Has anybody been swapped from Bisoprolol to Ranolazine

[cornetto]

Hi has anybody changed from one to another. I was fine with Bisoprolol Not sure why it has changed

[richard_jw]

I have taken both in recent months. In my case, BS reduced my heart rate to around 60 at rest. That's it's main role, to protect the heart by making it slow down. In doing so, it usually reduces your BP. This can help reduce angina

Because my BP was pretty low anyway, reducing it further gave me problems because my BP sometimes got as low as 80/60. The cardiologist recommended coming off BS (gradually). My BP recovered to around 110/70

Ranolazine is specifically an anti angina med. I believe it is supposed to have less of a lowering effect on BP than "normal" anti angina meds (nitrates, nicorandil etc).

It looks as if your doctor thinks you are in some way intolerant to BS as an anti anginal med, so is prescribing Ranolazine. I have to say in my case, the side effects were awful.

[cornetto in reply to richard_jw]

Thank you for the replyI hope,I dont have any side effects I am struggling with fatigue at the moment. I also work a lot of hours,cardiologist suggested I give up work! What do you currently take or are you still on both?

[richard_jw in reply to cornetto]

I don't take either. I thought had angina shortly after my MI so they prescribed various anti anginal meds. None of them helped me.If you are having fatigue it's likely to be the bisoprol. It made me feel like a zombie.