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What the FDA labels say about taking them together

Bisoprolol and diltiazem

Bisoprolol's FDA label of March 11, 2026 names diltiazem in its drug interactions section; diltiazem's label does not name bisoprolol itself but warns about its class (Beta blockers).

Check it at the source: the bisoprolol FDA label on DailyMed (effective March 11, 2026, Micro Labs Limited); the diltiazem FDA label on DailyMed (effective August 7, 2026, Bausch Health US, LLC).

What does the bisoprolol label say about diltiazem?

Bisoprolol label, drug interactions

Bisoprolol fumarate should be used with care when myocardial depressants or inhibitors of AV conduction, such as certain calcium antagonists (particularly of the phenylalkylamine [verapamil] and benzothiazepine [diltiazem] classes), or antiarrhythmic agents, such as disopyramide, are used concurrently.

Source: FDA drug label (Bisoprolol), Micro Labs Limited, effective March 11, 2026 (SPL set c3ee566c-74c4-45f4-a947-526a7313e326), via openFDA; the full label on DailyMed

What does the diltiazem label say about bisoprolol?

Diltiazem's label does not name bisoprolol itself; it warns about its class (Beta blockers):

Diltiazem label, drug interactions

Beta-blockers, digitalis, and other agents known to impair cardiac contractility and conduction may increase risk for hypotension, bradycardia, and heart failure.

Diltiazem label, drug interactions

Pharmacologic studies indicate that there may be additive effects in prolonging AV conduction when using beta-blockers or digitalis concomitantly with Tiazac (see WARNINGS ).

Source: FDA drug label (TIAZAC EXTENDED RELEASE), Bausch Health US, LLC, effective August 7, 2026 (SPL set c567fe7e-887e-4291-a0d1-2dd3f25cbf25), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

24Bisoprolol generic labelers
50Diltiazem generic labelers
BisoprololDiltiazem
Labeled forHigh blood pressureHigh blood pressure, Angina, Atrial fibrillation
Boxed warningNoNo
Pharmacy cost (NADAC)$0.114 per tablet 5 mg tablet$0.144 per capsule 24h ER(cd) 120 mg capsule
Shortage nowNo current entryA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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