Can I take Bisoprolol and Empagliflozin together?

Varför detta händer

Both medicines can lower blood pressure: bisoprolol slows the heart rate, while empagliflozin acts as a diuretic (water pill) which reduces fluid in the body. Furthermore, while empagliflozin lowers blood sugar, bisoprolol (a beta-blocker) can interfere with the body's natural response to low sugar and mask symptoms like palpitations.

You can usually take these medicines together, but you should monitor your blood pressure and blood sugar levels more closely, especially when starting or changing doses. Be aware that you might not feel the usual 'racing heart' if your sugar drops, so look out for other signs like sweating or hunger. If you feel dizzy, lightheaded, or faint, contact your doctor.

Asthma or chronic obstructive pulmonary disease (COPD)

Bisoprolol can cause your airways to narrow, making it much harder to breathe or triggering a severe asthma attack. It is usually avoided if you have a history of wheezing or asthma.

Diabetes

Bisoprolol can mask the warning signs of low blood sugar (hypoglycaemia), such as a fast heartbeat or tremors. You will need to monitor your blood sugar more closely.

Diabetic ketoacidosis (DKA)

Empagliflozin can cause a serious condition called ketoacidosis even if your blood sugar levels appear normal. You must seek urgent medical help if you develop nausea, vomiting, stomach pain, or fruity-smelling breath.

Fournier's gangrene (necrotising fasciitis of the perineum) - empagliflozin

Seek immediate medical attention if you experience pain, tenderness, redness, or swelling in the genital or anal area, especially if accompanied by fever or a general feeling of being unwell.

Alkohol

Alcohol can increase the blood pressure-lowering effect of bisoprolol, which may make you feel dizzy, lightheaded, or faint, especially when you first start taking it or when your dose is increased. It is best to keep your alcohol intake within recommended limits and see how the medicine affects you before drinking.

Taking multiple medicines? Our Interaktionskontroll för läkemedel helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Ansvarsfriskrivning

Denna information är endast avsedd för allmän utbildning och bör inte användas som en ersättning för professionell medicinsk rådgivning. Rådfråga alltid din läkare, apotekare eller annan kvalificerad vårdpersonal innan du fattar beslut om dina mediciner. Individuella omständigheter kan variera, och endast en vårdpersonal som känner till din medicinska historia kan ge personlig vägledning.