What is bisoprolol?
Bisoprolol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).
Bisoprolol is used to treat hypertension (high blood pressure).
Bisoprolol may also be used for other purposes not listed in this medication guide.
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Precautions
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Instructions
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Side Effects
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Interactions
Precautions
You should not use this medication if you are allergic to bisoprolol, or if you have certain serious heart conditions such as"AV block” or slow heart rhythm.
If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before you take bisoprolol, tell your doctor if you have:
- asthma, bronchitis, emphysema;
- diabetes (taking bisoprolol can make it harder for you to tell when you have low blood sugar);
- a heart problem such as angina, heart block, slow heart rhythm, or congestive heart failure;
- liver or kidney disease;
- a thyroid disorder; or
- problems with circulation (such as Raynaud's syndrome).
FDA pregnancy category C. It is not known whether bisoprolol is harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
It is not known whether bisoprolol passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Bisoprolol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
Avoid drinking alcohol. It can increase some of the side effects of bisoprolol.
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Instructions
Seek emergency medical attention if you think you have used too much of this medicine.
Overdose symptoms may include slow heart rate, wheezing or shortness of breath, dizziness, anxiety, confusion, nausea, sweating, pale skin, fainting, and seizure (convulsions).
Take the missed dose as soon as you remember. If your next dose is less than 4 hours away, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
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Side Effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects:
- slow, fast, or pounding heartbeats;
- chest pain, feeling like you might pass out;
- confusion, hallucinations;
- feeling short of breath, even with mild exertion;
- swelling of your ankles or feet;
- pain or burning when you urinate; or
- numbness, tingling, or cold feeling in your hands and feet.
Less serious side effects may include:
- dry mouth, nausea, vomiting, stomach pain;
- diarrhea, constipation, increased urination;
- runny or stuffy nose, ringing in your ears;
- feeling tired or weak;
- sleep problems (insomnia);
- drowsiness, dizziness, spinning sensation;
- depression, anxiety, restless feeling;
- joint or muscle pain;
- mild itching or skin rash; or
- loss of interest in sex.
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.
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Interactions
Tell your doctor about all other medications you use, especially:
- clonidine (Catapres);
- digitalis (digoxin, Lanoxin);
- disopyramide (Norpace);
- guanethidine (Ismelin);
- rifampin (Rifadin, Rifater, Rifamate);
- insulin or diabetes medication you take by mouth;
- another beta-blocker such as atenolol (Tenormin), carvedilol (Coreg), labetalol (Normodyne, Trandate), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal, InnoPran), sotalol (Betapace), and others;
- a heart medication such as nifedipine (Procardia, Adalat), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), or diltiazem (Cartia, Cardizem); or
- medicine for asthma or other breathing disorders, such as albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and others.
This list is not complete and there may be other drugs that can interact with bisoprolol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Other Names
Zebeta and bisoprolol
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Disclaimer
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04
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