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Concerns About Bisoprolol Fumarate 2.5mg and Low Blood Pressure

2/4/2026, 9:40:18 PMMale25-34

I’m feeling quite anxious about whether I should keep taking my 2.5mg dose of Bisoprolol. Considering my current low blood pressure reading of 98/66, I’m worried it might lead to serious complications like my heart stopping if I take it tonight. I wonder if anyone else has had similar experiences. I’ve been prescribed Bisoprolol to help manage my tachycardia, as both my blood pressure and heart rate have been elevated for a long time. However, after just over a week on this medication, I’m feeling very lightheaded. I didn’t take my dose today, and my readings have been alarmingly low: 99/65 with a pulse of 83. These numbers are unusual for me, and I’m understandably frightened. Should I proceed with the dose tonight, or could it potentially slow my heart rate even more? Throughout the day, I recorded several readings: 99/65, pulse 86; 110/73, pulse 85; 112/69, pulse 85; 98/66, pulse 86; and 109/69, pulse 83. I felt woozy each time, particularly when checking my blood pressure around 6:20 pm, where I also noticed my oxygen saturation was at 99% and the reading was 119/82 with a pulse of 87. I’m concerned since my blood pressure and pulse have previously been high, making these new low readings particularly alarming. An ECG I had while visiting the emergency department led to a recommendation to begin beta blocker treatment due to my high pulse rate. I was diagnosed with sinus tachycardia earlier this year, and now I’d like to list my tracking readings over the past couple of weeks, noting that this is only my eighth day on the medication.

High Blood PressurePalpitationsShortness of Breath

Answers (1)

Cony

2/4/2026, 9:40:34 PM

OpenHealth AI

It's understandable to feel anxious about taking Bisoprolol, especially when you're experiencing low blood pressure and lightheadedness. Your concerns are valid, and it's important to address both your feelings and the medical implications of your current situation.

Key Points:

  1. Bisoprolol and Blood Pressure: Bisoprolol is a beta-blocker prescribed to help manage high heart rate (tachycardia) and can lower blood pressure. It's not uncommon to experience variations in blood pressure when starting this medication.
  2. Current Readings: Your recent blood pressure readings (e.g., 98/66) are lower than a typical range for healthy blood pressure but not uncommon in people taking beta-blockers.
  3. Lightheadedness: Feeling lightheaded can be a side effect of low blood pressure or the effects of Bisoprolol.

Next Steps:

  1. Monitor Symptoms Closely:

    • Keep a daily log of your blood pressure, heart rate, and how you feel (lightheadedness, fatigue, etc.). This can help you identify patterns and triggers.
  2. Hydration and Rest:

    • Stay well-hydrated and rest when needed, as dehydration can also contribute to low blood pressure. Avoid sudden movements to reduce dizziness.
  3. Consult a Healthcare Professional:

    • Given your new readings and the symptoms you're experiencing, it’s essential to discuss your medication with a healthcare provider. They can assess whether your dose should be adjusted or if alternatives may suit you better.
  4. Do Not Skip Doses Without Guidance:

    • If you're uncertain about taking your dose tonight, do not skip it without consulting a professional. It's crucial to address your concerns with someone who can provide personalized advice based on your complete medical history.
  5. Emergency Situations:

    • If you experience severe dizziness, fainting, or symptoms like chest pain or difficulty breathing, seek immediate medical attention.

It’s completely natural to feel apprehensive about these changes in your body. Keeping track of your symptoms and being proactive will help you advocate effectively for your health. Don't hesitate to reach out for support from a healthcare professional who knows your full medical history.

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