If you are pregnant or breastfeeding, you should avoid taking BISOPROLOL. If you are allergic to Bisoprolol or any other ingredients in this medicine, do not take it. BISOPROLOL is not recommended for people who have severe asthma or chronic lung disease, as well as those who have a slow or irregular heart rate, very low blood pressure, severe blood circulation problems, heart failure, cardiogenic shock, metabolic acidosis (excess acid in the blood), untreated phaeochromocytoma, and a rare adrenal gland tumour (medulla). BISOPROLOL may cause tiredness, drowsiness, or dizziness. Do not operate vehicles or machines if you have any of these symptoms. BISOPROLOL is not recommended for children. Before taking BISOPROLOL, inform your doctor about your medical history and all medications you are currently taking to rule out any potential side effects and interactions.

Drug-Drug Interactions: BISOPROLOL may interact with medicines for controlling the blood pressure or medicines for heart problems (amiodarone, amlodipine, diltiazem, verapamil), anti-depression medications (imipramine, amitriptyline), medicines to treat mental illness (levomepromazine), anti-epileptic drugs (phenobarbital), certain pain killers (acetylsalicylic acid, diclofenac, ibuprofen, naproxen), anti-malarial medication (mefloquine), certain medicines to treat clinical shock (adrenaline, dobutamine, noradrenaline), certain antibiotics (rifampicin).

Drug-Food Interactions: Limit the consumption of alcohol.

Drug-Disease Interactions: BISOPROLOL may interact with disease conditions, including bradyarrhythmia/AV block, cardiogenic shock/hypotension, CHF (Congestive Heart Failure), diabetes, hemodialysis, hypersensitivity, ischemic heart disease, PVD (Peripheral Arterial Disease) and renal/liver disease.

• Limit consumption of excess sodium and sugary drinks.
• Keep your weight under control with a BMI of 19.5-24.9.
• Quitting smoking is the best strategy to lower the risk of heart disease. 
• Make a habit of regular exercising for at least 1-2 hours a day, or at least one should walk for about half an hour for good health.
• Avoid chronic stress, as it can raise your blood pressure.
• Try to include heart-healthy omega-3 fatty acids-containing food in your daily diet. 
• Limiting salt intake and including high fhigh-fiber in the diet is best.

• Regularly monitor blood pressure levels to prevent hypotension (low blood pressure).
• Get up slowly while rising from a lying or sitting position as BISOPROLOL may cause dizziness.
• Do not skip any doses or stop taking BISOPROLOL without consulting your doctor. Quitting BISOPROLOL on your own may raise the blood pressure and increase heart attack chances.