sleep

[Maisiemay13]

Good morning my husband has just been diagnosed with AF waiting to see cardiologist has been given beta blocker which appears to be stopping him from sleeping,he takes that night,I would this be better for him to take in the morning ? Advice please ?

[pip_pip]

Hi. Generally these Betablockers are given at night if the person is having issues at night. Was he ? What is the BB in question ? But they can keep you awake . There is no real problem taking them in morning, but if the doctor has given a night stipulation probably worth keeping to it until you see cardiologist, hopefully not too soon

Phil

[Maisiemay13 in reply to pip_pip]

It’s Bisoprlol he was told to take it at night

[pusillanimous in reply to Maisiemay13]

I take it at night because it makes me sleepy in the daytime (only 1.25mg dose). It has never affected me at night.

[mikecrouch in reply to pip_pip]

Hi pip pip, I take my bisoprlol (1.25mg) every morning as instructed by my pharmacy.

[pip_pip]

Sleepy as bisoprolol can make you it can keep you awake at night. I sometimes take it at night (my understanding with Eloctrophysiologist) and it can keep me restless at times. but not always. I suppose it might settle in, but unlikely. Maybe you can talk to your GP about it tomorrow. Bare in mind GP's knowledge and support for this AF overall is very limited. Of course a change in BB might help, but might not be as effective.

No cast iron suggestion I'm sorry to say. Trial and error really. Each one of us is different.

Phil

[Maisiemay13 in reply to pip_pip]

Thank you I will tell him to call them.

[Morzine]

I take 1.25 mornings snd1.25 night .

But before that I took one dose in morning.

Maybe he could spilt dose ask your doctor?

Sue

[mav7]

Some doctors recommend at night when beginning due to possible side effects like dizziness.

My cardiologist recommends a morning dose to counter when the heart is more active.

I also felt Metoprolol affected my sleep. But all side effects may lessen as the system adjusts.

[Fannyphasbees]

I’ve been diagnosed with AF 1 month and was advised to take beta blocker at 8am. No problem sleeping at night . Hope that helps.

[gbn_]

Hi Maisiemay13. How many mgs. of bisoprolol was he prescribed? I was diagnosed with AF back in early November, and was prescribed metoprolol which disrupted my sleep, I was taking 75 mgs. twice a day, which from what I understand is a pretty big dose. I mentioned about the sleep issue and was switched to 5 mgs. of bisoprolol, once a day, in morning, so now (at least with the sleep issue), I've been doing better, not 100 %, but better than before. It is very true as others have said, it could sometimes be a trial and error thing until the right prescription is tried, hope all goes well and you find the right combination soon.

[Maisiemay13 in reply to gbn_]

He is on a very low dose 1.25 he had a doctors appointment next week to increase to 2.50

[Ennasti]

I was recommended to take bisoprolol (when I was on it) and my blood pressure meds at night so as to avoid some of the fatigue they cause. Maybe it’s the stress causing hai issues and not the bisoprolol. Most people suffer fatigue if they’re going to have anything.

[Ppiman]

It seems to be a known side effect and there have been posts here just recently about how it cause hyper-realistic dreams, too.

It shouldn't make any difference regarding when it is taken as, after a few days, the drug is said to reach a steady state concentration in the bloodstream. It might be that a lower dose would be as effective and cause less sleep disturbance. Even 1.25mg is sufficient for many people (I recently went from that to 2.5mg in an attempt to quell excessive palpitations and AF).

Alternatively, if your husband's doctor would agree, a few days taking a mild sleeping tablet might break the insomnia effect of the bisoprolol (something like zopiclone or zolpidem).

Steve

[Maisiemay13 in reply to Ppiman]

Thank you he has a doctors appointment next week

[Maisiemay13 in reply to Ppiman]

thank you he has doctors appointment next week

[Drone01]

Some medics start patients on an evening dose in case of dizziness whilst getting used to the drug. However, you’ll see that the patient information leaflet advises you to take it in the morning. I have moved my 1.25mg from early morning to lunchtime because it was interfering too much with my morning exercise. Main point is to keep consistent and take it at 24 hour intervals.

[Tangalle]

Hello Masiemay, I took Bisoprolol for over 4 years, always in the morning. It did make me a bit sleepy during the day but it soon passed as my body got used to it. Depends on the dosage really, I only toook 2.5mg.

[JOY2THEWORLD49]

Hi

To be fair for advise we, in the forum need the name of the Beta Blocker.

Also vitals before he started on the med road.

I didn't do well on metoprolol as it did not control my heart rate of 185 bpm Day. Also 24hr Heart Monitor showed pauses at night. Perhaps this is what is happening to him.

As BP rises early morning Beta Blckers are best taken at night or 1/2ed to take them both times in the day.

The Public Heart Specialist said Beta Blocker Bisoprolol is a better med for AFers.

CCB Calcium Channel Blocker Diltiazem proved the med for me as both Metoprolol and Bisoprolol did not bring down Heart Rate. 185 and then 156.

CCB controlled me down to 88-96 - under 100. But after 12 months and losing 3kg and a further 3kg I am now at 60s bom Day and remain through 3 x 24hr Hr Monitors 47avg at Night now no pauses.

I also take Bisoprolol 2.5mg at night for BP.

cheri JOY. 75. (NZ)

[Sweetmelody]

Have you considered an ablation? Drugs can control the problem. An ablation can correct the source of the problem—if you’re on the lucky side statistically. Not all ablations “work,” but statistically one has a good chance, especially with a followup ablation if necessary. It’s a way to get off drugs…if you don’t have other problems like high blood pressure or valve issues. I didn’t do well on drugs. I’m doing much better after two ablations and so glad to be off CCB’s and BB’s and an anti-arrhythmic.

[Maisiemay13 in reply to Sweetmelody]

He only got diagnosed on 390/3/24 waiting for cardio appt which I called about today was advised might be 50 weeks

[Tapanac]

I always take my bb in the morning and so dies my husband. He heed to take it at night but his BP dropped too low so now morning and fine