Bisoprolol, the Generic for Concor®: Uses, Dosage, and Safety

What Bisoprolol Is and How It Works

Bisoprolol is a cardioselective beta blocker used for high blood pressure and heart failure. It lowers heart rate and contractility by blocking β1 receptors in the heart. This reduces cardiac workload and helps control blood pressure and symptoms. Most patients take bisoprolol tablets once daily. Common strengths include bisoprolol 2.5 mg, Bisoprolol 5 mg, and bisoprolol 10 mg. You may see it listed as bisoprolol fumarate 5 mg tablets on your prescription.

YouDrugstore is a licensed Canadian pharmacy headquartered in Manitoba, and prescriptions are reviewed by licensed pharmacists before dispensing.

We also work with licensed, vetted international partner pharmacies so you can access authentic brand medications in a wide range at affordable prices. People may search for concor medication; Concor is a brand name for bisoprolol in many countries. This bisoprolol medication helps in hypertension, rate control for certain tachycardia cases, and in chronic heart failure to improve outcomes. Your prescriber chooses the strength and titration plan for your condition.

Dosage and Usage

• Hypertension: many adults start at 5 mg once daily. Your dose may increase to 10 mg based on response. Some patients begin at bisoprolol 2.5 mg if sensitive to beta blockers.
• Heart failure: typical initiation is 1.25 mg once daily. If tolerated, the dose increases every 1–2 weeks toward a target of 10 mg daily. Close monitoring is standard during uptitration.
• Swallow tablets with water, with or without food. Take at the same time each day.
• Do not stop suddenly. Stopping abruptly may worsen angina, raise blood pressure, or trigger rebound tachycardia.
• Missed dose: take it when remembered unless it is close to the next dose. Do not double up to make up a missed dose.
• Combination products: bisoprolol and hydrochlorothiazide (bisoprolol HCTZ) are available in fixed‑dose combinations. Your clinician may also pair separate tablets, such as bisoprolol and hydrochlorothiazide or another diuretic.
• Device steps are not needed; this medicine is supplied as oral tablets only.

• Store between 15–25 °C (59–77 °F) in a dry place. Keep in the original container.
• Protect from moisture and light. Do not freeze.
• Travel: keep tablets in your carry‑on with the pharmacy label. Bring enough for the entire trip plus a few extra days.
• Avoid leaving medicine in hot cars. Short excursions between 15–30 °C are generally acceptable, but return to room temperature storage promptly.
• Keep out of reach of children and pets.

Benefits and Savings

Bisoprolol for high blood pressure lowers the risk of stroke and heart attack when used as part of a long‑term plan. In heart failure, steady uptitration can improve symptoms, exercise tolerance, and long‑term outcomes. As a selective beta blocker, it can be effective for rate control in some tachyarrhythmias, so prescribers may use bisoprolol for tachycardia in appropriate cases. Some patients also ask about bisoprolol anxiety; while not an approved use, beta blockers can blunt physical symptoms of adrenaline in select situations under medical guidance.

You can expect Canadian‑pharmacy savings of about 60–80% versus typical US prices, which helps lower your ongoing bisoprolol cost. We also carry multiple strengths to match your plan, including bisoprolol 1.25, 2.5, 5, and 10 mg. Multi‑month supplies and occasional bulk promotions can reduce your per‑month bisoprolol price. You can set gentle reorder reminders so you do not run short.

Side Effects and Safety

• Fatigue, dizziness, or lightheadedness
• Slow heart rate (bradycardia)
• Headache
• Cold hands or feet
• Nausea, diarrhea, or constipation
• Sleep disturbances or vivid dreams
• Sexual dysfunction
• Mild shortness of breath, especially at the start of therapy

Serious but less common risks include severe bradycardia, heart block, bronchospasm (higher risk with asthma or COPD), hypotension, or worsening heart failure during dose changes. Allergic reactions are rare. Seek urgent care for fainting, wheezing, chest pain that worsens, or swelling of the face or throat. Hypoglycemia symptoms may be harder to notice when bisoprolol is combined with insulin or sulfonylureas; review glucose targets with your care team.

Onset Time

Heart rate reduction often appears within hours, with steadier control over several days. Blood pressure improvements are usually seen in 1–2 weeks, with full effect by about 4 weeks at a stable dose. In chronic heart failure, symptomatic gains can emerge over several weeks, while risk‑reduction benefits accrue over months as the dose approaches target and remains stable.

Compare With Alternatives

ACE inhibitors lower blood pressure and improve heart failure outcomes by relaxing blood vessels and reducing neurohormonal activation. Many patients use an ACE inhibitor with a beta blocker. If you need an ACE inhibitor, your prescriber might choose Altace® (ramipril) or a similar option based on your profile.

SGLT2 inhibitors now play a role in heart failure (with or without diabetes) and can support blood pressure and symptom control. Options like Forxiga® (dapagliflozin) may be added to a foundational regimen that includes a beta blocker.

ARBs or ARB/diuretic combinations are alternatives if you cannot use an ACE inhibitor. Some prescribers consider losartan‑based combinations, such as Hyzaar Ds, for blood pressure control when a diuretic is needed. Your clinician will tailor therapy to your goals, tolerability, and co‑existing conditions.

Combination Therapy

• With ACE inhibitor or ARB: common for hypertension and heart failure; start low and titrate.
• With diuretics (e.g., hydrochlorothiazide): supports BP control; monitor electrolytes and renal function.
• With calcium channel blockers: consider a dihydropyridine (e.g., amlodipine) rather than non‑dihydropyridines to reduce bradycardia risk.
• With SGLT2 inhibitors: used in heart failure to improve outcomes; watch volume status.
• Diabetes medicines: reduce insulin or sulfonylurea doses if needed to lower hypoglycemia risk.

Patient Suitability and Cost-Saving Tips

Bisoprolol fumarate uses include hypertension, rate control in selected tachyarrhythmias, and chronic heart failure. It may not suit everyone. Contraindications include severe bradycardia, second‑ or third‑degree AV block without a pacemaker, sick sinus syndrome, cardiogenic shock, and acute decompensated heart failure. Bisoprolol asthma cautions apply because beta blockers can trigger bronchospasm; prescribers weigh risks and benefits, especially at higher doses. Liver or kidney impairment may warrant careful dose selection and monitoring.

Important bisoprolol warnings involve interactions. Verapamil or diltiazem can increase bradycardia or heart block risk. Digoxin can slow heart rate further. Clonidine withdrawal can spike blood pressure if a beta blocker is not tapered carefully. NSAIDs may blunt antihypertensive effects. Anesthetics and some antiarrhythmics can intensify cardiac depression; ensure your surgical team knows you take a beta blocker.

To reduce your ongoing bisoprolol 5 mg price, consider a multi‑month fill if your prescription allows. Generic bisoprolol can offer strong value versus brand. We ship to the US with prompt, express service. You can set reorder reminders so you have tablets on hand before refills are due.

Authoritative Sources

Drugs@FDA Bisoprolol Fumarate Prescribing Information

Health Canada Drug Product Database: Bisoprolol

DailyMed Labeling for Bisoprolol Fumarate

Order Bisoprolol from YouDrugstore: add to cart, upload your prescription, and we ship with prompt, express shipping.

This content is educational and does not replace the advice of your healthcare professional. Always follow your prescriber’s directions and read the patient information that comes with your medication.