Bisoprolol is a popular choice of medication for the treatment of various conditions associated with heart failure and high blood pressure. This medicine is a kind of beta blocker, which means that it works to reduce the heart rate and blood pressure, improving the way that your heart can work to pump blood around the body. More information

A doctor will review your order and write you a prescription, if appropriate. This prescription is then forwarded to a pharmacy. The pharmacy will have your medicine delivered to you within one to three working days. Read more about this process here.

Instruction costs (includes consult & service fee)
Service – Instruction costs (includes consult & service fee)

Bisoprolol is a kind of beta blocker medication, used to reduce blood pressure, slow the heart rate and ensure that your heart can operate even when exposed to less oxygen. This medication is available on prescription only. 

What is Bisoprolol? 

Bisoprolol is a popular choice of medication for the treatment of various conditions associated with heart failure and high blood pressure. This medicine is a kind of beta blocker, which means that it works to reduce the heart rate and blood pressure, improving the way that your heart can work to pump blood around the body.  

Usually, this medication is available in tablet form, although your doctor or consultant may suggest an alternative type of treatment in some cases. Bisoprolol is only available on prescription. When used incorrectly, it can lead to very dangerous side effects.  

When taken initially, Bisoprolol can cause you to feel dizzy or unable to balance. Because of this, doctors often recommend using this medication at bedtime to begin with so you can get used to it. Bisoprolol is also used to prevent certain forms of heart problems.  

When is Bisoprolol used? 

Bisoprolol can be used either on its own or as part of a combination treatment to help with high blood pressure. Lowering your blood pressure can help to reduce your risk of heart attacks or strokes, although high blood pressure doesn’t always cause symptoms on its own.  

This medication works by blocking the way that certain natural chemicals like epinephrine work in the body. This means that your blood pressure, heart rate, and strain on the heart can be reduced. Bisoprolol can also be used to prevent future issues of heart attacks, heart disease, strokes, and so on.  

Bisoprolol can be used to treat atrial fibrillation and other conditions that might cause you to have an irregular heartbeat at times. Bisoprolol can commonly be used for the treatment of heart failure and high blood pressure, as well as angina or common issues with chest pain and strain on the heart.  

How do you use Bisoprolol? 

Like most medications, Bisoprolol will come with a patient leaflet that provides information on how you should use this substance safely. It is important to read this leaflet carefully to ensure that you’re reducing your risk of potential side effects.  

Bisoprolol may initially make you feel dizzy when you take it, because of this, you might be asked to take your tablet on an evening at first, then switch to taking it on a morning. Bisoprolol is usually taken by mouth with a glass of water. You can usually take this medication with or without food, depending on the guidance provided by your doctor or medical consultant.  

You will need to use this medication regularly to ensure that you get the most benefit from it. To ensure that you’re more likely to remember to use Bisoprolol, you should take it at the same time every day. You can set an alarm to remind you if it helps.  

Keep in mind that if you are treating high blood pressure and other conditions, it can take a while before you notice all of the benefits of Bisoprolol. You will need to continue taking this medication according to your doctor’s instructions even if you feel well. You may not feel sick if you have high blood pressure.  

Speak to a doctor if you do not see any benefits from using Bisoprolol, or if your blood pressure worsens according to your regular readings.  

What dosages are there? 

Your dosage of Bisoprolol will be based on the severity of your condition and what you are trying to treat. Your doctor or consultant will discuss your issues with you in advance when it comes to using Bisoprolol. It is important to be honest about your situation to ensure that you get the right kind of treatment.  

Bisoprolol is usually available in doses of 2.5mg, 5mg and 10mg depending on the issue that needs to be treated. Most commonly, you’ll be asked to take a single tablet once a day on a morning. You should continue taking your tablets until your doctor tells you to stop. Bisoprolol may be given as part of a long-term treatment to reduce your risks caused by high blood pressure.  

If you forget to take a dose of Bisoprolol, then you can continue to take the tablet that you have missed up to 12 hours after forgetting your dose. Remember to watch out for signs of an overdose, including dizziness, weakness, or fainting. Speak to a doctor immediately if you are concerned that you may have taken more Bisoprolol than you need.  

What are the side effects of Bisoprolol? 

Many people will be able to take Bisoprolol safely without noticing any side effects. However, all people respond to medications in different ways, so it’s important to be aware of the symptoms and issues that Bisoprolol can cause.  

Remember that your doctor or consultant will have recommended this medication because the risk to you is likely to be smaller than the potential benefits of using the medication.  

