Evigrade
Moderate

Bisoprolol × Calcium carbonate

Selective beta-adrenergic blockers×Mineral supplements. Calcium

Mechanism

Calcium carbonate may reduce bisoprolol GI absorption when taken simultaneously. The effect is weak and clinically minor.

Symptoms

Minimal changes. In some patients, mild return of hypertension or angina symptoms with prolonged concurrent use.

Management

Separate bisoprolol and calcium carbonate by 2 hours. Most patients require no special adjustment.

Sources

All interactions

Bisoprolol and Calcium carbonate: interaction, management, sources – Evigrade