Prescription medication · Beta-1 Selective Blocker

bisoprolol

Also sold as Zebeta. Bisoprolol is used to treat high blood pressure.

Data updated 2026-05-15

61,731
FDA reports
$0.21
Generic price (NADAC)

bisoprolol (Zebeta) is a prescription Beta-1 Selective Blocker. Bisoprolol is used to treat high blood pressure.

Bisoprolol (Zebeta) is a medicine that lowers high blood pressure. It belongs to a class of drugs called beta-blockers.

Drug Pricing (NADAC)

Generic Price

$0.21/unit

Generic Available

Yes (18 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

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What it does

Bisoprolol is used to treat high blood pressure.

Common side effects

Headache, Fatigue, Dizziness

Key warnings

You should not take bisoprolol if you have cardiogenic shock, severe heart failure, a second or third-degree AV block, or a very slow heart rate.

The sections below are summarized in plain English from bisoprolol's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.

How It Works

Bisoprolol works by blocking the effects of certain natural chemicals in your body, such as adrenaline, on the heart and blood vessels. This helps to slow down your heart rate and relax your blood vessels, which lowers blood pressure. It mainly affects the heart.

Side Effects (from patient reports)

Based on 61,731 FDA adverse event reports.

Most-reported reactions

Adverse reactions in FAERS for bisoprolol, by number of reports

reports

What this shows Bars show how often each reaction was reported, not how likely it is to happen, a report records a temporal association, never proof that the drug caused it.

Source FDA Adverse Event Reporting System (FAERS)

Serious Warnings

You should not take bisoprolol if you have cardiogenic shock, severe heart failure, a second or third-degree AV block, or a very slow heart rate.

Common Questions

Can I stop taking bisoprolol suddenly?
No, do not stop taking bisoprolol suddenly without talking to your doctor. Stopping suddenly can cause serious heart problems.
Does bisoprolol interact with other medications?
Yes, bisoprolol can interact with other medications. Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
Can I drink alcohol while taking bisoprolol?
Talk to your doctor about drinking alcohol while taking bisoprolol. Alcohol can lower your blood pressure and may increase the side effects of bisoprolol.
What should I do if I feel dizzy while taking bisoprolol?
If you feel dizzy, sit or lie down until the dizziness passes. Avoid driving or operating machinery until you know how bisoprolol affects you.
How long does it take for bisoprolol to start working?
Bisoprolol starts working within a few hours, but it may take several weeks to see the full effect on your blood pressure.
Can bisoprolol cause weight gain?
Weight gain is not a common side effect of bisoprolol, but it can happen in some people. Talk to your doctor if you are concerned about weight gain.
Is bisoprolol a water pill?
No, bisoprolol is not a water pill (diuretic). It is a beta-blocker that works by slowing down your heart rate and relaxing your blood vessels.
Can bisoprolol cause erectile dysfunction?
Yes, erectile dysfunction is a possible side effect of bisoprolol, but it is not common.
What do I do if I have kidney problems?
If you have kidney problems, your doctor may start you on a lower dose of bisoprolol (2.5 mg).
What do I do if I have liver problems?
If you have liver problems, your doctor may start you on a lower dose of bisoprolol (2.5 mg).
What are the common side effects of bisoprolol?
The registry lists Headache, Fatigue, Dizziness, Diarrhea, Nausea among the most-reported FAERS reaction terms for bisoprolol. The compiled record contains 61,731 FDA adverse-event reports. These counts are not an individual symptom assessment.
What drug class is bisoprolol?
bisoprolol belongs to the Beta-1 Selective Blocker drug class. It requires a prescription (Rx). Bisoprolol is used to treat high blood pressure.
What pregnancy or breastfeeding source fields are listed for bisoprolol?
The FDA label for bisoprolol contains product-specific pregnancy or breastfeeding language. PlainMeds does not apply that source text to an individual.

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What the FDA Data Shows for bisoprolol

The FDA label for bisoprolol (sold under brand names such as Zebeta) classifies it as a prescription-only medication in the Beta-1 Selective Blocker class. Bisoprolol is used to treat high blood pressure. Official labeling lists 7 commonly reported side effects, including Headache, Fatigue, Dizziness.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 61,731 voluntary reports. Interaction data is drawn directly from FDA-approved prescribing information. NADAC pricing from CMS shows a generic unit cost of $0.21.

Report counts do not establish causation, a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information are separate source-record fields. This page is a public FDA/CMS registry and does not provide medical, treatment, substitution, or medication-change directions.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. This registry does not provide medication decisions.

Last updated: June 26, 2023

PlainMeds is rendered directly from FDA openFDA/FAERS extracts, DailyMed labels, and CMS drug-pricing files, no number is typed in by an editor. FAERS counts, recalls, shortages, and price figures on this page are queried live from those federal extracts. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026-05-15. Primary sources: openFDA / FAERS, DailyMed and CMS Part B ASP.

Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled from the source snapshot dated . See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a data issue.

All federal data sources used on this page