Coming off bisoprolol

[Ruby40]

Hi everyone,

I was diagnosed with AF two months ago but still getting chest pains.

My consultant has told me to stop taking bisoprolol this week so I can do a 14 day heart Zio monitor next week. Problem is I am feeling giddy and my resting HR has increased to 90 already after only missing two days. I can't feel any palpitations. Is this ok? What should I do? I'm still getting mild chest pains if I do anything. Please help!

[Hidden]

Call your consultant or Dial 111 asap.

[Ruby40 in reply to Hidden]

It's gone down to 73 now I have rested for an hour.

[Ruby40 in reply to Ruby40]

I don't want to have to go back to hospital.

[Hidden in reply to Ruby40]

What is you 'normal' resting HR?

[Ruby40 in reply to Hidden]

65

[Hidden in reply to Ruby40]

then keep an eye on it, below 100 bpm is classed as normal, so even though 'your' normal is lower it is still within the normal range, I would still call your GP/Consultant because of you feeling giddy.

[Ruby40 in reply to Hidden]

Thanks I will try to call tomorrow if it's still like this.

[Ruby40 in reply to Ruby40]

I finally managed to get hold of the cardiac nurse today and get some help.

[Zeinmassri]

Not sure why he would ask for you to get off the medication especially for that long period. A resting heart rate of 90 bpm seems a little high to me. I have been diagnosed with atrial fibrillation and permanent atrial flutter and I take 10 mg of bisoporol daily as well as three different medication to control the rhythm and rate. But I honesty would rather be put on meds to reduce the risk of any heart complication. So I’m willing to go through the side effects

[Wingnutty]

I'm no doctor, but when I started Bisoprolol, I remember that my heart rate had decreased the very next day and it didn't go down any further on subsequent days, so it might be that when you come off it, your heart rate will go up very quickly and then stabilise within a day or two.

[Ruby40 in reply to Wingnutty]

Thanks I think that's what's happening. It's going all over the place for a few days until it stabilized. Hopefully that's all it is. Feeling better today.

[Ruby40 in reply to Ruby40]

It's gone up to over 100 this evening so I had to take a pill. Gone back into AF I think with palpitations. This isn't good.

[Warm-heart]

Bisoprolol is known to be tricky to reduce and come off, sometimes resulting in a kind of rebound of symptoms whilst coming off it (heart rate up etc). It may be helpful to slowly reduce it in such a way your heart barely notices the tiny reductions in doseage. If you are having issues, I would think your cardiologist should advise you. You will also find a lot of info from others' experiences with Bisoprolol on this site if you search 'bisoprolol'. Hope you find a way through.

[Ruby40 in reply to Warm-heart]

Thank you for that. I asked if I should reduce it slowly but the nurse said just stop it. Can't get hold of anyone else.