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Bisoprolol Coupon - Bisoprolol 5mg tablet

bisoprolol

Generic Zebeta
Used for Hypertension
Used for Hypertension

Bisoprolol, or bisoprolol fumarate, is a tablet that's used to treat high blood pressure. It belongs to a group of medications called beta blockers. It's usually only given when first-choice blood pressure medications aren't working well enough. Some common side effects of bisoprolol include headache, feeling tired, and diarrhea. It has some interactions with alcohol and taking bisoprolol with alcohol can worsen dizziness and raise the risk for fainting.

Last reviewed on April 27, 2023
basics-icon

What is Bisoprolol?

What is Bisoprolol used for?

  • High blood pressure

How Bisoprolol works

Bisoprolol is a selective beta blocker. It works to lower blood pressure by slowing down the heart rate to give your heart some time to relax between contractions.

Drug Facts

Common BrandsZebeta (brand no longer available)
Drug ClassBeta blocker
Controlled Substance ClassificationNot a controlled medication
Generic StatusLower-cost generic available
AvailabilityPrescription only

More on Bisoprolol essentials

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Avg retail price
$34.26(save 73.73%)
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$9.00
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What are the side effects of Bisoprolol?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Headache (9%)
  • Fatigue (7%)
  • Upper respiratory tract infection (5%)
  • Swelling in arms or legs (4%)
  • Dizziness (3%)
  • Runny nose (3%)

Other Side Effects

  • Diarrhea
  • Cough
  • Joint pain

Serious Side Effects

Contact your healthcare provider immediately if you experience any of the following.
  • Heart failure: trouble breathing, fast weight gain, feeling very tired, chest pain, swelling in the legs, ankles, or feet
  • Bronchospasm: tightness in the chest, trouble catching your breath, difficulty breathing, wheezing, cough, dizziness, extreme tiredness

Source: DailyMed

The following side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Less common

Body aches or pain

chest pain

chills

cough

difficult or labored breathing

ear congestion

fever

headache

loss of voice

nasal congestion

pain or tenderness around eyes and cheekbones

shortness of breath or troubled breathing

sneezing

sore throat

stuffy or runny nose

tightness in chest

unusual tiredness or weakness

wheezing

Rare

Chest discomfort

lightheadedness, dizziness, or fainting

slow or irregular heartbeat

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Anxiety

blurred vision

cold sweats

coma

confusion

cool, pale skin

decreased urine output

depression

dilated neck veins

dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly

extreme fatigue

fast heartbeat

increased hunger

irregular breathing

nausea

nervousness

nightmares

noisy breathing

seizures

shakiness

slurred speech

sweating

swelling of face, fingers, feet, or lower legs

weight gain

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common

Abnormal or decreased touch sensation

diarrhea

difficulty in moving

lack or loss of strength

muscle pain or stiffness

pain in joints

sleeplessness

trouble sleeping

unable to sleep

vomiting

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

pros-and-cons

Pros and cons of Bisoprolol

thumbs-up

Pros

Works well to lower blood pressure

Available as a lower-cost generic

Only need to take it once a day

Can take it with or without food

thumbs-down

Cons

Not a first-choice medication to lower blood pressure

Skipping or missing doses can lead to high blood pressure and higher risk of heart attacks

Can make you feel more tired

Can hide symptoms of low blood sugar if you have diabetes

pharmacist-tips

Pharmacist tips for Bisoprolol

pharmacist
  • Bisoprolol works the best when you take it consistently every day. Don't stop taking bisoprolol suddenly without talking to your healthcare provider as this could make chest pain or other heart conditions (such as coronary artery disease) worse. If you want to stop the medication, speak with your healthcare provider. They can work with you to lower your dose safely over time (which typically occurs over 1-2 weeks).

    • Bisoprolol can make you feel dizzy for a few days after first starting it or changing the dose. Be sure to change positions slowly (going from sitting to standing or from lying down to sitting up). Also, make sure you know how this medication affects you before driving or performing activities that require you to be alert, such as driving.

      • It might be helpful to check and record your blood pressure at home. You can bring your notes to your next appointment so your provider can see how well bisoprolol is working to lower your blood pressure.

        • Bisoprolol can interact with other medications. Be sure to tell your provider all of the medications you're taking, and check with them before starting any new medications.

