Beta blocker

[Picass]

I have changed from bisoprolol to carvedilol due to side effects from bisoprolol my problem is that I was only on 1.25mgs on bisoprolol and have been put on 12.50 carvedilol.just seems a large jump in msg any one got any clue why? Can I get a lower dose of carvedilol

[Heythrop51]

Nothing unusual in that. Whilst it is a beta blocker it is a different one

You can't compare dosages like that. Looking at another window on my PC 12.5 mg is the starting dose for Carvedilol whilst 1.25 is the starting one for Bisoprolol. People make the same mistake with statins. I take 40 mg statin had no meaning if the statin is not specified.

[Picass in reply to Heythrop51]

Thanks just had side effects with bisoprolol so wanted to start low on anything else

[MichaelJH Heart Star in reply to Heythrop51]

Good answer!

[SpiritoftheFloyd]

Yes I've changed to from bisoprolol to carvedilol, I was on 2.5ml of bisoprolol and went to 12.5mg (6.25 morning and night) Carvedilol doseage starts at 12.5mg, and goes up in stages to 50mg max

[Picass in reply to SpiritoftheFloyd]

Have you found it better than bisoprolol

[SpiritoftheFloyd in reply to Picass]

Yes massively. I had a heart attack in December 2018, and by Feb 2019 the only side effect I was getting was being freezing cold and running nose. GP at that point not been terribly helpful suggested I discuss at next appointment with consultant in April! Did some research, and basically all Beta Blockers have a tendency to leave you with cold hands and feet, although carvedilol is a newer product than bisoprolol and has less of a tendency for cold hands and feet. Started on carvedilol in June and have I noticed a huge change over the last winter, much much better, still get a running nose if I'm out walking and it's a windy day, but I can cope with that, what I couldn't cope with was having hands that felt like they were immersed in ice water.

Hope the switch over helps you.

[Picass in reply to SpiritoftheFloyd]

I had breathing problems and dizziness hoping things will improve

[kalgs in reply to SpiritoftheFloyd]

How did the change to Cavedilol go . It’s been suggested I change from Bisoprolol

[Picass in reply to kalgs]

I was not on it long it took my blood pressure too low so they put me on nicorandil instead

[kalgs in reply to Picass]

Many thanks