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Department

Toxicology

Preferred Sample Type

Bisoprolol

Suitable Specimen Types

  • Serum
  • EDTA Plasma
  • Li Hep Plasma
A minimum of 500 µl of plasma/serum is required.

Specimen Transport

First class post

Sample Processing in Laboratory

Place sample in toxicology rack.

Sample Preparation

None required

Turnaround Time

3 days.

Sample Stability

Keep refrigerated. 4 degrees.

Bisoprolol

General Information

Bisoprolol is a synthetic beta-adrenergic blocking agent that has been used clinically since 1984 for the treatment of hypertension. It is available as the hemifumurate salt in 2.5 - 10 mg tablets for oral administration, occasionally in combination with hydrochlorothiazide. The usual adult dose is 5 - 10 mg daily.

Side effects during bisoprolol therapy include nausea, vomiting, diarrhoea, weakness and fatigue. Several patients survived acute overdosage with up to 2000 mg of the drug after experiencing bradycardia and/or hypotension. 

Patient Preparation

For TDM, sample should be taken prior to dose. If toxicity is suspected, take sample at earliest opportunity

Notes

Bisoprolol measured by HPLC-DAD.

Please note this assay is not currently UKAS accredited

Reference Range

Therapeutic range: 0.01 - 0.1 mg/L. (Schulz et al. Critical Care 2012, 16:R136).

Specifications

  • EQA Scheme?: Yes
  • EQA Status: LGC QUARTZ, LGC CLIN TOX