          • Both beta-blockers and medications used for anesthesia can lower your heart rate. So, if you’re planning to undergo a major surgery that requires anesthesia, tell your surgeon that you’re on bisoprolol so that they can monitor your heart closely.

            More on Bisoprolol tips

            faqs

            Frequently asked questions about Bisoprolol

            What type of beta blocker is bisoprolol?
            Bisoprolol is a cardioselective beta blocker. This means it targets the heart and might be less likely to cause breathing problems compared to some other beta blockers (i.e., non-selective beta blockers).
            Can I take bisoprolol at night?
            Research is mixed when it comes to the best time to take your blood pressure medication. You don't need to take it at a certain time of the day. It's more important that you take it at about the same time every day so the levels of medication stay consistent in your body. Choose a time that's easy for you to remember to take your medication and stick to it.
            Does bisoprolol cause weight gain?
            Weight gain isn't a common side effect of bisoprolol, but it has been reported. Other beta blockers seem to be more likely to cause a few pounds of weight gain. If you're worried about weight gain as a side effect, make sure to eat a healthy diet and get enough exercise (about 150 minutes of moderate activity, such as brisk walking, a week). Your provider can also talk with you about more weight loss tips, such as cutting back on carbs and drinking more water. If you do experience a weight gain of more than a few pounds within 24 hours, this could be a sign of heart failure or other serious conditions. If this happens, contact your provider.
            Can bisoprolol cause heart failure?
            There's a risk that taking beta blockers can worsen heart failure in people whose heart failure symptoms aren’t well-controlled. Rarely, people without heart failure might also develop symptoms of heart failure. If you have heart failure and your provider thinks you'll benefit from taking bisoprolol or another beta blocker, they'll work with you to manage your symptoms before you begin treatment. In general, beta blockers are sometimes recommended to help lower the risk of death or hospitalization in people with a certain type of heart failure. Keep in mind that only metoprolol succinate (Toprol XL) and carvedilol (Coreg) are approved to treat heart failure, but there's evidence that bisoprolol can also help in heart failure. If you have questions about heart failure and beta blockers, talk with your provider.
            Can I suddenly stop taking bisoprolol?
            Don't stop taking bisoprolol without first talking to your provider. Suddenly stopping this medication can lead to dangerous health problems, like abnormal heart rhythm and heart attack. If you need to stop taking this medication, work with your provider to slowly lower your dose until they say it's safe for you to stop completely.
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            warings-icon

            What are the risks and warnings for Bisoprolol?

            Bisoprolol can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

            risk-warning

            Heart attack or irregular heart rhythm

            • Risk factors: Stopping bisoprolol suddenly

              Don't stop taking bisoprolol suddenly without talking to your provider first, especially if you have heart disease. Doing so can cause chest pain, irregular heart rhythm, high blood pressure, and even a heart attack. If you need to stop taking bisoprolol, work with your provider to lower your dose gradually over time, typically over 1 week.

              risk-warning

              Heart failure

              • Risk factors: Heart failure

                People with heart failure shouldn't take bisoprolol if their heart failure symptoms aren’t well-managed. That’s because this medication can make your condition worse. But you might be able to take bisoprolol if your healthcare provider thinks your symptoms are under controlled. Keep in mind that, though rare, sometimes taking a beta-blocker, like bisoprolol over time might lead to heart failure even in people without this condition. Let your healthcare provider know right away if you experience symptoms of heart failure, such as fluid build-up in different areas of the body including the ankles, legs, and lungs, and difficulty breathing.

                risk-warning

                Trouble breathing (people with bronchospastic conditions)

                • Risk factors: History of asthma or COPD

                  Beta-blocker medications like bisoprolol are generally not recommended for people with bronchospastic conditions, like asthma or chronic obstructive pulmonary disease (COPD), because it can trigger difficulty breathing. Bisoprolol has a lower chance of causing difficulty breathing because it works specifically on the heart, but should only be used under careful supervision of a healthcare provider if you have any conditions that can cause breathing problems.

                  risk-warning

                  Hiding symptoms of low blood sugar

                  • Risk factors: Diabetes

                    Taking bisoprolol can make it difficult for you to identify symptoms of low blood sugar, such as fast heart beat or tremors. If you’re taking medications, like glipizide or insulin, to lower your blood sugar, you might not be able to rely on all the typical symptoms of low blood sugar (e.g., irritability, sight tremors, confusion, and fast heartbeat) to warn you of a dangerous drop in your sugar levels. Sweating might be the only symptom not affected by taking bisoprolol. Speak with your healthcare provider about when and how to monitor your blood sugar if you start bisoprolol.

