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- What is bisoprolol, and how does it work (mechanism of action)?
- What brand names are available for bisoprolol?
- Is bisoprolol available as a generic drug?
- Do I need a prescription for bisoprolol?
- What are the side effects of bisoprolol?
- What is the dosage for bisoprolol?
- Which drugs or supplements interact with bisoprolol?
- Is bisoprolol safe to take if I'm pregnant or breastfeeding?
- What else should I know about bisoprolol?
What is bisoprolol, and how does it work (mechanism of action)?
Bisoprolol belongs to a class of drugs called beta-adrenergic receptor blocking agents that also includes propranolol (Inderal), atenolol (Tenormin), and timolol (Blocadren). Bisoprolol is used for treating high blood pressure and heart pain (angina). Bisoprolol prevents the neurotransmitters (chemicals that nerves use to communicate with other nerves), norepinephrine and epinephrine (adrenaline), from binding to beta receptors on nerves. By blocking the effect of norepinephrine and epinephrine on the nerves reaching the heart and blood vessels, beta blockers reduce heart rate and the force with which the heart contracts and reduce blood pressure by dilating blood vessels but may constrict air passages by stimulating the muscles that surround the air passages. Angina occurs when the heart's need for oxygen exceeds the supply of oxygen-carrying blood. By slowing heart rate and decreasing the force with which the heart muscle contracts, bisoprolol reduces the work of the heart and the demand of the heart for oxygen. The FDA approved bisoprolol in July 1992.
What are the side effects of bisoprolol?
Bisoprolol is generally well-tolerated, and side effects are mild and transient. Side effects include:
- abdominal cramps,
- slow heart rate,
- low blood pressure,
- cold extremities,
- sore throat, and
- shortness of breath or
Patients with asthma may have symptoms increase.
Quick GuideHow to Lower Blood Pressure: Exercise Tips
What is the dosage for bisoprolol?
Which drugs or supplements interact with bisoprolol?
: Rifampin may increase the metabolism (destruction) of bisoprolol, possibly making bisoprolol less effective. Certain calcium channel blockers (CCBs), especially verapamil (Calan, Isoptin) and diltiazem (Cardizem, Tiazac), may enhance the effect of bisoprolol on the heart. In some patients, this may cause excessive slowing of the heart rate or reduce the heart's ability to beat. The use of digoxin (Lanoxin) with bisoprolol also may cause an excessive reduction in heart rate.
Is bisoprolol safe to take if I'm pregnant or breastfeeding?
It is not known if bisoprolol is secreted in breast milk.
What else should I know about bisoprolol?
What preparations of bisoprolol are available?
Tablets: 5 and 10 mg.
How should I keep bisoprolol stored?
Bisoprolol should be stored at room temperature, 15 C to 30 C (59 F to 86 F) in an air-tight container.
bisoprolol (Zebeta) is a medication in the class of drugs called beta blockers. Bisoprolol (Zebeta) is prescribed for the treatment of high blood pressure, angina, and congestive heart failure. Side effects, warnings and precautions, drug interactions, and patient information should be reviewed prior to taking any medication.
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High Blood Pressure (Hypertension) Signs, Causes, Diet, and Treatment
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Medications & Supplements
- timolol (Blocadren and Timolide 10-25 have been discontinued)
- nadolol (Corgard)
- propranolol, Inderal, Inderal LA, Innopran XL
- metoprolol (Lopressor, Toprol XL)
- Sectral (acebutolol)
- atenolol, Tenormin
- bisoprolol and hydrochlorothiazide, Ziac
- timolol ophthalmic solution (Timoptic, Timoptic-XE, Timoptic in Ocudose)
- Beta Blockers (Drug Class, List of Brand and Generic Names)
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Top bisoprolol Related Articles
Sectral (acebutolol, Prent- has been discontinued) is a prescription drug used to treat high blood pressure and heart arrhythmias. It also is used to treat chest pain due to angina. Side effects include
- Upset stomach
- Excessive tiredness.
