Minor
Bisoprolol × Paracetamol
Selective beta-adrenergic blockers×Anilides. Analgesics and antipyretics
Mechanism
Paracetamol and bisoprolol are metabolised by different pathways. No direct pharmacokinetic interaction.
Symptoms
The combination usually causes no specific symptoms. Each drug's individual side effects remain.
Management
No dose adjustment needed. Paracetamol remains the analgesic of choice in patients on bisoprolol.