                    risk-warning

                    Hiding symptoms of high thyroid hormone

                    • Risk factors: Hyperthyroidism

                      Bisoprolol can hide signs of hyperthyroidism, especially a fast heart rate. It's important to talk to your provider before stopping bisoprolol suddenly, since doing so can worsen thyroid problems.

                      risk-warning

                      Severe allergic reactions

                      • Risk factors: History of severe allergic reaction

                        Beta blockers like bisoprolol can lessen your response to life-saving treatments for severe allergic reactions (anaphylaxis). They can also cause your allergic reaction to be more severe than usual. Discuss all of your allergies with your provider and a plan on what to do if you experience an allergic reaction while taking bisoprolol.

                        risk-warning

                        Worsening of poor circulation

                        • Risk factors: History of peripheral artery disease

                          Bisoprolol can cause the symptoms of peripheral artery disease (PAD) to worsen. This can lead to worsening of blood circulation, which can result in tiredness, aching, and cramping in the legs. Be sure to tell your provider if you have PAD before starting bisoprolol because they might want to monitor you more closely.

                          dosage

                          Bisoprolol dosage forms

                          The average cost for 30 tablets of 5mg of Bisoprolol is $9.00 with a free GoodRx coupon. This is 73.73% off the average retail price of $34.26.
                          tablet
                          Tablet
                          DosageQuantityPrice as low asPrice per unit
                          2.5mg30 tablets$76.46$2.55
                          5mg30 tablets$9.00$0.30
                          10mg90 tablets$37.81$0.42

                          Typical dosing for Bisoprolol

                          The typical starting dose is 5 mg by mouth once daily. Your provider might raise your dose if your blood pressure is not well-controlled. The maximum daily dose is 20 mg.

                          Your dose might differ if you have liver or kidney problems.

                          More on Bisoprolol dosage forms

                          interactions

                          Interactions between Bisoprolol and other drugs

                          Bisoprolol may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Bisoprolol. Please note that only the generic name of each medication is listed below.

                          Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                          Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

                          drug-cost

                          How much does Bisoprolol cost?

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                          contraindications-icon

                          Bisoprolol contraindications

                          Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Bisoprolol will not be safe for you to take.
                          • Extremely slow heart rate

                          • Heart problems (e.g., certain types of heart block, heart failure, cardiac shock)

                          alternatives

                          What are alternatives to Bisoprolol?

                          There are a number of medications that your doctor can prescribe in place of Bisoprolol. Compare a few possible alternatives below.
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                          • High blood pressure

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                          latest news

                          What is the latest news about Bisoprolol?

                          images

                          Bisoprolol images

                          Pink Round E 771 - Bisoprolol Fumarate 5mg Tablet
                          This medicine is Pink, Round, Scored Tablet Imprinted With "E 771".Pink Round E 771 - Bisoprolol Fumarate 5mg Tablet
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                          Pink Round C And 86 - Bisoprolol Fumarate 5mg Tablet
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                          Pink Oblong S And 6 6 - Bisoprolol Fumarate 5mg Tablet
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                          White Round B 3 - Bisoprolol Fumarate 5mg Tablet
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                          Pink Round C And 86 - Bisoprolol Fumarate 5mg Tablet
                          This medicine is Pink, Round, Scored Tablet Imprinted With "86" And "C".Pink Round C And 86 - Bisoprolol Fumarate 5mg Tablet
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                          Pink Round 111 - Bisoprolol Fumarate 5mg Tablet
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                          Peach Round Logo F1 - Bisoprolol Fumarate 5mg Tablet
                          This medicine is Peach, Round, Scored Tablet Imprinted With "Logo F1".Peach Round Logo F1 - Bisoprolol Fumarate 5mg Tablet

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                          References

                          Best studies we found

                          Alembic Pharmaceuticals Limited. (2023). BISOPROLOL FUMARATE tablet, film coated [package insert]. DailyMed.

                          Centers of Disease Control and Prevention. (2023). What Counts as Physical Activity for Adults.

                          Gheorghiade, M., et al. (2003). Beta-blockers in chronic heart failure. Circulation.

                          GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.
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