Does Bisoprolol Fumarate cause weight gain? (5+ management tips)

This article will answer a common question about Bisoprolol Fumarate: “Does Bisoprolol Fumarate cause weight gain?” We will also discuss what research studies indicate about Bisoprolol Fumarate-associated weight gain and how to effectively lose weight while taking Bisoprolol Fumarate.

Does Bisoprolol Fumarate cause weight gain?

Yes, Bisoprolol Fumarate does cause weight gain. Weight gain is one of the many side effects of Bisoprolol Fumarate and other commonly prescribed beta blockers. However, the weight gain associated with Bisoprolol Fumarate and other beta-blockers might only occur during the first few months of the therapy.

Bisprolol Fumarate is a cardio-selective beta-blocker commonly used in the treatment of hypertension and other cardiovascular conditions, including congestive heart failure (CHF), atrial fibrillation, and coronary artery disease (CAD) (1).

What does research suggest?

There is limited data indicating a direct link between Bisoprolol Fumarate and weight gain. However, several studies have discussed the weight gain associated with beta-blockers, in general – including atenolol, metoprolol, and propranolol.

According to a 2001 study, beta-blockers, in addition to their adverse metabolic effects, also cause weight gain. The study involves eight randomized controlled trials lasting over six months (2).

At the end of the study, it was observed that the body weight of beta-blocker patients was higher than that of the control group. Patients taking beta-blockers experience an average weight gain of 1.2 kg, primarily occurring within the first year of therapy (2).

Patient demographics do not appear to impact the weight gain caused by beta-blockers; therefore, it was concluded that all the patients taking beta-blockers are susceptible to weight gain (2).

How does Bisoprolol Fumarate cause weight gain?

The potential mechanisms behind the weight gain associated with beta-blockers such as Bisoprolol Fumarate are listed below:

  • Beta-blockers cause a reduction in total energy expenditure by 4-9%. This change in energy metabolism leads to weight gain in individuals taking Bisoprolol Fumarate and other beta-blockers for hypertension and other cardiovascular conditions (2).
  • A recent study concluded that, compared to other anti-hypertensive agents, beta-blockers reduce the basal metabolic rate by up to 12% in obese hypertensive patients (2).
  • While prescribing beta-blockers to hypertensive patients who are physically active, the healthcare provider should consider that they have a negative effect on the maximal and submaximal exercise capacity (2).

It has been observed that all these effects of beta-blockers decrease the total energy expenditure by 5-10%. This reduction can lead to a 1-3.5 kg weight gain in individuals taking beta-blockers (2).

Is it difficult to lose weight while taking Bisoprolol Fumarate?

Your ability to lose weight depends on the depletion of fat stored in the body. However, this might not be easy if you are taking Bisoprolol Fumarate or other beta-blockers.

Beta-blockers reduce total energy expenditure and inhibit lipolysis in response to adrenergic stimulation, making it difficult for individuals to lose weight (2).

Obese patients are at a higher risk of developing cardiovascular diseases. Beta-blockers can lead to additional fat accumulation when prescribed to such patients (2).

Bisoprolol Fumarate and other beta blockers interfere with carbohydrate and lipid metabolism, increasing triglyceride levels and reducing HDL cholesterol levels- common characteristics in obese patients. As a result, beta-blockers may negatively affect obese hypertensive patients (2).

How can you lose weight while taking Bisoprolol Fumarate?

If you have noticed a sudden change in your weight while taking Bisoprolol Fumarate, then you must discuss it with your healthcare provider. He will discontinue the drug or switch you to another beta-blocker with fewer side effects.

However, if, for some reason, you have to continue your Bisoprolol Fumarate therapy, then it is recommended that you follow a healthy lifestyle regime to prevent yourself from gaining weight.

As per NIH guidelines, the following tips can help you lose weight effectively:

  • Limit your portion size to effectively manage your daily calorie intake (3).
  • To lose weight, you have to be more physically active. As per CDC guidelines, adults need 30 minutes of physical activity at least five days a week (3,4).
  • Choose nutrient-rich foods such as vegetables, fruits, fish, legumes, nuts, etc. over high-calorie foods (3).
  • Drink at least eight glasses of water daily to keep yourself hydrated and avoid sugary beverages like alcohol and soda (3).
  • Prioritize your sleep. Sleep 7-8 hours every night to avoid weight gain due to poor sleep habits (3).
  • Keep a diary to record your daily calorie intake and physical activity to help you stay on track (3).

Conclusion

In this article, we have discussed the question, “Does Bisoprolol Fumarate cause weight gain?” We have also discussed what research studies indicate about Bisoprolol Fumarate-associated weight gain and how to effectively lose weight while taking Bisoprolol Fumarate.

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References

1.-

Bazroon AA, Alrashidi NF. Bisoprolol. [Updated 2023 Aug 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.

https://www.ncbi.nlm.nih.gov/books/NBK551623/

 

 

2.-

Sharma AM, Pischon T, Hardt S, Kunz I, Luft FC. Hypothesis: β-adrenergic receptor blockers and weight gain: a systematic analysis. Hypertension. 2001 Feb;37(2):250-4.

https://www.ahajournals.org/doi/10.1161/01.hyp.37.2.250?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed#d1e206

4.-

Achieve Your Weight Goals. (2023, August 8). Centers for Disease Control and Prevention.

https://www.cdc.gov/healthyweight/calories/index.html