Bisoprolol is indicated for the treatment of stable chronic heart failure with reduced systolic left ventricular function in addition to ACE inhibitors diuretics and optionally cardiac glycosides. Treatment of chronic, stable angina pectoris. Treatment of essential hypertension.
Dosage: The dose of Bisoprolol must be individualized to the needs of the patient. The usual starting dose is Bisoprolol 5 mg once daily. In some patients, Bisoprolol 2.5 mg may be an appropriate starting dose. If the antihypertensive effect of Bisoprolol 5 mg is inadequate, the dose may be increased to 10 mg and then, if necessary, to 20 mg once daily.
Side effects: Fatigue, dizziness, headache, disturbances of the gut such as nausea, vomiting, diarrhoea, constipation or abdominal pain, cold or numb extremities, e.g. hands and feet, muscle weakness or cramps, slower than normal heart beat (bradycardia), worsening of heart failure, sleep disturbance, depression, breathing difficulties due to a narrowing of the airways (bronchospasm) in people with asthma or COPD.