The most common side effects of Bisoprolol are wheeze, shortness of breath, diarrhea, dizziness, and a slower than usual heartbeat. If these effects worsen or persist, speak to a doctor or pharmacist immediately. To reduce your risk of suffering from lightheadedness, make sure that you get up from a sitting or lying position slowly.  

In some cases, Bisoprolol can reduce the blood flow to your hands and feet. This could mean that your extremities feel colder than usual. Smoking and other issues can worsen this effect. Speak to your doctor about how you can reduce the risk you have taking Bisoprolol.  

You should speak to a doctor or medical professional immediately if any serious side effects occur when taking Bisoprolol including a slow heartbeat, severe fainting and dizziness, trouble with your breathing, or: 

  • Blue shades in your toes or fingers; 
  • Mental or mood changes; 
  • Mood swings or depression; 
  • Shortness of breath; 
  • Sudden swelling in your feet or ankles; 
  • Unusual exhaustion or tiredness; 
  • Unusual or extreme weight gain. 

An allergic reaction to Bisoprolol is not likely, but you should always be aware of the potential symptoms of an allergic reaction. Seek immediate medical attention if you notice itching, a rash, swelling for the throat and tongue, severe problems with dizziness or trouble with your breathing.  

This is not a full list of possible side effects. Tell your doctor or consultant if you have any other side effects when taking Bisoprolol. 

When shouldn’t you use Bisoprolol? 

Bisoprolol will not be the right treatment for everyone. Before you begin using this medication it is important to answer all questions that your doctor or consultant might have carefully. Make sure that your doctor or consultant is aware if you have any allergies to Bisoprolol or similar medications. Remember that this product can contain inactive ingredients that might cause you to have an allergic response too.  

You should not be using Bisoprolol if you have certain medical conditions. Before you begin treatment with Bisoprolol make sure that your doctor or consultant knows if you have ever had an issue with your heart rhythm or heart failure. You should also tell your doctor or consultant if these risks run in your family. 

Before using Bisoprolol, your doctor will ask questions to exclude: 

  • Breathing problems like asthma or chronic bronchitis; 
  • Kidney disease; 
  • Liver disease; 
  • Overactive thyroid; 
  • Slow heart beat or specific heart problems eg heart block 
  • Serious allergic reactions; 
  • Blood and circulation problems; 
  • Mood or mental disorders like depression; 
  • Muscle disorders like myasthenia gravis. 

If you have diabetes, then Bisoprolol could mask the pounding heartbeat that you feel when you have low blood sugar. You will need to keep a close eye out for symptoms of low blood sugar outside of a pounding heartbeat. You might also find that it’s more difficult to control your blood sugar when taking Bisoprolol. 

Speak to your doctor if you need regular checkups when using Bisoprolol to protect yourself from any dangerous side effects. Tell your doctor immediately if you have any symptoms of higher than usual blood sugar like increased urination or thirst.  

If you are pregnant or breastfeeding, you should speak to your doctor or consultant about the risks and benefits of using Bisoprolol at this time. Your doctor will be able to tell you whether Bisoprolol is safe for you and your child.  

Does Bisoprolol interact with other medications? 

Bisoprolol may interact with other medications that you are already using. When drug interactions happen, they can cause an increased risk of dangerous side effects, as well as other conditions. It is important that your doctor or consultant is aware of any other medications that you might be using if you are going to begin using Bisoprolol. Remember to tell your doctor or consultant about any prescription medications as well as over-the-counter medications and herbal or supplemental remedies.  

Some examples of interactions occur with medication such as other blood pressure medication, certain mental health medication, some diabetic medication and others. 

This document does not contain a full list of possible interactions that can occur with Bisoprolol. Check with your doctor or consultant for more information about potentially dangerous interactions between medications.  

Where can you buy Bisoprolol? 

Bisoprolol can be purchased safely online or offline from a pharmacy in a variety of doses. You will need a prescription to purchase this medication.  

Can I get Bisoprolol without a prescription? 

Bisoprolol is not available without a prescription.  

Sources, (2018, December 2) Bisoprolol Retrieved March 14th 2020 from: 

Medline Plus, (2017, November 15) Bisoprolol Retrieved March 14th 2020 from: 

Nice BNF, (2020) Bisoprolol Retrieved March 14th 2020 from 

Assessed by:

Dr Imran Malik, General practitioner
Registration number: GMC: 4741365

Dr Imran Malik studied undergraduate medicine at King's College University in Central London and clinical studies at the prestigious King's College Hospital. He graduated with a MBBS degree in 2000 and went on to gain postgraduate memberships with the Royal Society of Medicine and also General Practice in 2006.