This drug should be used under physician's prescription only.
For the management of hypertension in adults, the usual initial dosage of bisoprolol is 2.5-5 mg once daily. In patients whose blood pressure is not controlled adequately with the initial dosage, the dosage can be increased gradually as tolerated up to a maximum of 20 mg daily. For patients who received an initial dosage of 5 mg once daily, the dosage may be increased to 10 mg once daily and if needed to 20 mg once daily.
Modification of bisoprolol dosage generally is not necessary in geriatric patients with normal renal and hepatic function. The usual oral dose of bisoprolol in stable angina pectoris is 10 mg once daily with a maximum recommended dose of 20 mg/day. In some patients 5 mg/day may be adequate. Dosage adjustment of the drug is not normally required for elderly patients. However in patients with severely impaired renal function G.F.R < 20 > 5 ml/min and/or patients with advanced hepatic insufficiency, the daily dose of bisoprolol should not exceed 10 mg.