Hypertension: Usual Starting Dose: 5 mg once daily. The dose of Bisoprolol must be individualized to the needs of the patient. In some patients, 2.5 mg maybe an appropriate starting dose. If the antihypertensive effect of 5 mg is inadequate, the dose may be increased to 10 mg and then, if necessary, to 20 mg once daily.
Angina: Usual Dose: 10 mg once daily (5 mg may be adequate in some patients). Maximum Dose: 20 mg daily.
Heart Failure: Initially, 1.25 mg once daily (in the morning) for 1 week then, if well tolerated, increased to 2.5 mg once daily for 1 week, then 3.75 mg once daily for 1 week, then 5 mg once daily for 4 weeks, then 7.5 mg once daily for 4 weeks, then 10 mg once daily. Maximum Dose: 10 mg daily.