make tired, in fact i only usually have 5/6 hours sleep. Then again i think I'm pretty lucky with whatever medication is thrown my way. I hope you get yours sorted.
Getting to an ideal dose is an evolution which the Docs try to manage based on experience and your feedback. The ideal dose is as low as works for you and everyone will be different. What is worth remembering is that this type of medication takes about an hour to have any significant effect then its effect deteriorates slowing, by taking Bisoprolol daily you are slowly building up your effective dose to constant level over a period of weeks. Our bodies are indeed a marvellous thing as our body will adjust to the stimulus provided by the medication and try to counter it, because of this it takes months to get the ideal dose and often we get more than what we actually need as we do not let our bodies response with the medication stabilise. Its not easy for the Doctors! Following my ablation the EP prescribed Bisoprolol and Digoxin and asked me to self adjust the levels (within limits), I ended up taking just 1.25 Boisoprolol but I did not change my medication unless felt the need (e.g. low/high HR or low/high Bp) and always following consultation with my GP.
