Always follow your doctor’s instructions when taking blood pressure medication. If you have any doubts, consult your doctor or pharmacist. Take one pill in the morning with a bit of water, with or without meals, and take the tablets whole without crushing or chewing.
Your doctor will need to monitor your Bisoprolol fumarate 5mg tablets medication frequently. This is especially important at the start of treatment, throughout dose increases, and when treatment is stopped.
Bisoprolol has been used for a long time to treat Angina pectoris and hypertension in adults, including the elderly. Individual dosage adjustments are required. However, the average daily dose of bisoprolol is 10 mg.
Your doctor may choose to cut the amount to 5 mg or increase it to 20 mg, depending on how well you tolerate the medicine. The daily intake should not exceed 20 mg. Treatment for the elderly and patients with stable chronic heart failure should be started with a low dose and be gradually increased. Your doctor will determine how to increase the dose, which is usually done in the following manner:
- For a week, take 1.25 mg bisoprolol once a day.
- For one week, take 2.5 mg bisoprolol once a day.
- For one week, take 3.75 mg bisoprolol once a day.
- For four weeks, use 5 mg bisoprolol once a day.
- For four weeks, use 7.5 mg bisoprolol once a day.
- Take 10 mg bisoprolol once daily as maintenance therapy.
If your illness worsens or becomes intolerable, your dose may need to be reduced, or your therapy may need to be stopped. A maintenance dose of less than 10 mg bisoprolol may be sufficient in some people. What you should do will be determined by your doctor.
If you have to stop taking your medication completely, your doctor would usually suggest you gradually reduce the dose, as your condition may deteriorate otherwise. Patients with renal and liver failure should use this medication. No dosage adjustments are usually necessary for patients with mild to severe renal or hepatic impairment.
It is not recommended to take more than 10 mg of bisoprolol once a day in patients with severe renal impairment (creatinine clearance 20 ml/min) or severe hepatic impairment. Children and adolescents should not be given Bisoprolol.