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Most don’t get heart blocks with beta blockers. So the choice of medication depends on indication for it. All the best. J G S R clinic

Hello, I am Dr. Romain Rajan, General Physician, and your case has been allotted to me. Short, clear answer: Between Propranolol 20 mg and Concor (Bisoprolol) 1.25 mg, Concor 1.25 mg is safer for long-term use and has a lower risk of causing first- or second-degree heart block, when used at low dose and with monitoring. Why Concor is safer • Bisoprolol (Concor) is β1-selective → acts mainly on the heart • Less effect on AV node conduction at low doses (1.25 mg) • Preferred for chronic use in BP, palpitations, anxiety-related tachycardia, and heart protection Why Propranolol is less preferred long term • Non-selective beta-blocker (β1 + β2) • More effect on heart rate and AV node • Higher chance of bradycardia and conduction slowing with prolonged use Important clarification • Any beta-blocker, if overdosed or used in predisposed patients, can cause heart block • Risk is higher with: • Existing conduction defects • Very low resting heart rate • Electrolyte imbalance • Combination with other rate-slowing drugs Practical advice • For use >6 months, Concor 1.25 mg is generally safer • Get a baseline ECG and periodic monitoring • Do not stop beta-blockers suddenly Consult immediately if dizziness, fainting, extreme fatigue, or pulse

Required some other history of patient so you can contact me directly on PRACTO

Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Beta blockers have the adverse effect of causing bradycardia. It should be taken with proper indication. The underlying condition implies the better beta blocker of choice

Concor is more preferred drug usually. But, final decision requires complete knowledge about the reason for taking this medicine, other associated symptoms, etc.

Concor is the preferred cardio protective.Neither of them cause heart block,but are contraindicated in bradycardia, 2nd or 3rd degree heart block

If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion

If choosing between the two, Concor (bisoprolol) 1.25 mg is generally safer than propranolol 20 mg, but regular ECG monitoring is essential.

All meds are safe as per their indication. Wat is urs? Kindly consult with me on 94 two six eight six 78 nine six for proper guidance.

Avoid fried and spicy food Water intake more Do connect and consult

Please consult

Consult online Need proper history and evaluation for further management

Concor is cardio protective

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Concor

Need a few more details please consult for further evaluation and treatment

Why are you using beta blockers ?

Concor