Taking bisoprolol with other medicines and herbal supplements

Cautions with other medicines

There are some medicines that may affect the way bisoprolol works.

Tell your doctor if you're taking any of these:

• other medicines for high blood pressure – the combination with bisoprolol can sometimes lower your blood pressure too much, which may make you feel dizzy or faint. If this keeps happening to you, tell your doctor as they may change your dose
• other medicines that can lower your blood pressure, such as some antidepressants, nitrates (for chest pain), baclofen (a muscle relaxant), medicines for an enlarged prostate gland like tamsulosin, or Parkinson's disease medicines, such as co-careldopa and levodopa
• non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen – they can stop bisoprolol working as well as it should
• steroids, like prednisolone
• cough medicines that contain pseudoephedrine or xylometazoline
• medicines for diabetes – bisoprolol may make it more difficult to recognise the warning signs of low blood sugar
• medicines for allergies, such as ephedrine, noradrenaline or adrenaline
• medicines for asthma or chronic obstructive pulmonary disease (COPD)
• rifampicin, an antibiotic

Mixing bisoprolol with herbal remedies and supplements

There's very little information about taking herbal remedies and supplements with bisoprolol. It's not possible to say whether they are safe to take together. They're not tested in the same way as pharmacy and prescription medicines.