Is it safe to suddenly stop taking bi... - British Heart Fou...

British Heart Foundation

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Is it safe to suddenly stop taking bisoprolol 5mg

35 Replies

I would be grateful for any advice please. My husband was prescribed bisoprolol about 18 months ago but,today, when he attended hospital for a check up and m.r.I he was told to stop taking this tablet. I have read that it is dangerous to stop suddenly so would be grateful if anyone has any information about this.

Many thanks

Carol

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35 Replies
MichaelJH profile image
MichaelJHHeart Star

Hello and welcome to the forum! It's hard to comment with no idea of his cardic history and what medications and doses he is on. All I can suggest is ring your GP in the morning. Your pharmacist may also be able to advise as they have good "coal face" experience.

in reply to MichaelJH

Many thanks for your reply. I will check with g.p. but was so concerned that we were told to stop taking it straight away so thought I would get some advice from this forum until I can get to see g.p. I am grateful to you for reply.

Carol

wiltsgirl profile image
wiltsgirl

I stopped bisoprolol at 1.25mg after my GP said I could. I asked if I had to wean myself off of it and she said no, just stop. That's my GP but you probably need to check with your own. Best of luck xx

in reply to wiltsgirl

Thank you for replying. I will speak to g.p. as soon as I can get him. I was concerned about what to do as web sites say it should not be stopped quickly. I thought it strange that the hospital doctor just stopped it without discussion and the instruction came from hospital pharmacist.

MichaelJH profile image
MichaelJHHeart Star in reply to

I think it really depends on the dose. If he is on 1.25 or 2.5mg I think there would not be a problem but if he is on a higher dose (can be as high as 10 or 20mg) I think it needs to be phased. However, only your GP or pharmacist can advise.

in reply to MichaelJH

Thanks again Michael. I appreciate your time and advice. This is all really new and frightening for me so I am getting unsure about what to do. Carol

Kristin1812 profile image
Kristin1812Heart Star in reply to

We are not qualified here to give such medical advice. If you are happier double checking the advice of the Consultant and hospital pharmacist, then the GP is the right person to speak to.

I hope you can get quick advice.

in reply to Kristin1812

Thanks for helpful reply. I know I can't get the medical advice but was just wondering if it is usual for it to be suddenly stopped.

Suki1234 profile image
Suki1234 in reply to wiltsgirl

Thank you how did you feel after you came off it

wiltsgirl profile image
wiltsgirl in reply to Suki1234

Absolutely fine. More energy and BP has stayed stable

judyjudy1 profile image
judyjudy1 in reply to wiltsgirl

Hi, Why were you taking Bisoprolol in the first place.?

Shockedwithstent profile image
Shockedwithstent

Hi there, I was prescribed bisprolol when I came out of hospital and I had side effects that they stopped it and I am still alive-:)) he must be recovering well. Trust the doctors I think they know their stuff. Best wishes

in reply to Shockedwithstent

Thanks for reply which is helpful and it does sound as there must be some improvement for him.

daisy2311 profile image
daisy2311

I am due to have a monitor on for a week and the cardiac nurse told me that it would be fine to come off 5mg but I am going to check again before doing so as I have read the same...online and on the packet instructions.

in reply to daisy2311

Thanks for your reply. I appreciate it. Carol

OrdinaryGuy profile image
OrdinaryGuy

For any medication related to heart issues it is best to go on the advice of the medical professionals. Each patient's heart health circumstances are different and need to be considered on this basis. A good starting point in your situation is to read the product information leaflet that comes with the Bisoprolol. If necessary you could consider speaking again with the professional who gave the advice about stopping this medication (either face-face, on the telephone or via e-mail maybe). If this isn't possible or you are still not sure then speak to a GP or a Heart Nurse Specialist. Or maybe call the British Heart Foundation - Specialist Nurse. Where the heart is concerned no risks should be taken - and don't think "I'll wait and see." Best wishes.

in reply to OrdinaryGuy

Thanks for reply which I agree with. I was just wondering if it is usual practice to stop this tablet. Carol

KEN65 profile image
KEN65

Hi I also was on Bisoprolol 1.25mg for 18mths and my doc said to take 1 less for a week and then 2 etc till 1 a tablet a week and stop. Not sure going cold is a good thing if your heart has been used to help with this med, wean it off slowly was my answer.

in reply to KEN65

Hi thanks for this reply. Much appreciated.

bettered profile image
bettered

My personal experience would be to come off it slowly. I was taking 2.5mg for 18 months. Consultant told me to stop it, but I was hesitant to do this after reading people needed to wean of it.

