Bisoprolol making things worse? - Atrial Fibrillati...

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Bisoprolol making things worse?

kitenski profile image
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background I came off flecainide about a year ago as it made things worse healthunlocked.com/afassoci...

I’ve been on bisoprolol 1.25mg twice daily and upped that to 2.5mg twice daily in the middle of May.

The past two days I’ve been getting long episodes of Afib lasting 14 hours then clearing around 3am Thursday. It came back lunchtime Friday and then stopped again 3am this morning.

I’m wondering if the additional dosage of Bisoporol is making things worse not better? Going to cut it back and see but wondering if others have had similar experiences?

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kitenski profile image
kitenski
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BenHall1 profile image
BenHall1

Hi,

My understanding is that Bisoprolol is a drug prescribed for heart rate control, with some properties that lend itself for use for blood pressure control. This suggests it isn't a drug to specifically to eliminate AF - if only AF were that simple !

If you tweak Bisop then you need to do it very gradually as described in the paper in the packet. Perhaps there is another trigger at play which kicks off your AF ( like food or drink or stress - lifestyle issues ) which is nothing to do with your heart rate.

When I was put on Bisop ( right at the time of original diagnosis, aged 65 ) - it was specifically to bring my heart rate down, which it did. I spent 13 years on it and then progressed to Nebivolol and now Sotalol ....... the latter being the best of all. Sometimes the Bisop dropped my HR too low, i.e. 44 bpm when asleep and 60 bpm during daytime. Didn't particularly do much for my BP. Nowadays on Sotalol my HR is around 68 and BP around 124/75 .... and me and my heart are now 14 years older !

Good luck.

John

mav7 profile image
mav7

I’ve been on bisoprolol 1.25mg twice daily and upped that to 2.5mg twice daily

Going to cut it back and see

Best to consult with your doctor before making changes to dosage. Just a phone call to the nurse for advice and possible consult.

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