Bisoprolol Sandoz
Bisoprolol Sandoz is a medicine called a beta-blocker that helps your heart work less hard. It is used to treat high blood pressure, chest pain (angina), and heart failure.
How to Use
Dosage
For high blood pressure or angina, adults usually take 10 mg once a day, but your doctor might start you with 5 mg. For heart failure, the dose is slowly increased, starting from 1.25 mg daily.
Method
Take this medicine in the morning, with or without food. Swallow the tablet(s) whole with water. Do not chew or crush them.
The highest daily dose is usually 20 mg for high blood pressure or angina, and 10 mg for heart failure or severe kidney/liver problems.
Possible Side Effects
- •Slowing of heartbeat
- •Worsening of heart failure
- •Feeling tired or worn out
- •Dizziness or headache (especially at the start of treatment, usually mild and goes away)
- •Feeling cold or numb in your hands or feet, or cramping pain in your legs when walking
- •Very low blood pressure (especially in people with heart failure)
- •Feeling sick (nausea) or throwing up (vomiting)
- •Diarrhea
- •Constipation
- •Slow or irregular heartbeat
- •Dizziness or fainting when standing up quickly
- •Trouble sleeping (insomnia)
- •Depression
- •Breathing problems (especially if you have asthma or have had breathing issues before)
- •Muscle weakness or muscle cramps
- •Fainting
- •Hearing problems
- •Runny or irritated nose
- •Allergic skin reactions like itching, redness, or rash
- •Dry eyes (can be bothersome if you wear contact lenses)
- •Liver inflammation (hepatitis) which can cause belly pain, loss of appetite, yellow skin/eyes, or dark urine
- •Reduced sexual ability (erectile dysfunction)
- •Changes in blood fat (triglyceride) or liver enzyme levels
- •Nightmares or seeing/hearing things that aren't there (hallucinations)
- •Worsening of psoriasis (a skin condition) or similar dry, flaky rashes, and hair loss
- •Itchy or red eyes (conjunctivitis)
Important Warnings
- Do not use this medicine if you are allergic to bisoprolol fumarate or any other ingredient in it.
- Do not use if you have very bad heart problems, such as a severe heart shock (very weak, fast pulse, low blood pressure) or certain irregular heart rhythms.
- Do not use if you have severe asthma or very bad breathing difficulties.
- Do not use if your heart beats very slowly (under 60 beats per minute) or if your blood pressure is very low.
- Tell your doctor if you have diabetes, as this medicine can hide the signs of low blood sugar (like a fast heartbeat or sweating).
Show 3 more warnings
- Tell your doctor or dentist about all medicines you are taking before any surgery that uses anesthesia.
- Do not stop taking this medicine suddenly without talking to your doctor first, as it could make your condition worse. Your doctor will tell you how to slowly reduce the dose.
- This medicine can make you feel tired, sleepy, or dizzy. If this happens, do not drive or use machines, especially when you start treatment, change your dose, or if you drink alcohol.
Use in Elderly Patients
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)