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Bisoprolol - a beta-blocker

Cardicor

Treatment with bisoprolol is usually long-term. Continue to take the tablets regularly unless you are told otherwise.

There are several different strengths of tablet. If your tablets look unexpectedly different from before, ask your pharmacist to check them for you.

The most common side effects of bisoprolol are feeling tired, cold fingers or toes, headache, and stomach upset.

Nota del autor clínico: Michael Stewart 15/11/2018: Following an MHRA update, new advice has been added to this leaflet for people also taking the blood pressure medicine hydrochlorothiazide. Hydrochlorothiazide is only available in the UK in combination with other medicines used to treat high blood pressure. It may be available on its own in other countries. For more information see the warning below in 'can this medicine cause problems?' or view the Alerta de la MHRA.

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About bisoprolol

Tipo de medicamento

A beta-adrenoceptor blocking medicine (often referred to as a beta-blocker)

Usado para

High blood pressure, angina, heart failure

También llamado (Reino Unido)

Cardicor®

También llamado (EE.UU.)

Ziac® (bisoprolol with hydrochlorothiazide)

Disponible como

Comprimidos

Bisoprolol is a type of medicamentos beta-bloqueadores used to treat high blood pressure, chest pain (angina), and heart failure.

Bisoprolol works on the heart and blood vessels. It does this by blocking tiny areas (called beta-adrenergic receptors) where messages sent by some nerves are received by your heart and blood vessels. As a result, your heart beats more slowly and with less force. The pressure of blood within your blood vessels is reduced and it is easier for your heart to pump blood around your body.

These actions are of benefit if you have presión arterial alta (hipertensión), o si tienes insuficiencia cardíaca which is a condition where your heart is not working as well as it should. Because your heart is using less energy, it also helps to reduce chest pain if you have angina.

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The most common side effects of bisoprolol are:

  • Feeling dizzy or lightheaded.

  • Feeling sleepy or tired.

  • Sentirse mal (náuseas).

  • Estar enfermo (vómitos).

  • Diarrea.

  • Estreñimiento.

  • Dolor de cabeza.

  • Cold fingers and toes.

  • Sueño perturbado.

  • Slow heartbeat.

Encontrará una lista completa en el prospecto del fabricante que se suministra con su medicamento. Los efectos no deseados a menudo mejoran a medida que su cuerpo se adapta al nuevo medicamento, pero hable con su médico o farmacéutico si alguno de los siguientes persiste o se vuelve problemático.

Common bisoprolol side effects (these affect fewer than 1 in 10 people)

¿Qué puedo hacer si experimento esto?

Feeling dizzy, sleepy, tired or light-headed

Getting up and moving more slowly may help. If you begin to feel dizzy, lie down so that you do not faint, then sit for a few moments before standing. This usually improves after the first week or two, but if it continues, speak with your doctor. If affected, do not drive and do not use tools or machines until you feel better

Feeling sick or being sick, diarrhoea or constipation

Stick to simple foods and drink plenty of water

Dolor de cabeza

Bebe mucha agua y pide a tu farmacéutico que te recomiende un analgésico adecuado. Si los dolores de cabeza continúan, consulta a tu médico

Cold fingers or toes, disturbed sleep, slow heartbeat

Hable con su médico si alguno de estos se vuelve problemático

If you are also taking hydrochlorothiazide in combination with this medicine:

  • Los estudios han sugerido que tomar dosis más altas de hidroclorotiazida durante largos períodos de tiempo puede aumentar el riesgo de ciertos tipos de cáncer de piel.

  • Informe a su médico si alguna vez ha sido tratado por cáncer de piel.

  • Informe a su médico sobre cualquier lunar nuevo o cambiado, o marcas preocupantes en su piel.

  • Use a sunscreen in strong sunlight. Do not use sunbeds.

Si experimenta cualquier otro síntoma que crea que puede deberse a las tabletas, hable con su médico o farmacéutico para obtener más consejos.

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Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking bisoprolol it is important that your doctor knows:

  • Si estás embarazada o amamantando.

  • If you have asthma or any other breathing disorder.

  • Si tienes algún problema con el funcionamiento de tu hígado, o si tienes algún problema con el funcionamiento de tus riñones.

  • If you have low blood pressure or poor circulation.

  • If you have diabetes.

  • If you have a skin problem called psoriasis.

  • Si tienes una condición que causa debilidad muscular, llamada miastenia gravis.

  • If you have been told you have a slow heartbeat or heart block (a slow and irregular heartbeat).

  • If you have been told you have chest pain caused by spasms of your heart's blood vessels, called Prinzmetal's angina.

  • Si está tomando otros medicamentos. Esto incluye cualquier medicamento que esté tomando y que esté disponible para comprar sin receta, así como medicamentos herbales y complementarios.

