Sotalol v Bisoprolol: My GP recently... - British Heart Fou...

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Sotalol v Bisoprolol

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My GP recently decided to discontinue my beta-blocker from 2 x 2.5 bisoprolol and take 1 x 50mg sotalol instead. (This decision was following an ICD firing)

I had been taking the bisoprolol for the last ten years and monitoring my BP with a cuff device, where my BP had always shown a borderline normal / pre-high reading. (about 120/78)

Since changing to sotalol my readings now show borderline pre-high / high BP. (140/90)

Is this normal for an 83 yr old, and should I be concerned? Has anyone else found raised BP after taking sotalol?

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3 Replies
MountainGoat52 profile image
MountainGoat52

I would advise your GP about the increase in your blood pressure since the change of medication. There may be a different medication that is as effective as Bisoprolol without the effects that it apparently caused.

As to whether 140/90 is acceptable for a person of your age.... well how long is a piece of string? I was told that 140/90 was fine when I was 57, but unacceptable when I changed my GP a year later. 120/78 certainly is better whatever age you are! I normally present around 125/75 and that's after stents and a triple bypass.

Peckyboo profile image
Peckyboo

Hi Vespaman I used to take 5mg of Bisoprolol to control blood pressure, my cardiologist change this to 80mg of Sotalol twice a day to control A.F and blood pressure. Initially it didn’t work for me so doseage was increased to 160mg twice a day, this has controlled A.F episodes also blood pressure. So maybe your starter dose isn’t correct yet maybe another chat with g.p.Good luck.

in reply to Peckyboo

Thank you Peckyboo, sounds good sense to me.

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