Drug interactions
Bisoprolol + Telmisartan
Severity: Moderate
Bisoprolol and Telmisartan: moderate interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
The combination lowers blood pressure additively, which may be intended but can cause symptomatic hypotension. Telmisartan can increase potassium, while the beta-blocker contributes only slightly. Telmisartan is fetotoxic in pregnancy.
What this interaction means in plain words
Bisoprolol and Telmisartan can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Bisoprolol belongs to Cardiovascular; Telmisartan belongs to Cardiovascular.
Why it happens
Additive antihypertensive effects from angiotensin receptor blockade and beta-blockade; ARB-related reduction in aldosterone can raise potassium.
What to do
Monitor blood pressure, potassium and renal function when starting or adjusting therapy. Avoid in pregnancy.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Bisoprolol
Other interactions of Telmisartan
- Aliskiren + Telmisartan Contraindicated
- Sparsentan + Telmisartan Contraindicated
- Amifostine + Telmisartan Major
- Amiloride + Telmisartan Major
- Amlodipine-benazepril + Telmisartan Major
- Amlodipine-hydrochlorothiazide-valsartan + Telmisartan Major
Frequently asked questions
Can I take Bisoprolol with Telmisartan?
MediHelp rates the interaction as moderate. Bisoprolol and Telmisartan can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. The combination lowers blood pressure additively, which may be intended but can cause symptomatic hypotension. Telmisartan can increase potassium, while the beta-blocker contributes only slightly. Telmisartan is fetotoxic in pregnancy.
How serious is the interaction between Bisoprolol and Telmisartan?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure, potassium and renal function when starting or adjusting therapy. Avoid in pregnancy.
What other medicines interact with Bisoprolol?
MediHelp also lists interactions of Bisoprolol with, for example, Aldesleukin, Amifostine, Amiodarone. The full list is on the Bisoprolol page.
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