How to change time of beta blocker - British Heart Fou...

British Heart Foundation

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How to change time of beta blocker

Caitlyn6 profile image
12 Replies

How do you change the time of your beta blocker? I am taking bisoprolol 1.25 at 10pm. I would like to change to morning as HR is high during day and low in bed.I have started to take levothroxine 50mg for underactive Thyroid which is giving me palpitations so want to take bisoprolol earlier to alleviate them. I have diabetes and hypertension. Also take Perindopril 4mg in morning and BP is good.

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Caitlyn6
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12 Replies
Hatchjd profile image
Hatchjd

As your pulse is higher during the day. I would take the evening dose as usual and then take the next dose between 12-2pm the next day and then adjust earlier by 2 hours per day over the next few days.

DavidG1971 profile image
DavidG1971

I switched the other way. Think I feel more awake and less sluggish - but halved my dose as well.

45sue profile image
45sue in reply toDavidG1971

I believe usual advice is it take bisoprolol in the morning because heart is more active during the day. But you have other medications to consider so really need to see your GP before tinkering with the dosage.

Brokenheart19 profile image
Brokenheart19

Hi Mollypet, I have had sluggish/sleepy/lethargic issues with Bisoproprol-spoke to my heart nurse and she recommended taking it at night. No further problems and I sleep like a baby. Good luck!

emerich profile image
emerich in reply toBrokenheart19

Hi Mollypet, I was exactly the same as brokenheart19, changed to night time and sleep so well now,and don't have the massive energy drop I used to have mid morning. I also changed taking ramipril from morning to night, which I think contributes to feeling more alert during the day. You need to consult your heart nurse or Gp first though.

Qualipop profile image
Qualipop

This is something you really should ask your GP because of he interaction with your other meds. I swapped from morning to night just by missing one dose but I didn't have your problems

tamariki profile image
tamariki

I take mine in the morning.

Exmoorwalker profile image
Exmoorwalker

I'm n the process of moving my dose to the evening to try and avoid the slump I get after breakfast. My consultant said to take it when it suits me. I'm having 3 days of taking it after lunch to hopefully keep my levels up then I'm going to move it on to the evening getting gradually later until it's before bed.

Caitlyn6 profile image
Caitlyn6 in reply toExmoorwalker

Thanks , very helpful

Handel profile image
Handel

Our GP told my husband that it's best to take Bisoprolol 1.25 in the morning. Good luck xxx

tunybgur profile image
tunybgur

I take mine in the morning as advised by my cardiologist.

Wadeowen profile image
Wadeowen

Hi, late to this conversation, but I was always told you had to take bisoprolol in the morning and it was good for you to take later in the day. Cardiologist, doctor and pharmacist all said to take by 9am (which I sometimes dont until a bit later..)

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