Safe to take another dose of beta blocker?.

Is it OK and safe to take another dose of Bisoprolol 2.5mg or even half a tablet to try and calm a breakthrough episode of A-FIB. I currently take my starting dose of 2.5mg which is to be reviewed next week.

Andrew wait and discuss with GP and only take what you are prescribed. I have constant AF and take 5mg apixaban, 5mg bisoprolol and 125 micrograms digoxin, as with any prescribed drugs you shouldn't increase the dose unless sanctioned by your doctor.

OK Sue, will do.

Thank you for the quick reply. Sometimes its so scary and easy to think another would help it but I know you're right.

When I was in bisoprolol 3.75 my GP said if I had an attack I could take extra, now I'm on Sotalol my cardiologist told me to take extra Sotalol if I have an attack, so it seems ok as a one off, but I guess you'd better check it out anyway, good luck Andrew.  

I am 65 year old female and take Bisoprolol twice a day. 2.5mg in the morning and 1.25 at night. I have been taking them since October last and have not had any problems. I also take Rivaroxaban anticoagulant, also with no problems. 

'It's not really a good idea to change your recommended dosage without your GP knowing. Is there no way you could check your dosage out with whoever prescribed your beta Blockers?

You GP will probably tell you it is OK to take an extra one. Many people do not take it regularly but use it as a pill in the pocket if their heart rate becomes irregular.

Bisoprolol does not agree with me but I do take one if my heart rate becomes too rowdy. 

 

If you are in the UK you could dial 111 for advice.

hello Andrew I don't see why not max dose is 10mg a day I am on 10mg taking more not going to harm you am sure

Thanks Pauline.

I guess its scary cause its all so new to me too and I'm getting episodes everyday mainly late evening at the moment lasting hours.I've just turned 39 so this must be middle age catching up with me now lol.

Hope you don't mind me asking, do you find Bisoprolol or sotalol better at controlling it?.

Some great tips there Derek, thank you!!

Thankyou Steven!!

Do you have a trigger for such regular events? My AF started after heart surgery. It often worsens when I have problems with my digestion as it does with many others,  

Andrew,

​Be very careful tampering with this drug unless under medical advice. do read the paper inside the box. This drug - like many - is a 'naughty little monkey' !

My advice is DO NOT mess with this one unless with your GP or Consultants approval.

I'm on 5 mg a day and take it in one hit with my other evening meds at around 8 pm.

John

Bisoprolol also lower b.p,  my consultant told me that Sotalol has a more calming effect on the heart, bisoprolol worked for me for 7 years, but now, after a b.p monitor they've discovered my b.p is hgh so have put me on amlodipine for that,  Sotalol is doing ok for me at the moment, I haven't ended up in A & E since  I went on it in august, having had attacks 3 consecutive months that year.  My fingers are tightly crossed.  All the best Andrew.  I might add that when I do have attacks I am absolutely terrified.  In fact my GP is looking into CBT now in the hope it can help with my constant state of anxiety, which also saps your confidence, once you are an a.fib sufferer.  It's learning how to deal with attacks as they say take extra Sotalol and if it doesn't work, go straight to emergency, thoughts of which fill me with horror, it's sooooo traumatic.  Sorry I've gone on a bit....😜

Andrew, have you any idea what triggers it, are you drinking alcohol?  Also keep off caffeine, but I guess you've read all these tips on here, also heavy meals aren't good.  My consultant doesn't think there's a link with digestion, but I agree with lots of sufferers on here and think that it does, as I also suffer with reflux probs and sometimes when my stomach gurgles i feel extra beats or palpitations.  Try to keep positive altho I know how tough that can be.  Pauline 

Don't know how you're getting on with Sotalol but it started my pafib. Since changing to Bisoprolol, particularly taken in the evening rather than morning, things are much better..

Hi Pauline, I have been treated for reflux with omeprazole for 2 years and some very difficult bouts of it, i monitored my food and couldnt relate anything to causing it. Then last August i had a realy bad attack in the night with racing/uneven heart beat at the same time, called out my son in law ( a paramedic) who took my stats and whisked me straight to A & E with a pulse rate of 180. I now have constant AF and will be on medication for the rest of my life ( Im'e 70) the strange thing is that i dont now need to take omeprzole and dont now have reflux problems so i am convinced there is a connection. Talking to my daughter (a midwife) she says after giving birth many women have severe acid reflux because of the stress of birthing on their bodies, this got me thinking that maybe iv'e had a heart problem for the past 2 years which was causing the intermittent reflux..... my meds are 5mg apixaban 1 x daily, 5mg bisoprolol 2 x daily and 125 microgrammes digoxin 1 x daily. would be interested to hear what you think. Sue

So pleased for you Marco that biso is doing ok for you.  It made me put on nearly a stone and made me so tired.  It did me ok for 7 years, then didn't stop the attacks.  I'm finding Sotalol fine at moment and just hoping it continues.  We are all so different.  I have 2 leaky valves, high b.p and a.fib, aged 73, do I'm thankful I'm still here.  May your health continue on the up. 

Hi Sue, you'll most likely find the connection between the reflux issues and food and the AF is the vagal nerve. Suggest you Google it for a full description. Briefly, it is a nerve in the central nervous system which controls many organs, especially both heart and digestive system!

John

Sue, I forgot to say that my daughter twice went into AF when she was expecting both her daughters. Went away after the first and returned with the second.

Then went away. It was put down to the body stresses related to the pregnancies!

John