Drug interactions, dosage, and pregnancy and breastfeeding safety information should be reviewed prior to taking any medication.
Angina SymptomsAngina is chest pain due to inadequate blood supply to the heart. Angina symptoms may include chest tightness, burning, squeezing, and aching. Coronary artery disease is the main cause of angina but there are other causes. Angina is diagnosed by taking the patient's medical history and performing tests such as an electrocardiogram (EKG), blood test, stress test, echocardiogram, cardiac CT scan, and heart catheterization. Treatment of angina usually includes lifestyle modification, medication, and sometimes, surgery. The risk of angina can be reduced by following a heart healthy lifestyle.
atenololAtenolol (Tenormin)is a beta-adrenergic blocking agent, blocking the action of the sympathetic nervous system, a portion of the involuntary nervous system. Atenolol is prescribed for patients with high blood pressure (hypertension), used to treat chest pain (angina pectoris) related to coronary artery disease, and is also useful in slowing and regulating certain types of abnormally rapid heart rates (tachycardias). Other uses for atenolol include the prevention of migraine headaches and the treatment of certain types of tremors (familial or hereditary essential tremors). It is important to be aware of the drug interactions related to atenolol, effects on pregnancy, as well as common side effects on the user.
Atrial Fibrillation AFib Treatment DrugsAtrial fibrillation (also called Afib or Afib) is heart rhythm disorder that causes irregular, and often, a rapid heartbeat. The drugs of choice used to treat atrial fibrillation are heart rate medications, heart rhythm medications, and blood thinners.
Atrial fibrillation drugs can cause serious side effects like seizures, vision changes, shortness of breath, fainting, other abnormal heart rhythms, excessive bleeding while coughing or vomiting, blood in the stool, and bleeding into the brain.
Chest pain is a common complaint by a patient in the ER. Causes of chest pain include broken or bruised ribs, pleurisy, pneumothorax, shingles, pneumonia, pulmonary embolism, angina, heart attack, costochondritis, pericarditis, aorta or aortic dissection, and reflux esophagitis.
Diagnosis and treatment of chest pain depends upon the cause and clinical presentation of the patient's chest pain.
Congestive Heart Failure (CHF) OverviewCongestive heart failure (CHF) refers to a condition in which the heart loses the ability to function properly. Heart disease, high blood pressure, diabetes, myocarditis, and cardiomyopathies are just a few potential causes of congestive heart failure. Signs and symptoms of congestive heart failure may include fatigue, breathlessness, palpitations, angina, and edema. Physical examination, patient history, blood tests, and imaging tests are used to diagnose congestive heart failure. Treatment of heart failure consists of lifestyle modification and taking medications to decrease fluid in the body and ease the strain on the heart. The prognosis of a patient with congestive heart failure depends on the stage of the heart failure and the overall condition of the individual.
Febrile SeizuresFebrile seizures, or convulsions caused by fever, can be frightening in small children or infants. However, in general, febrile seizures are harmless. Febrile seizure is not epilepsy. It is estimated that one in every 25 children will have at least one febrile seizure. It is important to know what to do to help your child if he/she has a febrile seizure. Some of the features of a febrile seizure include:
- losing consciousness,
- moving limbs on both sides of the body,
- lasts 1-2 minutes.
Heart failure (congestive) is caused by many conditions including coronary artery disease, heart attack, cardiomyopathy, and conditions that overwork the heart. Symptoms of heart failure include
- congested lungs,
- fluid and water retention,
- fatigue and weakness, and
- rapid or irregular heartbeats.
There are two types of congestive heart failure, systolic or left-sided heart failure; and diastolic or right-sided heart failure. Treatment, prognosis, and life-expectancy for a person with congestive heart failure depends upon the stage of the disease.
High Blood Pressure Hypertension
High blood pressure (hypertension) is a disease in which pressure within the arteries of the body is elevated. About 75 million people in the US have hypertension (1 in 3 adults), and only half of them are able to manage it. Many people do not know that they have high blood pressure because it often has no has no warning signs or symptoms.
