Bisoprolol Sandoz
Bisoprolol Sandoz is a beta-blocker medicine used to treat heart failure, which helps your heart work less hard.
Form
tabletti, kalvopäällysteinen
Strength
2.5 mg
Active Ingredient
Bisoprolol fumarate
Manufacturer
Sandoz A/S
How to Use
Dosage
Start with a low dose like 1.25 mg once daily, and your doctor will slowly increase it until a suitable dose is found, usually up to 10 mg once daily for maintenance.
Method
Take this medicine in the morning, with or without food. Swallow the tablet whole with water; do not chew or crush it.
Important
The maximum daily dose is 10 mg once a day.
Possible Side Effects
COMMON
- •Feeling tired or exhausted
- •Dizziness
- •Headache
- •Feeling cold or numb in the hands and feet; cramping pain in legs while walking
- •Very low blood pressure, especially in patients with heart failure
- •Nausea, vomiting
- •Diarrhea
- •Constipation
- •Slowing of heart rate (bradycardia)
- •Worsening of heart failure
RARE
- •Dizziness or fainting when standing up too quickly
- •Sleep problems
- •Feeling sad (depression)
- •Irregular heartbeat
- •Breathing difficulties (especially if you have asthma or past breathing problems)
- •Muscle weakness and cramps
- •Nightmares
- •Seeing or hearing things that are not real (hallucinations)
- •Fainting
- •Hearing problems
- •Runny nose
- •Allergic skin reactions like itching, redness, or rash
- •Dry eyes (especially difficult for contact lens wearers)
- •Liver inflammation (hepatitis), causing stomach pain, loss of appetite, and sometimes yellow skin or eyes and dark urine
- •Reduced sexual ability (erectile dysfunction)
- •Increased levels of blood fats (triglycerides) and liver enzymes
- •Worsening of psoriasis or similar dry, flaky skin rash and hair loss
- •Itching or redness of the eyes (conjunctivitis)
Important Warnings
- Do not use if you are allergic to bisoprolol fumarate or any other ingredient in this medicine.
- Do not use if you have severe heart problems like heart shock, a very slow heartbeat (under 60 beats per minute), very low blood pressure, severe heart rhythm problems, or recent worsening heart failure requiring hospital care.
- Do not use if you have severe wheezing or asthma, as this medicine can affect your breathing.
- Do not use if you have severe circulation problems, which can make your fingers and toes tingle, feel cold, or look pale or blue.
- Do not use if you have an untreated tumor of the adrenal gland (phaeochromocytoma).
Show 7 more warnings
- Tell your doctor if you have diabetes, as this medicine can hide the signs of low blood sugar like a fast heartbeat or sweating.
- Tell your doctor if you are fasting and not eating solid food.
- Tell your doctor if you are undergoing treatment for severe allergies, as this medicine can make allergic reactions worse and make adrenaline less effective.
- Always tell your doctor or dentist that you are taking this medicine before any surgery that requires anesthesia.
- Tell your doctor if you have or have had psoriasis, as this medicine might worsen it.
- Tell your doctor if you have thyroid problems, as this medicine can hide the signs of an overactive thyroid.
- Do not use if pregnant or breastfeeding without consulting your doctor, as it can harm the baby.
Use in Elderly Patients
Category A
Suitable for older adults. Reduce the dose in severe renal impairment. Significant adverse effects include bradycardia and orthostatic hypotension. Consider interactions , especially with drugs affecting the conduction system of the heart. (updated 20.1.2025)