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Bisoprolol 2.5mg - palpitations when falling asleep.

KylieSmath1234 profile image
11 Replies

Hi,

I have been prescribed Bisoprolol 2.5mg to take every morning since having an episode of SVT. However, every night since, just as I'm about to fall asleep my heart begins palpitating. I'm fairly sure it's the medication as this is not something I have experienced before. Has anybody else experienced this and if so how did it resolve?

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KylieSmath1234
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11 Replies
Peony4575 profile image
Peony4575

Bisoprolol gave me all sorts of palpitations I didn’t have before . Always at night ( except when withdrawing from them when all bets were off ). Mine used to happen when I was dreaming and the palpitations would wake me up . They were pretty regular 1am 3am then between 4-5am as I was drifting in and out . It resolved by me changing beta blocker and getting off them altogether . Good luck

Hi, I was on 1.25 on discharge post ohs this was upped to 2.5 and I suffered quite badly with side effects for a week to 10 days, no way I was going to increase to 5mg then 10mg which they wanted me on!

Then at 10 days(ish) side effects went, at least the ones I couldn’t live with, increased to 5mg with no added side effects, then up to 10mg again no added side effects, was on this level for 18months ish.

As with a lot of drugs our bodies need a bit of time to adjust, sometimes they don’t, in which case I wouldn’t hesitate to tell GP/ Consultant to change them.

Speak to you Dr and see what they suggest.

KylieSmath1234 profile image
KylieSmath1234 in reply to

Hi, I have spoken to my doctor but she is adamant that I stick with it. A nurse on 111 advised me to take it at night instead of the morning so going to try that and see if anything differs. What kind of side effects did you have?

in reply to KylieSmath1234

When it was increased to 2.5mg i did have some palpitations, hallucinations (when going to & waking from sleep), lack of concentration, tiredness and generally feeling dreadful.

The palpitations and feeling dreadful stopped after 10 days ish, hallucinations eased, the tiredness and concentration stayed but I could cope with them, had to have a daily siesta.

When the dose was reduced back to 5mg in May 2020, I noticed the difference with the tiredness and hallucinations and concentration all pretty much disappearing, not had a siesta since.

mauschen profile image
mauschen in reply to

I am confused by your dosage. You mention side effects by 2.5 mg and resolution at 5mg, can you please clarify for me , perhaps I have misread your answer.Incidentally, I take 2.5 mg Bisoprolol at lunchtime without adverse effects

in reply to mauschen

I had bad side effects until approx. 10 days after starting the 2.5mg dose, at which point the side effects subsided and I subsequently increased to 5mg then 7.5mg then 10mg (5mg twice a day) with some side effects but more than bare able, tiredness, runny nose, some concentration issues.

This is apparently quite common, takes time for some people’s body to adjust and accept the drug. Of course some don’t and have to change to an alternative.

mauschen profile image
mauschen in reply to

Thank you.I also had palpitations to begin with, lasting approximately one week. When I changed to midday, the side effects disappeared. I thought in my case it was an interaction with the other morning medication that I take?

in reply to mauschen

It may well have been in your case, that's the worst thing about meds, no consistency!

I've swapped Losartan (normally am) to pm and Bisoprolol (normally pm) to am and back again to see if it made any difference, for me it's better to take Bisoprolol pm as by morning the few side effects have started to wear off.

mauschen profile image
mauschen in reply to

That’s exactly the point, 0ne size doesn’t fit all, we are all different and the doctors should be trying to work out what works best for us as individuals .Unfortunately, they don’t have the resources or the time and the people who are capable of doing this for themselves; especially those on polypharmacy, are few and far between.

In my opinion, the pharmaceutical industry should be ploughing some of their profits into patient and health carer education

Gundoglady profile image
Gundoglady

I take all my meds at night x I take losarten, bisoprolol and warfarin, and I take them just before bedtime ( whatever that time may be)

Maybe try changing the time you take it x

KylieSmath1234 profile image
KylieSmath1234

Hi Guys, took my bisoprolol 2.5mg at night before bed and I had no palpitations when going to sleep AT ALL. Just goes to show it was the medication and NOT anxiety which my doctor insisted it was. I am still a bit wary of taking the tablet before bed as my blood pressure is on the lower end of 'normal' and blood pressure drops while asleep anyway. I am going to discuss this with my GP today.

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