Systolic and diastolic are the two readings in which blood pressure is measured. The American College of Cardiology released new guidelines for high blood pressure in 2017. The guidelines now state that blood normal blood pressure is 120/80 mmHg. If either one of those numbers is higher, you have high blood pressure.
The American Academy of Cardiology defines high blood pressure slightly differently. The AAC considers 130/80 mm Hg. or greater (either number) stage 1 hypertension. Stage 2 hypertension is considered 140/90 mm Hg. or greater.
If you have high blood pressure you are at risk of developing life threatening diseases like stroke and heart attack.
REFERENCE: CDC. High Blood Pressure. Updated: Nov 13, 2017.
High Blood PressureWhat causes high blood pressure (hypertension)? Know the warning signs and symptoms of high blood pressure. Read about high blood pressure medications, diet, and long term treatments.
Take the HBP QuizTake this quiz and test your IQ of high blood pressure (hypertension), the cardiovascular disease that causes most strokes and heart attacks. How are dizziness, snoring, and gout related to HBP? Find the answer and learn how medical treatments and lifestyle adjustments fight this common problem.
High Blood Pressure TreatmentHigh blood pressure (hypertension) means high pressure (tension) in the arteries. Treatment for high blood pressure include lifestyle modifications (alcohol, smoking, coffee, salt, diet, exercise), drugs and medications such as ACE inhibitors, angiotensin receptor blockers, beta blockers, diuretics, calcium channel blockers (CCBs), alpha blockers, clonidine, minoxidil, and Exforge.
Hypertension PictureHigh blood pressure, defined as a repeatedly elevated blood pressure exceeding 140 over 90 mmHg -- a systolic pressure above 140 with a diastolic pressure above 90. See a picture of Hypertension and learn more about the health topic.
Metoprolol (Lopressor, Toprol XL) is a beta-adrenergic blocking agent drug, which blocks the action of the sympathetic nervous system (a portion of the involuntary nervous system). Metoprolol is prescribed to treat high blood pressure (hypertension), heart pain (angina), heart rhythm disorders, and some neurological conditions. Side effects include:
- Sore throat
- Memory loss
- High blood pressure
Drug interactions, dosing, and pregnancy and breastfeeding safety should be reviewed prior to taking any medication.
nadololNadolol (Corgard) is in the drug class of beta blockers and is prescribed for the treatment of angina (heart pain, chest pain), high blood pressure, abnormal heart rhythms, tremor, and the prevention of headaches and anxiety. Side effects, drug interactions, warnings and precautions, and safety during pregnancy information should be reviewed prior to taking this medication.
ParathyroidectomyParathyroidectomy is the removal of one or more of the parathyroid glands to treat hyperparathyroidism. Risks of parathyroidectomy include:
- paralysis of the vocal cords,
- difficulty swallowing thin liquids,
- difficulty breathing,
- and drug reactions.
- damage to the recurrent laryngeal nerve,
- bleeding or hematoma,
- problems maintaining calcium levels in the blood,
- need for further and more aggressive surgery,
- need for a limited or total thyroidectomy,
- prolonged pain,
- impaired healing,
- and recurrence of the tumor.
propranololPropranolol (Inderal, Inderal LA, Innopran XL) is a medication prescribed for the treatment of high blood pressure, angina, certain heart rhythm disorders, migraine headache prevention, and certain types of tremors. Side effects, drug interactions, warnings and precautions, and pregnancy safety information should be reviewed prior to taking any medication.
Timolol (Blocadren and Timolide 10-25 brand names have been discontinued) is a first generation beta blocker drug. Timolol is prescribed for the treatment of high blood pressure, angina, heart attacks, and migraine headache prevention. Off label uses include treatment for cardiomyopathy and mitral valve prolapse. Side effects include:
- Abdominal cramps
Drug interactions, warnings and precautions, and pregnancy and breastfeeding safety information should be reviewed prior to taking this medication.