Is there any alternative?

Posted , 8 users are following.

I have been taking 10mG Bisoprolol daily for more than 5 years. I have asked my GP to reveiw the medication but have been told there is nothing better although I have had no tests other than blood. I have significant sleep problems and feel drowsey all the time although I have no clest pain. I have just lost 5 years and havent been able to do anything. Is there any alternative which does not have the side effects?

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  • Posted

    I am told that all beta blockers are basically the same stuff with the same potential side effects but I have found different ones cause different problems with individuals and it seems to be a case of finding the right one for you.  Personally, having tried atenolol and then bisoprolol, both of which gave me bad side effects, I have done a lot better on propanolol.  Perhaps you could ask your GP to try different ones and see which would suit you better?  Good luck, anyway!
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  • Posted

    That is such a high dose and no wonder you want a change.  I took that dose for only a week or so and was completely wiped out.  I am now off beta blockers but might have to return to them if my pulse speeds up again.  I have made a careful note of alternatives to Bisoprolol and you could make a note of both the Propanol suggested here by Pam and another called Diltiazem, also recommended here on this site as an alternative.  I will be keeping these names up my sleeve in case my GP seems as unaware as yours!  Stand up to him/her and insist on a change and don't be put off - sometimes you can learn as much as they can.
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  • Posted

    I agree with Josephine, the dose you are taking seems very high.  I was feeling bad on a quarter of that!  Re Josephine's suggestion of Diltiazem - this is a different type of drug, not a beta blocker but a calcium channel blocker.  Both do the same job and it may suit you better.  I was just a bit put off by the list of potential side effects but the GP said it was safe,
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  • Posted

    I took bisoprolol for A/fib for 3+years. The side effects were so debilitating,but I continued thinking that theses were a result of being overweight and the A/fib. My appt at my doctors  and then with the heart specialist was exactly as you have experienced. My doc said that bisop. Was the medication to take,and the specialist was so uncommunicative...he prescribed digoxin + continue with rampril and the bisop. 

    My new GP,listened...hurrah! He took me off bisop and gave me atenolol. After almost 12 months of atenolol I'm back to square one. Horrible side effects...tired,hair thinning,cold feet hands,puddled head sometimes,and worst of all backache and weak legs that I can't stand or walk without having to sit down! My new doc has left and tomorrow I see another new doc. I want to stop taking the meds but I daren't without my docs approval. Yes I have a life but ....surely there is a better solution. 

    I want to know is the meds that cause the weakness in my legs or is it the A/fib? I will ask my doc tomorrow and will post again. Fingers crossed that this new doc listens and explains my problems

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    • Posted

      Those were exactly my symptoms - the aching tiredness of my legs and back and a general lack of interest in anything.  I am now fine and back to gardening, walking and all the things I once enjoyed and lost for over a year.  Never stop meds without at least informing your doctor, even if it is to say you just can't and won't take it any more - an alternative will be found then you bet.  Make him/her understand how you feel, even if you have to throw a histrionic fit!
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    • Posted

      I had two failed ablations for Afib.  Towards the end earlier this year, I had the highest doses of just about everything they could throw at it including 10mg Bisoprolol.  My pulse remained at 130 for three days and I then chose the pacemaker rather than moving to stronger drugs, and later the AV node was ablated, so that is the end of all treatment for me.  I still have Afib but it is now confined to the upper heart chambers and disconnected from the lower ones.  I am still attending the Pacing Clinic when I get an Afib attack, so that they can mitigate its effects, last one was better, but I only get infrequent attacks, so am awaiting the next one to see how good the adjustment was.  So because I will now always have AFib then I have to take blood thinners for life.  I was on hefty Warfarin as my INR was not stable, which made my hair fall out, unable to sleep and the blood tests became an ordeal as I have poor veins.  Again, after making a lot of fuss, involving writing to NICE, I am now on dabigatran 150ml twice daily and can forget about monitoring, dietary restrictions and needles - wonderful!  (There are some risks I am prepared to take..).  So far my pulse and BP are fine although they can fluctuate quite a bit, but if my beat really speeded up (a pacemaker can bring up a slow heartbeat, but can't prevent speeding) then I am ready with the alternatives to Bisoprolol, which is the only one they can think of in the first place (and probably the cheapest too)!
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    • Posted

      Hi Josephine, has anyone suggested digoxin to control your reacing heart beat?

      It worked for me- now been taking it for 5 years with no "apparent" side effects.

      With regard to varying INR levels I found mine stabilized when I regulated my diet as per the recommendations.

