Make sure you always have your high blood pressure medication available. Reorder Bisoprolol from Zava and keep your blood pressure under control.
Request a repeat of your medication by submitting a short online assessment with Zava. Your online doctor will check your request and it they agree you can keep taking your medication we will post it to you with free delivery.
Free standard delivery FREE Estimated Delivery: 31st May - 2nd June We dispatch orders every day from Monday to Friday. If placed before 4pm, your order will be dispatched the same day. Orders placed after 4pm will be processed and sent out the next working day. Next Day Click & Collect FREE Collection: 30th May Collect your order from any Royal Mail post office. You will receive an email or SMS as soon as your order is ready for collection. Your order will be available to collect from the Post Office for up to 18 days. Proof of Identification will be required for collection. Next Day Express delivery £3.99 Estimated Delivery: 30th May by 1pm If placed before 4pm, your order will be delivered by 1pm on the next working day. Orders placed after 4pm are processed and sent out the next day and delivered the day after. You will choose your delivery option at the checkout. Delivery options may vary depending on the pack size and dosage chosen.
3 x 28 tablet(s) / 1.25 mg - £19.99
3 x 28 tablet(s) / 2.5 mg - £19.99
3 x 28 tablet(s) / 5 mg - £19.99
3 x 28 tablet(s) / 10 mg - £19.99
6 x 28 tablet(s) / 1.25 mg - £24.99
6 x 28 tablet(s) / 2.5 mg - £24.99
6 x 28 tablet(s) / 5 mg - £24.99
6 x 28 tablet(s) / 10 mg - £24.99
How to take Bisoprolol
Always take prescription medicine exactly as it was prescribed to you by your licensing nurse or GP. If you are ever unsure about how to take your Bisoprolol, check with your doctor or pharmacist before doing so.
The tablets should be taken in the morning. They should be swallowed whole, with a glass of water, without chewing or crushing.
Bisoprolol tablets come as either:
Common side effects
A very common side effect (affecting more than 1 in 10 users) is:
- A slow heartbeat
Common side effects (affecting up to 1 in 10 users) are:
- Increased breathlessness
- Nausea, vomiting, or upset stomach
- Low blood pressure
- Cold or numb hands and feet
- Is a type of medicine known as a beta-blocker
- Contains the active substance bisoprolol fumarate
- Comes in tablet form
Beta-blockers like Bisoprolol are used to:
- Lower the heart rate
- Treat high blood pressure (hypertension)
- Treat chronic chest pain (angina)
- Protect the heart from over-activity
Beta-blockers are also used with other medicines to treat ‘stable heart failure’. Heart failure happens when the heart muscle is not strong enough to pump blood around your body (the process known as circulation). When the heart muscle is too weak for proper circulation, the result is swelling (usually in the feet or legs) and breathlessness.
Bisoprolol treats high blood pressure by reducing the effects of the hormone ‘adrenaline’. Beta-blockers like Bisoprolol slow down your heart rate – meaning that your heart beats slower and with less force. This makes blood circulation more efficient around the body, and reduces your blood pressure levels.
Bisoprolol is a common treatment for high blood pressure (hypertension). Other treatments for high blood pressure include:
- ACE inhibitors (like perindopril)
It is common to be prescribed Bisoprolol in combination with other medicines.
The point of high blood pressure treatment is to get your blood pressure within a health range. As a general guide:
- Low blood pressure is 90/60mmHg or below
- Healthy levels of blood pressure are between 90/60mmHg and 120/80mmHg
- High blood pressure is 140/90mmHg or above
Having high blood pressure can be dangerous. It puts you at risk of getting heart disease, having a heart attack or stroke, and puts an extra strain on your heart and other organs.
If you have high blood pressure and want to achieve a healthier level, Bisoprolol may be the right medical treatment for you, although it is not normally a first choice drug to control blood pressure
Visit your nurse or GP for a full consultation to assess whether Bisoprolol is a suitable medicine for you. They will assess your past and current medical history. This is important because Bisoprolol can interfere or react negatively when used in combination with certain other medicines or if you have other health conditions.
You shouldn’t take Bisoprolol if you:
- Are allergic to any of its listed ingredients
- Are pregnant or breastfeeding
- Have severe asthma or chronic lung disease
- Have a slow or irregular heartbeat
- Have very low blood pressure
- Have severe blood circulation problems
- Have heart failure
- Have the condition called metabolic acidosis (excess levels of acid in the blood)
- Have a tumour in the adrenal gland (phaeochromocytoma)
Always tell your nurse, GP, or surgeon well in advance if you are taking Bisoprolol and are going to be given a general anaesthetic for an operation.