  • If you have ever had an allergic reaction to a medicine, or if you have ever had any other serious allergic reaction.

  • Read the manufacturer's printed information leaflet from inside the pack. It will give you more information about bisoprolol and will provide you with a full list of side effects which you may experience from taking it.

  • Take bisoprolol exactly as your doctor tells you to. The usual dose is one tablet each day, although the strength of your tablet will depend upon the reason why you are taking it.

  • If you are taking it for heart failure, you will be started on a low-strength tablet (1.25 mg) and then you will be prescribed a different strength of tablet each week for the first few weeks. This is so your doctor can increase your dose gradually.

    • Your dose and the strength of the tablets will be on the label of the pack. There are several strengths of tablet available: 1.25 mg, 2.5 mg, 3.75 mg, 5 mg, 7.5 mg and 10 mg.

    • Each time you collect a fresh supply of tablets it is a good idea to check to make sure you receive the strength you are expecting. If you have any questions, please ask your pharmacist to advise you.

  • You can take the tablets either with or without food, but try to take your doses at the same time of day each day as this will help you to remember to take bisoprolol regularly. The tablets are best swallowed in the morning with a drink of water.

  • If you forget to take a dose, take it as soon as you remember. If you do not remember until the following day, leave out the forgotten dose from the previous day and take the dose that is due as normal. Do not take two doses at the same time to make up for a missed dose.

  • Intenta mantener tus citas regulares con tu médico. Esto es para que tu médico pueda verificar tu progreso.

  • If you are due to have an operation or dental treatment, it is important to tell the person carrying out the treatment that you are taking a beta-blocker. This is particularly important if you are likely to be given an anaesthetic.

  • If you drink alcohol, ask your doctor for advice about taking bisoprolol and alcohol. Alcohol will add to the blood pressure-lowering effect of bisoprolol which will make you feel dizzy and so may not be recommended for you.

  • If you buy any medicines, check with a pharmacist that they are suitable for you to take with bisoprolol. Some medicines may not be (including some anti-inflammatory painkillers, and cold or flu remedies).

  • Your doctor may give you dietary and lifestyle advice about eating a healthy diet, not smoking, and taking regular exercise. If so, it is important that you follow the advice you are given.

  • If you have diabetes, bisoprolol can block the symptoms of low blood sugar. Your doctor will advise you about this.

  • Treatment with bisoprolol is usually long-term. Continue to take the tablets unless your doctor tells you to stop. Stopping treatment suddenly can cause problems in some people, so your doctor may want you to reduce your dose gradually if this becomes necessary.

  • Mantenga todos los medicamentos fuera del alcance y la vista de los niños.

  • Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.

Información importante sobre todos los medicamentos

Nunca tome más de la dosis prescrita. Si sospecha que usted u otra persona podría haber tomado una sobredosis de este medicamento, acuda de inmediato al departamento de accidentes y emergencias de su hospital local. Lleve el envase con usted, incluso si está vacío.

Este medicamento es para ti. Nunca lo des a otras personas, incluso si su condición parece ser la misma que la tuya.

No guardes medicamentos caducados o no deseados. Llévalos a tu farmacia local, que se encargará de desecharlos por ti.

Si tienes alguna pregunta sobre este medicamento, consulta a tu farmacéutico.

Informar efectos secundarios de un medicamento o vacuna

Si experimenta efectos secundarios, puede reportarlos en línea a través de sitio web de la Tarjeta Amarilla.

Can you take apixaban and bisoprolol together?

Yes, apixaban and bisoprolol are sometimes prescribed together, especially for people with heart conditions such as atrial fibrillation. Apixaban helps prevent blood clots, while bisoprolol lowers blood pressure and reduces strain on the heart.

Why am I so tired on bisoprolol?

Feeling tired is a common side effect of bisoprolol. The medicine slows your heart rate and reduces how hard your heart has to work, which can sometimes leave you feeling fatigued, especially when you first start taking it. For most people this improves over time.

What can you not take with bisoprolol?

Bisoprolol can interact with other heart medicines, some antidepressants, asthma inhalers, and decongestants. Always check with your doctor or pharmacist before taking bisoprolol.

Is bisoprolol a blood thinner?

Bisoprolol is not a blood thinner – it’s a beta-blocker used to slow heart rate and lower blood pressure.

symptom checker

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Verifica posibles interacciones entre medicamentos, suplementos y alimentos antes de tomarlos juntos.

Lecturas adicionales y referencias

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Historial del artículo

La información en esta página está escrita y revisada por pares por clínicos calificados.

  • Next review due: 3 Mar 2028
  • 4 Mar 2025 | Última versión

    Última actualización por

    Michael Stewart, MRPharmS

    Revisado por pares por

    Sid Dajani
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