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weight and Bisop

mjm1971 profile image
12 Replies

so I’m currently in PAF and have been since March this year and I’m currently only having episodes once every 6-8 weeks for 4-6 hours .

Before March I was in AF constantly for 8 months

I had an ablation last August .

since last October I have lost 3 stone in weight .

I have been on 2.5mg of bisop a day throughout .

So my question is

will the bisop have more affect on me now I’ve lost 3 stone ,

will it make me drowsier or light headed now I have lost the weight

is 2.5mg a lot for a 5ft 11 man weighing 12st 4lb

or doesn’t it work like that ?

As always answers all appreciated

Thanks

matt

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mjm1971 profile image
mjm1971
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12 Replies
jeanjeannie50 profile image
jeanjeannie50

Well done for losing weight, that should help reduce your AF.

The dose of 2.5mg Bisoprolol is very low, so no need to worry about that. I'm a lot lighter than you, but at times have been on a lot higher dose. Do you have a monitor to check what your heart rate and BP is?

Jean

mjames1 profile image
mjames1

Probably not, a low dose. That said, if you're getting side effects from it, ask your doctor for a short trial off of it to see if it's making any difference in your afib frequency and duration. The good news is that it appears your weight loss has lowered your afib burden which is backed by study data. Congratulations on a job well done!

Jim

stoneyrosed profile image
stoneyrosed

Just read a book by Jay Clarke called How I cured my afib. He mentions lots of things we can do to ease the afib burden but the single biggest thing one can do according to all studies done, is lose weight. So a massive well done ! 2.5 mg is low but you can go down to 1.25 which I believe is the lowest, you could give it a trial run to see if you can cope ok and if not just go back to 2.5.

mjm1971 profile image
mjm1971

thanks for all the well done so. The weight loss much appreciated 👍

Ppiman profile image
Ppiman

I don't think it does work like that. Most people get none or few side effects, and I can't say that I notice any, taking half your dosage, except that any side effects get mixed up, for me, with heart troubles as I get AF irregularly but palpitations daily. Mostly, the effect is to lower my heart rate, but I can't say I notice that unless I measure it.

2.5mg of bisoprolol is a fairly standard maintenance dose, from what I can tell, with 5mg given often to stop an episode. Some people are given double that. I try to take the lowest I can as my heart rate is already low.

Steve

JOY2THEWORLD49 profile image
JOY2THEWORLD49

Hi

I don't think it works on weight.

I take 2.5mg Bisoprolol. PM for BP. I weighted 93kg and lost 3-5kg over the last 8 months.

I am shorter 1.70m.

10mg is the high dose of Bisoprolol and as that didn't make me controlled with Heart Rate, I started on CCB by a private Heart Specialist.

Now take AM Diltiazem 120mg for H/R which is now i 60s from 156

and

2.5mg Bisoprolol for AM for H/Rate.

126/69. 60s H/R Day. controlled.

cheers JOY. 74. (NZ)

Teresa156 profile image
Teresa156

Hi Jim,

Well done on the weight loss 😊I don’t think weight affects Bisoprolol either. I’m 1.74 ( 5 ft 8) and 10 st 4 and my HR is the same on 1.25 mg (which I’ve been on for about a year) as it was, when I was on 2.5mg, strangely, no difference whatsoever.

Like others have said though, you could ask your Dr about going down to 1.25 ( if you do, reduce VERY slowly). I did feel a bit tireder on 2.5 than I do now, but that’s about it.

All the best,

Teresa

AussieHeart profile image
AussieHeart

My first thought was yes or even your dose is too high for your current weight seems low for your height but guess depends on your bone build (healthifyme.com/blog/height... My second question is did you mean to lose weight? I was on low dose of 1.25mg Bisoprosolol and 1/4 Flecainide and dropped a stone in a few months. My muscles shrivelled to nothing. As a woman I was sent to a dietician after the EP said “uncommon” to lose weight despite it being listed as a risk factor! After my ablation and I went off all meds, and with dietary intervention, it’s taken nine months to regain the weight I lost! I’ve hit my weight goal of 55kg (nearly 9 stone). I’m 5ft5 and tiny build!

mjm1971 profile image
mjm1971 in reply toAussieHeart

Yes I’ve done a lot of hard work to lose the weight over last 10 months

AussieHeart profile image
AussieHeart in reply tomjm1971

I asked as I wasn’t trying and blame the beta blockers. Probably best to check dose to weight ratio with your cardiologist / GP but my experience was unless you protest (complain of symptoms) about dose they won’t change it:-)

bassets profile image
bassets

I lost 2 stones when I was having a lot of AF and found it was very helpful, but as someone has mentioned you might talk to your cardiologist about it. Good for you on your weight loss!

Afibflipper profile image
Afibflipper

Excellent re the weight loss 👍 - when I was on high doses of Bisoprolol (15mg) it made me so tired and the AF was constant I couldn’t do much activity. Following ablation last year it took 4months to get NSR. The weight loss & to now be in NSR I’m only on 2.5mg Bisop, have more energy and can do more so the weight staying off is all I have to offer but hope you continue your progress.

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