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What are bisoprolol tablets?

BISOPROLOL (Zebeta reg;) belongs to a group of medicines called beta-blockers. Beta-blockers reduce the workload on the heart and help it to beat more regularly. Bisoprolol controls, but does not cure, high blood pressure (hypertension). Bisoprolol may also be used to improve symptoms in patients with heart disease. Generic bisoprolol tablets are available.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
asthma, bronchitis or bronchospasm
bradycardia (unusually slow heartbeat)
chest pain (angina)
circulation problems, or blood vessel disease (such as Raynaud's disease)
depression
diabetes
emphysema, or other lung disease
heart disease (such as heart failure or history of heart attack)
kidney disease
liver disease
muscle weakness or myasthenia gravis
psoriasis
thyroid disease
an unusual or allergic reaction to bisoprolol, other beta-blockers, medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding

How should I take this medicine?

Take bisoprolol tablets by mouth. You can take bisoprolol tablets with or without food. Follow the directions on the prescription label. Swallow the tablets with a drink of water. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your prescriber's advice.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What drug(s) may interact with bisoprolol?

antiinflammatory drugs (NSAIDs, such as ibuprofen)
cocaine
hawthorn
medicines for colds and breathing difficulties
medicines for diabetes
medicines for high blood pressure
medicines to control heart rhythm
monoamine oxidase inhibitors (Azilect reg;, Eldepryl reg;, Emsam reg;, Marplan reg;, Nardil reg;, Parnate reg;, Zelapar trade;)
rifampin

Tell your prescriber or health care professional about all other medicines you are taking, including nonprescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from taking bisoprolol?

Side effects that you should report to your prescriber or health care professional as soon as possible:
changes in vision
cold, tingling, or numb hands or feet
confusion
difficulty breathing, wheezing
dizziness or fainting spells
increased thirst
increase in the amount of urine passed
irregular heartbeat
joint pain
skin rash
slow heart rate (fewer than recommended by your prescriber or health care professional)
sweating
swollen legs or ankles
tremor, shakes

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
anxiety
depression, nightmares
diarrhea
nausea
sexual difficulties, impotence
unusual tiredness

What should I watch for while taking bisoprolol?

Check your heart rate and blood pressure regularly while you are taking bisoprolol. Ask your prescriber or health care professional what your heart rate and blood pressure should be, and when you should contact him or her.

Do not stop taking this medicine suddenly. This could lead to serious heart-related effects.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that requires mental alertness until you know how bisoprolol affects you. To reduce the risk of dizzy or fainting spells, do not sit or stand up quickly. Alcohol can make you more drowsy, and increase flushing and rapid heartbeats. Therefore, it is best to avoid alcoholic drinks.

Bisoprolol can affect blood sugar levels. If you have diabetes, check with your prescriber or health care professional before you change your diet or the dose of your diabetic medicine.

If you are going to have surgery, tell your prescriber or health care professional that you are taking bisoprolol.

Where can I keep my medicine?

Keep out of the reach of children in a container that small children cannot open.

Store at room temperature below 30 degrees C (86 degrees F). Throw away any unused medicine after the expiration date.

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