      I did post a link to the web page on another thread but it fell foul of the moderators for some reason. It was on "webmd"

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    • Posted

      Thanks again. You have been through the mill. My A/Fib is permanent,so I always live with an awareness of my heart beat....it's gives me an anxiety feeling...all of the time. It's unpleasant but I can live with it. I want to be off meds but know that I have a higher risk if stroke. I take rivaroxiban...it's similar to the one you take. I have no side effects,only I know when I nick my skin ,it takes a while to stop bleeding. I don't know if my bp is ok at 130/90. Hopefully my new doc will listen to my concerns. 
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    • Posted

      Hello Bill

      I recognise digoxin as one of the drugs they tried in the hospital when my pulse would not slow down (I added atrial flutter to the AFib)  prior to the pacemaker implant.  Whether it would work now post implant, is a useful question,and one I will add to my possibles list should I get further similar problems.  Many thanks.  I would be willing to give anything a try as long as it was not Bisoprolol!

      Yes, Elizabeth, I have had a bad earlier year where it all seemed to come to a head, but am glad to say that I feel so much better now, quite energetic in fact and glad I chose the pacemaker option, although I was only given a couple of hours to decide.  Just have to wait and see what the future brings now.  Anyone with AFib must always have anti coagulation, either with Warfarin or dabigatran etc,  as long as the condition lasts.  With this under control, then it is not life threatening, just unpleasant as you say.  I too can hear my heart beating in my ears, especially at night - most upsetting if it jangles away.... Sounds better these days as I am mostly hearing the paced ventricular beat.

       

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  • Posted

    Hi Austin, you don't say how your BP reacts to the bisop dosage of 10mg?

    As I have mentioned in previous posts I split my dosage of 3.75mg of bisop into 3 *1.25mg individual dosages.The last being at 22:00. The timings being based on a 4 hour cycle of bisop reacting with (my body). I have an occasional "tired" period but after 20/30 mins nap I am ready to go again. I have also been taking bisop for 5 years and felt as you do now for the first 6/12 months before settling on my current dosage pattern. The "medical" advice is based on set protocol so they "usually" say take meds first thing in the morning.

    The "alternatives" advice given by other posters also may provide a solution for you but we have to find our own "best fit" solutions as I was told by a Registrar recently;" You know your own body better than we do"

    Best of luck

    Also I have felt much better since having pacemaker fitted but this was for AF.

     

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  • Posted

    I started on Sotolol and aspirin for A.F., had a problem and was given Bisoprolol 5 and warfarin after having a pacemaker fitted.  I went suddenly deaf and thought it was due to the drug, so booked private appointment with our Cardiologist.  The result was worth every penny as he changed my drug to Half Securon 120.  I am now better than when on Sotolol, which starved me of energy and Bisoprolol, which did the same. I believe I am now on the equivalent of half my Bisoprolol dose and the pills are slow release .  I can climb stairs easily and walk my dog at a good speed;  it's like a new lease of life!  I shall be 77 in May and feel really lucky to have been treated by such a skillful doctor.!
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  • Posted

    Just back from docs. Very cold fish and not very interested in my concerns/ health! I asked if I could have my atenolol reduced....answer...yes,but the A/fib will be more of a problem! I was then told it was my decision...so I'm going to reduce it to the lowest dose ie 25 mg . Then took a blood test..no reason as to why, bp not taken! If side effects are still a problem then a calcium beta blocker maybe prescribed. She did say that the bisop atenolol beta blocker are the ones prescribed for A/F. My husband came with me and was not happy with the consultation.it was basically left up to me.  Looks like I will have to find the info from the internet and keep up to date with forum.
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    • Posted

      Sorry to hear you have an uncooperative GP.  This is quite common and you are finding out that you have to do your part for your own protection and wellbeing - a good doctor should never mind you presenting your own research and discussing it.  My own medication was very much my own decision (although I did discuss it with my cardiologist) and the only change I have had to make since discontinuing Bisoprolol ( I was then on 7.5 mg) is the addition of regular blood pressure pills (Valsartan) when I decided my BP 'peaks' were getting too high. I keep my own eye on my blood pressure with a wrist monitor.   My GP agreed and I now take these along with the Pradaxa.  No side effects from either.

      Since I am resolved not to take either Bisoprolol or Atenolol should the necessity arise in the future, ie a speeding up of heartrate, then I am compiling my own list of suggestions, mostly gleaned from the helpful folk on these forums.  Do join and read, you really do learn a lot and get good suggestions and also comfort and encouragement from those who have trod the path before!

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    • Posted

      Sorry Briw - I was referring to Elizabeth 12 and her visit to the doctor which she was not pleased with.  I agree that a cardiologist is by far better to consult but sometimes the GP is unwilling to refer, thinking he/she knows best and that is the time to step up and make your voice heard.  Happy Christmas to all (my husband is already down with a heavy cold....typical!)
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