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Bisoprolol Side Effects

The most commonly reported side effects of bisoprolol include dyspnoea, acute kidney injury, and fatigue, based on 142,700 FDA adverse event reports from 2004 to 2025. 3.3% of reports found the drug to be ineffective.

Bisoprolol side effects

Percentages show how often each reaction appears relative to total reports for bisoprolol.

1
Dyspnoea6.2%8,852
2
Acute Kidney Injury5.3%7,494
3
Fatigue4.8%6,910
4
Diarrhoea4.4%6,274
5
Nausea4.3%6,099
6
Dizziness4.2%5,941
7
Off Label Use3.9%5,581
8
Drug Interaction3.8%5,405
9
Hypotension3.7%5,299
10
Fall3.6%5,173
11
Vomiting3.3%4,734
12
Asthenia3.3%4,702
13
Drug Ineffective3.3%4,659
14
Malaise3.2%4,623
15
Headache3.0%4,307

These are voluntary reports and do not establish that bisoprolol caused these reactions.

Report severity

95.8%Serious136,760 reports
55.2%Hospitalizations78,796 reports
10.8%Fatal15,435 reports

Seriousness is determined by the reporter, not by OpenClaim.

Bisoprolol drug interactions

Other drugs that appear in adverse event reports alongside bisoprolol. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Furosemide5.7%8,168
2
Ramipril4.9%7,010
3
Atorvastatin-calcium4.7%6,758
4
Aspirin4.6%6,572
5
Apixaban4.6%6,568
6
Metformin4.1%5,901
7
Amlodipine3.6%5,097
8
Rivaroxaban3.2%4,571
9
Valsartan3.1%4,481
10
Pantoprazole-sodium2.7%3,884
11
Omeprazole2.7%3,841
12
Hydrochlorothiazide2.7%3,830
13
Spironolactone2.6%3,739
14
Gemfibrozil2.6%3,663
15
Amiodarone-hydrochloride2.5%3,532

Taken alongside

1
Aspirin19.0%27,153
2
Atorvastatin-calcium16.9%24,126
3
Furosemide16.3%23,307
4
Ramipril11.9%17,046
5
Pantoprazole-sodium11.3%16,080
6
Acetaminophen10.8%15,445
7
Amlodipine10.7%15,199
8
Omeprazole10.1%14,427
9
Metformin9.5%13,537
10
Levothyroxine-sodium9.1%13,040
11
Simvastatin7.8%11,155
12
Lansoprazole7.3%10,426
13
Allopurinol7.1%10,087
14
Hydrochlorothiazide6.8%9,727
15
Spironolactone6.3%9,030

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports bisoprolol side effects

44.8% of bisoprolol adverse event reports involve female patients and 46.8% involve male patients. The largest age group is elderly at 69%. These figures reflect who reports side effects, not underlying risk.

Sex

Female44.8%
Male46.8%
Unknown8.4%

Age group

< 20.4%
2–110.1%
12–170.2%
18–6430.1%
65+69.1%

What is bisoprolol used for

Conditions and purposes for which patients were taking bisoprolol when the adverse event was reported.

Abdominal Pain UpperAccidental ExposureAccidental Exposure To ProductAccidental Exposure To Product By ChildAccidental OverdoseAcute Coronary SyndromeAcute Myeloid LeukaemiaAcute Myocardial InfarctionAcute Pulmonary OedemaAdjustment Disorder With Mixed Anxiety And Depressed MoodAdjuvant TherapyAdrenal Blockade TherapyAdverse EventAffective DisorderAggression

Showing 15 of 980 indications

Bisoprolol brand names and reporting trend

Bisoprolol is sold under the brand name Ziac.

Brand names

Ziac551

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking bisoprolol with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.