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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Bisoprolol Be Taken At Night To Avoid Fatigue?

I am taking 5 mg of bisoprolol for heart failure along with other medications. I take it early in the morning and feel fatigued until about 3 pm. I ve had a couple of spells and passed out briefly. On taking my BP in the morning it is always very low, 88/56 this morning it normalises in the evening 119/72 last night. Can I take this medication at night before bed and wake up feeling better?
Fri, 2 Jan 2015
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Cardiologist 's  Response
Hi,

You can try to divide your bisoprolol dose; 2.5 mg in the morning and 2.5 mg in the evening, it will be the best solution
It is not very desirable to take bisoprolol in the evening, but anyway if you continue to have low BP and feel fatigued after 10 days, you can take it in the evening.
If you don't get better even after it, you should discuss with your doctor to lower the dose.

Hope I could help you

Wish you good health

Regards,
Dr. Baghdasaryan

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General & Family Physician Dr. Bihle Nestor Mbinkar's  Response
Hi, thank you for asking healthcare magic
I understand your concerns.
With this presentation, I think the side effects may be outweighing the benefits but you don't need to worry so much. It appears the drug rapidly decreases the blood pressure to a value below normal. The symptoms you experience are probably related to low blood pressure.
I would suggest you discuss the possibility of changing the drug with your attending physician.

I hope that helps
I wish you well
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Can Bisoprolol Be Taken At Night To Avoid Fatigue?

Hi, You can try to divide your bisoprolol dose; 2.5 mg in the morning and 2.5 mg in the evening, it will be the best solution It is not very desirable to take bisoprolol in the evening, but anyway if you continue to have low BP and feel fatigued after 10 days, you can take it in the evening. If you don t get better even after it, you should discuss with your doctor to lower the dose. Hope I could help you Wish you good health Regards, Dr. Baghdasaryan