You can drink alcohol while taking bisoprolol
This is how bisoprolol works
The hormone adrenaline and the neurotransmitter noradrenaline cause an increase in the activity of the heart muscle by docking on the so-called beta receptors in the heart - heart strength and heart rate increase, the stimulus threshold in the heart decreases. Overall, this means that the heart's pumping capacity and blood pressure increase. The beta blocker bisoprolol now occupies these receptors so that adrenaline can no longer dock. The result is a weakening of the adrenaline effect: the blood pressure drops, the energy consumption of the heart, together with the oxygen consumption, decreases. The entire work of the heart is economized and the heart muscle is relieved.
When is bisoprolol used?
The active ingredient bisoprolol is used in the most common cardiovascular diseases. These include, above all, high blood pressure, tightness of the heart (angina pectoris) with chest pain, palpitations and chronic heart failure.
The beta blocker is also used (but without official approval, i.e. in "off-label use") for migraines, hyperthyroidism and preventive (preventive) bleeding from esophageal varices.
This is how bisoprolol is used
The beta blocker is usually administered in the form of its salt as bisoprolol fumarate in the form of tablets or film-coated tablets. It is available both as a single preparation and as a combination preparation with a diuretic (water-flushing drug - hydrochlorothiazide). Many heart patients suffer from water retention in the body (edema), which can be flushed out with the help of diuretics.
The doctor individually determines the dosage form and dosage in which the beta blocker is most beneficial in each individual case. The dosage depends primarily on the type and severity of the disease.
What are the side effects of bisoprolol?
The most common bisoprolol side effects are circulatory disorders, headache, drop in blood pressure and a very slow heartbeat (bradycardia). Bisoprolol can also cause irregular heartbeat, dizziness, new or worsening psoriasis, spasms of the airways (bronchospasm) and sleep disorders. In rare cases, the active ingredient bisoprolol causes hallucinations, mood swings and erectile dysfunction. In the case of existing vascular diseases, the application can cause numbness and a feeling of cold in the arms and legs. In patients with diabetes mellitus, the drug can mask a low blood sugar level (hypoglycaemia).
When should you not take bisoprolol?
The use of bisoprolol is contraindicated in bronchial asthma, obstructive pulmonary diseases (lung diseases with narrowed airways), all slow forms of cardiac arrhythmias, low blood pressure, advanced vascular diseases and acidosis of the blood. Patients who are treated with monoamine oxidase (MAO) inhibitors (for example for depression) should also not take the beta blocker. The same applies to patients with a pheochromocytoma, a mostly benign tumor of the adrenal gland.
An allergy or hypersensitivity to the beta blocker or to other components of the drug should be ruled out before starting therapy.
Caution is advised in combination with other central antihypertensive drugs (such as clonidine), calcium antagonists (such as nifedipine) and drugs that are used for cardiac arrhythmias (such as lidocaine, amiodarone).
During pregnancy, the doctor should carefully weigh up the risks and benefits before starting therapy, as bisoprolol can affect the blood flow to the placenta and the development of the fetus. Careful monitoring of the blood flow to the uterus and placenta must always take place when bisoprolol is used. Other therapy options should also be considered.
It is not known whether bisoprolol is excreted in breast milk. If it is absolutely necessary during breastfeeding, breastfeeding should be discontinued beforehand.
In elderly patients, the bisoprolol dosage should be kept as low as possible; there is no therapy experience with children.
Alcohol can increase the antihypertensive effects of bisoprolol.
The dose of bisoprolol should initially be set low and, if necessary, increased in a controlled manner. If you want to stop bisoprolol, the drug should also be slowly reduced by the doctor. Abrupt withdrawal can trigger dangerous blood pressure peaks (so-called "rebound effect").
How to get medicines containing bisoprolol
Medicines containing bisoprolol require a prescription and can only be purchased at the pharmacy upon presentation of a doctor's prescription.
More interesting facts about bisoprolol
After metoprolol, bisoprolol is the most frequently prescribed beta blocker in Germany. This group of active substances is generally prescribed very often by doctors because they are effective and the diseases treated with them (such as high blood pressure) are widespread in the population.
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