Bisoprolol is a prescription medicine. This means that you cannot buy it over-the-counter – you can only get it after an assessment with a doctor who agrees it’s right for you.
Once your treatment has already been established with Bisoprolol, you can re-order your next batch of tablets using an online service like Zava. Many people choose this option because it is safe, efficient, and it is easy to buy your medication in bulk.
To get a first-time prescription for bisoprolol you will need to get a diagnosis and prescription from your GP or specialist. You can then get your medication dispensed from most pharmacies and you will have the option to reorder online.
Currently, the only way to diagnose high blood pressure is to have a blood pressure test. You can have this done at:
- Your local GP surgery
- Some pharmacies
- Some workplaces
You can also measure your blood pressure at home with a blood pressure monitoring machine but for a first time diagnosis your doctor will need to check themselves.
Starting dose – typically, for high blood pressure or chest pain, you will start on the lowest possible dose for treating these conditions, which is 5mg per day. Your doctor may increase this dose depending on how your body reacts to treatment.
Maximum dose – the maximum recommended dose of Bisoprolol for high blood pressure or chest pain is 10mg per day.
What if I forget a dose or take too much by mistake?
- If you forget a dose of Bisoprolol – simply take your next dose at the right time, as soon as you remember. Don’t ever double-up on your dose to make up for the one you missed. If you miss several days’ worth of Bisoprolol, contact your nurse or GP for advice.
- If you take more Bisoprolol than you should – you should seek urgent medical attention. Bring the remaining tablets and the tablet container with you to show your doctor or the staff at the accident and emergency department of your local hospital.
Medicines used to treat high blood pressure work best when used in combination with healthy lifestyle changes:
- Medications are the best short-term solution to protect you from the risks of blood pressure but they don’t cure the underlying cause of your high blood pressure
- Lifestyle changes won’t protect you from the immediate risks of high blood pressure, which is why medication is important, but it can help you control your blood pressure long-term
Some recommendations for healthy lifestyle changes include:
- Regular exercise (stick to aerobic exercise like walking, jogging, swimming or Cycling, and avoid weight-lifting)
- Eating a low-calorie diet (avoiding too much salt, fatty foods and red meat) if You are overweight
- Drinking lots of water
- Cutting back on caffeine and alcohol, and try to quit smoking
- Getting at least 6 hours of sleep per night
- Avoiding stress as much as possible (many people find that practising yoga or meditation helps keep their stress levels down)
As with any medicine, it is possible that you will experience side effects as a result of taking Bisoprolol. However, these side effects are usually mild, and not everyone gets them. Many people find that their side effects disappear after the first 1-2 weeks of treatment, once their body gets used to the medicine.
Rare side effects (affecting up to 1 in 1,000 people) are:
- Jaundice (yellowing of the eyes and skin), and hepatitis (inflammation of the liver)
- A blocked nose
- Reduced flow of tears (this can affect people who wear contact lenses)
- Hearing problems
- Reduced sexual performance
- Skin rash, itching or redness
- Nightmares or hallucinations
Bisoprolol can sometimes cause dizziness or fatigue. If you experience these side effects, do not drive vehicles or operate heavy machinery, as this could be extremely dangerous to you and those around you.
If you ever experience any severe or unpleasant side effects when taking Bisoprolol, seek urgent medical attention.
If you get any side effects which are not listed here, or in the patient information leaflet that comes with your tablets, talk to your nurse or GP. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard to help provide more information on the safety and efficacy of this medicine.
Electronic Medicines Compendium (2017). Bisoprolol fumarate 1.25 mg, 2.5 mg, 3.75 mg, 5 mg, 7.5 mg, 10 mg film-coated tablets. medicines.org. [online] Available at: https://www.medicines.org.uk/emc/medicine/32500 [accessed 18th December 2017).
Mylan (2017). Bisoprolol fumarate 1.25 mg, 2.5 mg, 3.75 mg, 5 mg, 7.5 mg or 10 mg film-coated tablets. Hertfordshire: EMC.
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In order to avoid related health risks, your blood pressure needs to be kept within the normal range. Because of this, you shouldn’t miss doses of your blood pressure treatment if possible. You reorder your treatment quickly and conveniently from Zava, to avoid running out.