Metroprolol or bisoprolol

[Sodp]

4 Stents Sept 2022 , on yesterday visit to my cardiologist changed my BB from metroprolol 12.5 twice to 2.5 once a day. Since I was have low HR low 50s and BP 103/60 so some dizzy spells ( I had normal HR and BP prior to the event). So she suggested bisoprolol since taking I am feeling little more Dizzy and tighten chest muscles, is this normal as I only switched to bisoprolol . I thought since I was in BB I will have less side effect switching. Just wanted to know if anyone have similar experience. My BB is mainly to help my EF .

[Hidden]

Hello

I take Bisoprolol and they can make you go dizzy as well as feeling tight chested but give it chance as you have just started them and it could settle down x

[Sodp in reply to Hidden]

Thanks BeKind28, I guess it will take sometime to settle down.I was on metroprolol now cardio moved me to bisoprolol. I HR has dropped further than with metroprolol.

[Hidden in reply to Sodp]

Hello

If you heart rate has dropped more I think if it was me I would be talking to my Doctor or getting onto the Consultants Secretary because the aim was to stop this happening

They may say give it longer but I would want to ask if this is normal

Let us know how you get on x

[Sodp in reply to Hidden]

Thanks BeKind28 I will do that.

[Hidden in reply to Sodp]

x

[presto816]

Hi -

It could be that your prescription dose of Bisoprolol needs to be tweaked. If it too high for a patient to tolerate, it can cause the symptoms you’ve described.

I have been on it twice daily for a number of years, and I have gone through trying to get the right dose (including also quite recently).

When it was too high, I would have symptoms like yours.

I would share your symptoms with your specialist, ask about possibly trying other (I expect) lower doses, and take it from there.

I hope this helps, it can certainly be frustrating (been there…).

You might find that in the end, you will opt to stay on something a bit stronger to help your system (if in fact it is not too tough on your system).

BMI is also relevant to prescription doses, which is something to keep in mind. I have an average BMI, and two medicines at the higher doses were too much for my system to tolerate this. A specialist nurse pointed this out to me.

Best of luck, I hope you feel better soon!

[Sodp in reply to presto816]

Thanks presto816 . I l discuss with my cardiologist. Only once a day at the moment.

[presto816 in reply to Sodp]

Best of luck.

[Frank1803]

I am on the same dose of bisoprolol.I can honestly say I have had no issues with it... sometimes new meds take time to settle down.

[Sodp in reply to Frank1803]

Frank1803 I think so..only been in bisoprolol for few days..was in metroprolol for 6 months before . I was expecting not so side effects as I was in BB already

[MartinOG]

Bisoprolol leaves me very tired during the day as it lowers my heart rate. I was advised thee was no alternative drug and to live with it as the benefits outweighed the down side.

[Sodp in reply to MartinOG]

Thanks it's early recently switched to bisoprolol from metroprolol, I do feel tired and sleepy .. I didn't get those side effects on metroprolol. Hopefully soon will settle down

[studebaker]

That was the reason my cardiologist suggested to take Bisoprolol in the evening and it worked.

Maybe ask your doctor

Dana

[Sodp in reply to studebaker]

Thanks studebaker yes I read that in few place. Will speak to cardiologist and see if I can do that

[Sodp]

I was on 12.5 twice a day in metroprolol, now cardiologist switched to bisoprolol 2.5mg once a day. Her decision was easy for heart. Is 2.5 mg bisoprolol stronger than 12.5 mg twice a day metroprolol? I have EF of 40% does it helps better. I have normal BP and HR prior so . mainly for heart failure