Hypertension is a long-term condition where the resistance to the blood flow is increased. 

Many factors including narrowing of the arteries can increase your blood pressure. If left unattended, it may cause complications such as stroke and heart failure.

Fortunately, many treatment options including lifestyle changes and medications are available for managing it. 

Bisoprolol is a commonly used medicine to manage hypertension, especially when associated with heart failure.

This article talks about why blood pressure increases, its symptoms, and how Bisoprolol can help.

High Blood Pressure- What Does It Look Like?

As mentioned before, hypertension is a condition where the pressure of blood is higher than normal. But it is a silent disorder and a person suffering from it may not have any symptoms.

The only way to detect is to get your blood pressure checked regularly. Failing to manage the condition may damage other organs such as the kidneys and result in complications.

In some cases. hypertension may also cause anxiety, blushing, sweating, and sleeping problems.

You may also get nosebleeds and headaches.

Some common complications include:

  • Kidney failure
  • Heart failure
  • Amputation
  • Stroke
  • Eye disorders


Hypertension may occur without any cause too. However, in some cases, an underlying condition may be the responsible factor.

Some diseases that may cause hypertension are:

  • Hormonal imbalance
  • Chronic kidney disease
  • Diabetes
  • Cancer of an adrenal gland (pheochromocytoma)
  • Thyroid disorders
  • Hyperparathyroidism
  • Sleep apnea
  • Pregnancy
  • Obesity

Other factors that may increase your risk for hypertension are:

  • High fat diet
  • Sedentary lifestyle
  • Low potassium intake
  • High sodium intake

Treatment – Lifestyle Changes and Medication

Sedentary lifestyle and other behavior increase your risk for hypertension. But the good news is that making changes in your lifestyle can help manage or even prevent it.

Here are some changes that can help:

Being Active

Physical exercise improves blood circulation and heart health. It is seen that 150 minutes of moderate-intensity exercise a week or 30 minutes of exercise a day for most days in a week.

Examples of some activities include jogging, swimming, walking, or cycling.

Stress Management

Learning to manage stress can help to control blood pressure. Warm baths, meditation, and yoga are relaxation techniques that can help to relieve stress.

It is best to avoid taking recreational drugs, junk food, consuming alcohol, and tobacco to cope with stress. These factors can contribute to complications of hypertension.

Smoking can also trigger blood pressure and quitting smoking can reduce the risk of hypertension and other health conditions.

Dietary Changes

Having a heart healthy diet can help manage hypertension. 

Changes include:

  • Reducing salt intake (between 9 g to 12 g)
  • Moderate consumption of alcohol
  • Eat more vegetables and fruits
  • Low saturated fat intake
  • Increased consumption of high fiber foods and whole grain
  • Pulses, beans, and nuts
  • Healthy fatty fish such as herring and salmon
  • Healthy vegetable oils such as olive oil
  • Skinless fish and poultry
  • Low fat dairy products
  • Avoid hydrogenated oils, trans fats, and animal fats

Control Body Weight

Obesity or being overweight is a risk factor of hypertension. If your weight is more, losing weight can help in controlling blood pressure.

A balanced diet and adequate calorie intake can help here.


If lifestyle factors fail to manage blood pressure, your doctor may prescribe medication to control it.

Various medicines are available and the ideal choice depends on your condition and presence or absence of other health conditions.

You may also need two or more drugs to manage your blood pressure.

Some common medicines used are:

  • Beta- and alpha-blockers
  • Diuretics
  • Central agonists
  • Calcium-channel blockers
  • Vasodilators
  • Peripheral adrenergic inhibitor
  • Angiotensin receptor blockers
  • Angiotensin-converting enzyme inhibitors

How Does Bisoprolol Lower Blood Pressure?

Bisoprolol belongs to the class of drug known as beta-blockers. These medicines work by blocking chemicals responsible for contracting blood vessels, increasing blood pressure.

Adrenaline is a hormone produced by your body during stressful events that contract muscles. It also results in excessive sweating, high blood pressure, rapid heartbeat, heart palpitations, and anxiety.

Bisoprolol lowers the stress on your heart by blocking adrenaline action, taking the pressure off the heart and blood vessels. It also prevents the risk of heart attacks and death due to heart complications.

All in all, it is an ideal choice of medicine in individuals with cardiovascular symptoms such as angina.

Using Bisoprolol- Dosage and Frequency

Your dose depends on your age and other conditions.


The standard dose is 5 mg to be taken once a day. It could range between 10 – 20 mg in a single or divided dose.

Children (ages 0 to 17 years)

The use of this medicine is not studied in this age group, and thus its use should be avoided for them.

How do you use Bisoprolol?

  • Take this medicine orally, once daily, in the morning with or without food, or as prescribed by your physician.
  • Follow all the instructions on the prescription label. 
  • Do not stop taking this medication abruptly without consulting your doctor. Stopping it suddenly may result in a heart attack, angina (chest pain), or irregular heartbeat. 
  • Try to take this tablet daily at the same time. 

Your physician may start you with a low dose and gradually increase your dose. It may take weeks before you see the full effects of Bisoprolol.

If You Miss the Dose

If you happen to miss a dose of Bisoprolol, take the missed dose as soon as you remember. 

However, if it is almost time for the next dose, do not take the missed dose and continue with your next scheduled dose. 

Do not take a double dose to compensate for the missed dose.

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