I reduced to 1.25 for a week and then took it alternate days for a week. Then stopped. I felt a bit 'jittery' for a couple of days after stopping it completely but was then fine.

in reply to bettered

Thanks for reply. Seems good idea. Regards Carol

Gladaven profile image
Gladaven

Hello sorry I don't know the answer to your question but my cardiologist told me bisoprolol protects the heart so I am going on his advice Cheers, Gladie xx.

in reply to Gladaven

Thanks for reply. Best wishes Carol

Prada47 profile image
Prada47

Hi

I am on 10mg and I stopped for 24 hours in Hospital and under supervision i.e. monitored for the full 24hrs. This was to see what was happening with my heart rate without the Bisoprolol. My rate went up to a high of 120 and alarmingly down to a low of 30. After 20 hours the Bisoprolol was restarted and Heart Rate stabilised at around 55/60. So as Michael pointed out in an earlier post it all depends on your situation and why Bisoprolol was prescribed originally " mine is to try to control severe ectopic beats " Take the advice of your medical professionals they know why Bisoprolol was prescribed, sorry to repeat myself but advice is key to a successful outcome.

regards

in reply to Prada47

Hi thanks for reply. Much appreciated. Carol

Having read the original question and the subsequent answers, I would not be surprised to hear the original questioner is totally confused. We have wean off, stay on, question internet, doctor or Specialist or pharmacist or medication instructions or perhaps we should ask the milk man?

MichaelJH, the first answer put it as sensibly as possible when they said "It's hard to comment with no idea of his cardic history and what medications and doses he is on" and that further guidance should be saught from doctor or pharmacist.

What about the original advice from the hospital when in for a check up - rhese are the people that originally prescribed the drug (usually) in the first place - surely they know what they are doing and at the end of the day - who are we going to trust? The internet, information slip etc etc?

Bisoprolol belongs to a group of drugs called beta-blockers and is used to treat hypertension (high blood pressure) and as such are one of a package of drugs that can be prescribed during and after heart issues that have been treated in hospital. I was informed that I should receive a review by either my doctor or my specialist where certain drugs would be stopped, especially if my test results are normal or even, in the case of low blood pressure and others, some drugs would then be inapropriate. As MichaelJH replied, "we" know nothing about the health, history, diagnosis of this patient and at the end of the day, if he has been advised to stop taking the medication, who are "we" to advise otherwise? Which brings me back to the original statement - If you do not trust the hospital - who do we trust - the pharmacist?

It is theoretical possible that cesation of a drug like Bisoporal could have derogatory results, especially if still suffering from high blood pressure. However if the patient is exhibiting lower BP and advised to stop taking the drug - continued participation could be equally as derogatory to the patients health. I am not trying to confuse however, having been in the Armed Forces, I was indoctrinated never to question an instruction and always to carry out the last order since that remains the one to follow until rescinded. I would always take the advice of the hospital over any other since they ARE the EXPERTS. If I felt a degeneration in "my" health I would then approach my doctor - but not until that happened for anything else is pure speculation.

Prada47 profile image
Prada47 in reply to

Bisoprolol is taken in conjunction with other medication to Lower Blood Pressure NOT normally on it's own. Cardiologist and GPs Information.

regards

in reply to

Many thanks for this. I agree that we have to take advice of the hospital but I was only given the information when the hospital pharmacist telephoned me telling me it had been stopped. I am still waiting to hear from the doctor involved as I did phone to try and get some answers. Carol

in reply to

Many thanks for reply. I am waiting to find out the reason for stopping the medication as I agree only the doctors can give the full information.

in reply to

I am a tad confused so please give me some leeway here: - As I saw it - you are the wife who knows her husband is going to hospital for a revew of his health and medication after a "heart" issue. He is told during this review that the doctor has decided to stop Bisoporal because he clearly does not need it any more - however, some time later, probably because of a mistake in the paperwork or the signing - the pharmacist rings to ensure the patient knows not to take any more Bisoporal.......Fin

Your husband was told during his review to stop taking Bisoporal -

The pharmacist has rung to confirm that he is to stop taking Bisoporal -

I am not the best in the recording of the details of an interview or review so my wife goes with me, just to ensure I do not miss anything important.

I could go further about the telephone call you received but will not for surely your husband can confirm the details of the review. The telephone call was to confirm those details for one reason or another. What motivation have you to question the hospital doctors?

Is there something here we do not know? Is there any reason for your interjection in his medication and health?

in reply to

Thanks for reply but he was not told at the review to stop taking any medication and I am not aware I said that in my message. The telephone call did not do anything but to tell us to stop the medication and I was asking if anyone knew if this caused any problems in their experience. My interjection as you describe it was purely to see if anyone had experience of suddenly stopping this medication.

in reply to

"My husband was prescribed bisoprolol about 18 months ago but,today, when he attended hospital for a check up and m.r.I he was told to stop taking this tablet"

Fin

Qualipop profile image
Qualipop

Bisopralol gave me hallucinations. MY GP told me to just stop it straight away. I did, no problems but I was on the lowest dose.

in reply to Qualipop

Thanks for reply. Glad you had no problems. Carol

Bibl profile image
Bibl

Hi Carol, I am taking my husband to our g.p. this morning, he has been on bisoprolol and the dosage has been increased to 10 per day, he's wiped out, his legs are swollen and he can't sleep, his head rolls around and eyes are closed, but no sleep, I don't recognize him, he can't do anything he is wiped out, I live in Spain and don't know many people, my life has become a nightmare, I blame bisoprolol.

I want another tablet for my husband, I want my husband back,

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