BP, HR & Pulse

[willsie01]

Prior to starting beta blockers (Bisoprolol) yesterday my BP was usually good (120/80 yesterday). Today, however, it is down to 102/58. Is this an issue? Should I see my G.P.?

[Lezzers]

Do you fee dizzy or faint? When my husband first started on 1.25 bisoprolol his BP was low 80's/50's. This improved over a few days & after a month the dosage was increased to 2.5 but his BP dipped again. GP reduced the dosage back to 1.25 & he had to monitor his BP for 6 weeks. He averages low 100's/70's now.

[willsie01 in reply to Lezzers]

I felt dizzy and nauseous but thats subsided. I was started on 2.5mg bisoprolol 3 days ago but my future daughter in law, a doctor, advised taking it down to the more usual starting dose of 1.25mg, which I'll do and see how I go.

[Caitlyn6]

Are u on any bp meds? I'm on bisoprolol 1.25 and perindopril. I usually take perindopril 8mg but cardiologist said cut it to 4mg and if necessary take twice a day. It's normal for bp to drop. Also u could take it at night if cardiologist allows that . Might give u less symptoms of low hr

[willsie01 in reply to Caitlyn6]

To start I was put on Isosorbide Mononitrate, Aspirin and a GTN spray. After my angiogram highlighted a blockage and narrow sections Bisoprolol 2.5 was added. Cardiologist did say I could take it at night to avoid side effects but I have been taking it in the morning.

[Qualipop in reply to willsie01]

WHen I took it at night to avoid the really low bP, I had hallucinations. Just be aware. I'm on BP tablets and diuretics so it was too much for me even low dose. It dropped my BP so low it was dangerous.

[Lezzers in reply to Qualipop]

My husband is on bisoprolol & furosmide plus a number of other tablets, can I ask what your blood pressure dropped to?

[Qualipop in reply to Lezzers]

Before my H/A I was on oxycodone & furosemide for 20 years with BP stable at around 126/78. When put on aspirin, ticagrelor ( then swapped to clopidogrel) simvastatin, ranitidine elantan ( soon stopped) and candesartan for BP, my BP went down to around 120/65. When I started bisopralol it dropped sometimes as low as 64/54. They tried a different beta blcker- I forget he name but it did the same so now I don't take one. My resting pulse is usually in the 80s and 90s which is why I was given it but I just can't tolerate it with all the others. When I tried taking bisopralol at night I had horrific hallucinations; great big 3 foot long black worms all over the walls.

[Allyanna]

Hi you are very lucky prior to taking bisoprolol my bp was normal too , I only started taking 1.25mg on March 19th my my bp during the day is all 87/55 around that range . My Gp says it lowers it and mine is low but not detrimental so I guess yours is perfect compared to mine. How long are you taking it now? And what is your dosage if u don't mind my asking ?

[Caitlyn6 in reply to Allyanna]

Wow that's low bp

[Allyanna in reply to Caitlyn6]

Exactly and my doctor saying it fine..

[Lezzers in reply to Allyanna]

My husbands GP wasn't happy about his BP being low 80's over low 50's so she immediately reduced his dosage back to 1.5. I wonder what criteria they use to decide what is an acceptable BP & is it dependant on the medical condition. My husband has heart failure so a low BP could be detrimental for him but maybe its more acceptable for other conditions?

[Hidden]

Bisoprolol lowers bp - aside from being used as an anti-arrhythmic, it is also used to treat hypertension, although it's fallen out of favour somewhat these days. I was on it for 9 years for SVT and went from ‘the blood pressure of a triathlete’ to pressure so low at 6am that I once woke up on IV fluids when I went into hospital for an op. The conclusion after my week there was that my bp was routinely very low as a result of the bisoprolol, but other than the odd bout of orthostatic hypotension (looked like I was having a fit if I shot up too fast to answer the door) I had no symptoms. Spoke to cardiology and my gp and they both said that as long as I was asymptomatic generally, it wasn’t a concern but to speak to them if the OH became more frequent or I started getting dizzy and faint. I generally found that once I got properly moving for the day, that brought my pressure up a fair bit, but it still tended to drop if I sat for a bit, hence the OH. Fluid intake is important - staying properly hydrated when you have low bp can make a big difference, but obviously seek advice if you’re fluid restricted for any reason. And

[Allyanna in reply to Hidden]

Thank you for the info , you are right I find if I move about it does go up a bit . Will try to stay hydrated and monitor it.

[willsie01]

Reduced Bisoprolol to 1.25 today and BP/HR now is 125/65/58