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This is Dr. David
I would see your doctor and get your blood pressure checked before changing your dose.
bisoprolol can cause fatigue
but guidiness and disturbed sight are usual side effects and need to be evaluted by a doctor and full examination.
you need blood work and eye examination and possibly a brain scan as well.
Why a brain scan ?
because of your personality change
and visual changes
you said you had more giddiness and disturbed sight.
do you have a history of mental illness or visual changes before?
do you have a GP doctor you can see about this?
do you have a GP doctor?
what has your blood pressure been?
have you been checking your blood pressure?
this a.m was 120 over65
that is a good blood pressure.
what is the heart rate?
that is ok, a bit low, but might be normal for you.
I take Candesartan as well
yes. this is for BP.
it seems like your BP is well controlled.
Final question, does it make a difference to my energy levels if I take the dose at a different time of day, perhaps before going to bed ?
beta blockers like bisoprporol are best taken at bed time.
that way, if it causes fatigue, then it affects you less.
I hope this helps
best of luck to you
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I am Doctor Thomas, double board certified US doctor in internal medicine and integrative medicine. I am a clinician of over 20 years experience. I will start by asking you a question or by giving you an answer based on your information provided so far. I will be here to follow up with any further questions or concerns you might have.
You need immediate evaluation and EKG. Today.
This type of medication can cause a heart block or even intermittent heart block if you have developed this.
It can account for your symptoms, but can also cause serious difficulty.Don't wait.
See your doctor in the office, have an EKG, or go to urgent care and discuss this and have an EKG.
Use reply to let me know if you have further questions. [click reply to expert].
Please to not forget a positive rating.