Bisoprolol 5mg

Antihypertensive/antianginal Agent, Blocks Beta 1 adrenergic receptors with little effect on Beta 2

CSA NA – FDA Approved – REMS (N) – Can Ship

Beta 1 receptor is activated by adrenaline and is involved with cardiac output by increasing the volume of each pump as well as increasing the heart rate.  Bisoprolol/Monocor/Zebeta works by blocking this receptor having the reverse effect thereby reducing heart rate and stroke volume.

Bisoprolol/Monocor/Zebeta is officially indicated for hypertension, atrial fibrillation, or heart failure with reduced ejection fraction.  It may also be prescribed off-label for ventricular arrhythmia.

Before starting Bisoprolol/Monocor/Zebeta make sure your physician is aware of any allergies or medications you currently take, if you have a low resting heart rate, asthma or other bronchospastic disease, cardiac conduction abnormalities, diabetes, liver disease, myasthenia gravis, peripheral vascular disease, hyperthyroidism, or if pregnant/breastfeeding

2.5-10mg once daily

How to Take: Follow instructions provided by physician/pharmacy label, take consistently at same times each day unless otherwise directed, store at room temperature

You Need to Avoid: Careful standing up too quickly as you may get dizzy
Do not stop this medication abruptly to avoid rebound tachycardia, hypertension and in severe cases angina, heart attack, or arrhythmia

Hypotension, dizziness, fatigue, bradycardia (low heart rate), diarrhea, upper respiratory infection

Note this is not a complete list of side effects, only common ones

1. Why am I so tired since starting Bisoprolol/Monocor/Zebeta?              
   It is a common side effect that is not harmful and after 2 weeks or so it should subside as it adjusts to the medication.  It is important to try and give the medication at least 2 weeks if fatigue is an issue as it usually will resolve.  If side effects are intolerable speak to your physician, do not discontinue medication without their consent as this can be a vital medication to take for many conditions.
2. Why does exercise exhaust me so much more since starting this medication?
   Blocking cardiac output can lower your exercise tolerance as the heart cannot pump as hard or fast as it used to in response to exercise.  This is normal and helps protect the heart from overworking itself in many cardiac conditions.