Bisoprolol
A cardioselective beta-blocker for rate control in AF, heart failure and after MI. Start low and increase.
Common brands in Pakistan: Concor. Brand availability changes; check with your pharmacy.
On this page
Dose
| Indication | Dose |
|---|---|
| AF rate control, angina | 2.5–5 mg once daily, up to 10 mg |
| Heart failure (stable) | 1.25 mg once daily, doubled every 2 weeks as tolerated to 10 mg |
Cautions
- Avoid in acute decompensated heart failure, severe bradycardia, heart block, severe asthma.
- Slow pulse, low BP, tiredness.
Frequently asked questions
Should bisoprolol be stopped in acute heart failure?
Continue it unless the pulse is below 50, there is heart block or shock (NICE).
Used in these guides
Sources
Doses on this page are typical doses from the sources above. Always confirm with a current drug reference, the product leaflet and your hospital protocol, especially in children, pregnancy and kidney or liver disease.
For FCPS Part 1
Revising for FCPS Part 1? Bisoprolol is covered in our textbook chapter Adrenergic drugs, with practice MCQs.