Bisoprolol Sandoz
Bisoprolol Sandoz is a heart medication, part of a group called beta-blockers, used to treat high blood pressure, angina, and heart failure.
How to Use
Dosage
For high blood pressure or angina, the usual dose is 5-10 mg once daily. For heart failure, the dose is gradually increased from 1.25 mg up to a maximum of 10 mg once daily.
Method
Take the tablets in the morning with water, with or after a meal. Do not chew or crush the tablets.
The maximum daily dose is 20 mg for high blood pressure or angina, and 10 mg for heart failure or severe kidney/liver impairment.
Possible Side Effects
- •Feeling tired, dizzy, or having a headache (especially at the start of treatment).
- •Feeling cold or numb in your hands or feet, or leg cramps when walking.
- •Very low blood pressure (more common in people with heart failure).
- •Stomach issues like nausea, vomiting, diarrhea, or constipation.
- •Sleep problems, feeling depressed, or having an irregular heartbeat.
- •Breathing difficulties (especially if you have asthma or past lung problems).
- •Muscle weakness, muscle cramps, fainting, or dizziness when standing up.
- •Nightmares, seeing or hearing things that aren't there (hallucinations), or hearing problems.
- •Allergic skin reactions (like itching, redness, rash), dry eyes, or itchy/red eyes (conjunctivitis).
- •Liver inflammation (hepatitis), reduced sexual ability (impotence), or changes in blood fat and liver enzyme levels.
- •Worsening of psoriasis, hair loss, or a runny nose with irritation.
Important Warnings
- Do not use if you are allergic to bisoprolol or any other ingredients.
- Do not use if you have severe heart failure, very low blood pressure, or a very slow pulse (below 60 beats per minute).
- Do not use if you have severe asthma or breathing difficulties (wheezing).
- Do not stop taking this medicine suddenly without talking to your doctor, as your condition may worsen.
- This medicine may cause tiredness, drowsiness, or dizziness. Do not drive or operate machinery if you experience these effects.
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)