Changing time of bisoprolol - British Heart Fou...

British Heart Foundation

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Changing time of bisoprolol

Caitlyn6 profile image
18 Replies

I'm currently on bisoprolol 1.25 which I take at 6pm. I want to take it in the morning instead as I get high HR during the day, particularly exercising,walking, stairs etc. I take Perindopril 4mg in morning. What's the best way to switch it to the day? I'm on it for a high HR. Thanks

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Caitlyn6 profile image
Caitlyn6
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18 Replies
Gjkas profile image
Gjkas

I am on 5 mg Bisoporol which I take every morning .

Because you're only on a low dose ,

I think if I were you, I would just miss the 6 PM out and take it in the morning .

I'M NOT A DOCTOR, but that is how I would do it.

Hope things work out for you..

TAKE CARE 😊.

Stumpy47 profile image
Stumpy47

You should always consult your Dr first, please don't take advice from this website on medication.

NorthantsSteve profile image
NorthantsSteve

Hi Mollypet. I agree with Stumpy47. Additionally I’m interested in why you want to change to the morning. There’s evidence that shows that blood pressure meds taken in the evening leads to better outcomes so I’m going to ask about moving from morning to bedtime. Apparently changing to evening in my case doesn’t lead to a higher heart rate in the day so it’s possible that changing to morning won’t help lower your HR further. Just a thought. I’m sure your Doc will say it’s not a problem if you want to change but it would be a good idea to check in my opinion.

Caitlyn6 profile image
Caitlyn6 in reply to NorthantsSteve

Thanks. Well I'm on my settee then in bed every night after the beta blocker so my HR is mid 50s. Once I'm out of bed it's between 60 and 130 just walking around and 150 if I go to the gym. Just seems like I need it more during the day rather than at night. Although I understand it's a 24 hr medication.

chevidaniels28 profile image
chevidaniels28

When I changed mine from

Night to morning I done it over the space of a week taking it an hour earlier each day

Caitlyn6 profile image
Caitlyn6 in reply to chevidaniels28

Thank u. What were u on?

chevidaniels28 profile image
chevidaniels28 in reply to Caitlyn6

At the time I was on 1.25MG, since then I increased to 2.5MG and I also did that gradually alternating between the two doses. My doctor has always said to treat the Bisoprolol as a gradual thing so he said never skip a dose completely which is why when I wanted to do morning as apposed to 9 pm at night I just kind of took it 7pm the first night then 4 pm the following night till I got to the time I wanted .

Caitlyn6 profile image
Caitlyn6 in reply to chevidaniels28

Thanks for the advice

Plum53 profile image
Plum53

Hi I am on 1.25 and was told to take it in the morning I am also on Ramipril 5mg and Amlodipine 5mg all told to take these in the morning. To change from evening to morning just give GP a ring and ask . They will advise you . They also know what other medication you are taking .

Playingcat profile image
Playingcat in reply to Plum53

I'm on 1.25 mg bisoprolol also 5mg amlodipine I take them both in the mornings

Bisoprolol is helping reduce your HR during the day when we are most active.

Take it in the morning with your breakfast. Our hearts can do their own resting when we are sleeping.

NorthantsSteve profile image
NorthantsSteve in reply to

Hi Wally44. Sorry to disagree. The most recent research shows that that isn’t the case. Taking blood pressure meds before bedtime decreases the rate of cardiac events. I know it’s counter-intuitive. That’s why I’m going to be talking to my Doc about changing from morning to bedtime.

in reply to NorthantsSteve

I read that too.

They say taking drugs in morning comes from being in hospital when everyone is up and about.

I wouldn’t take bisoprolol at night. Insomnia side effect.

I really don’t think it matters when we take medication as long as it’s every 24 hours.

Gladwyn profile image
Gladwyn in reply to NorthantsSteve

I'm on 7.5 bisoprolol . I decided to change taking it from mornings to evenings and all I got was a daily headache until I switched back 😀

Phil_London profile image
Phil_London

Hi, have you been told that your HR is high as from what you have stated does not sound too high and I assume you have done some of your own home work. rating between mid 50s to 75 I dont think is to bad and I am assuming like me when you walk it's about 90 -100 or maybe a little more. when I take stairs it heads up to 130ish and in excersise its can go up to 160, I am 52 and not been told on a stress test that any of these figures are too bad. so like you it doesn't sound so high.

Caitlyn6 profile image
Caitlyn6 in reply to Phil_London

Thanks for that. I just find I don't need beta blocker evening/overnight as HR is low (50s) then double/ triple during the day.

HarryBell profile image
HarryBell

I would not miss the pm, just add am and thereafter desist from pms

Prada47 profile image
Prada47

Hi Mollypet

I take mine with breakfast along with Statin, Aspirin , that was on advice of Heart Nurse my Bisoprolol is 7.5mg

regards

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