Reported Reactions

Drugs › beta-Adrenergic blocker

Generic name

Bisoprolol fumarate: adverse event reports filed with FDA

8,292 reports list it as a suspect or interacting product, 2004–2026. Class: beta-Adrenergic blocker. Also reported as Bisoprolol Fumarate Tablets, Bisoprolol Fumarate Tablets Usp, Bisoprolol Fumarate Tablet.

8,292
reports as suspect product
0% of all reports · about 369 a year
546
reports, 12 months to June 2026
663 in the 12 months before
98.2%
marked serious by the reporter
78.7% across the class
11.5%
record death among outcomes, as reported
950 reports · not verified by FDA

8,292 adverse event reports received by FDA list bisoprolol fumarate, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 26,949 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 546 reports listed it, down 18% from 663 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 369 reports a year and 0% of the 20,646,523 reports in the database, and 5.6% of the reports for the beta-Adrenergic blocker class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded dyspnoea (12.7%), fatigue (11.2%) and dizziness (10.6%). A report can list several reactions, so shares add to more than 100%; 1,488 different terms appear across these reports. Dyspnoea is recorded in 12.7% of these reports, a larger share than in the median beta-Adrenergic blocker drug (5.8%).

98.2% of the reports are marked serious by the reporter (78.7% across the class); 11.5% record death among the outcomes and 53.2% record hospitalisation, as reported. 35.2% of the reports came from other health professionals, and the largest patient age group is 75 and over (34.2%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

094188Jul 2021: 56Aug 2021: 46Sep 2021: 68Oct 2021: 93Nov 2021: 93Dec 2021: 712022Jan 2022: 37Feb 2022: 59Mar 2022: 108Apr 2022: 81May 2022: 67Jun 2022: 94Jul 2022: 47Aug 2022: 64Sep 2022: 70Oct 2022: 69Nov 2022: 57Dec 2022: 542023Jan 2023: 41Feb 2023: 54Mar 2023: 47Apr 2023: 188May 2023: 113Jun 2023: 78Jul 2023: 64Aug 2023: 92Sep 2023: 94Oct 2023: 61Nov 2023: 46Dec 2023: 712024Jan 2024: 43Feb 2024: 81Mar 2024: 73Apr 2024: 50May 2024: 44Jun 2024: 48Jul 2024: 70Aug 2024: 61Sep 2024: 73Oct 2024: 50Nov 2024: 39Dec 2024: 562025Jan 2025: 54Feb 2025: 51Mar 2025: 68Apr 2025: 41May 2025: 57Jun 2025: 43Jul 2025: 64Aug 2025: 44Sep 2025: 39Oct 2025: 41Nov 2025: 30Dec 2025: 682026Jan 2026: 44Feb 2026: 31Mar 2026: 43Apr 2026: 19May 2026: 61Jun 2026: 62

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

04759492004: 10020042005: 832006: 902007: 11520072008: 1992009: 1452010: 11420102011: 2642012: 3522013: 10420132014: 1142015: 1682016: 18920162017: 2552018: 6462019: 68920192020: 6152021: 7462022: 80720222023: 9492024: 6882025: 60020252026: 260

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Bisoprolol fumarate reports recording the termmedian drug in beta-adrenergic blocker

  1. Dyspnoeashortness of breath12.7%1,049
  2. Fatiguetiredness11.2%931
  3. Dizzinesslight-headedness or unsteadiness10.6%882
  4. Malaisegeneral feeling of being unwell10.2%844
  5. Nauseafeeling sick9.6%797
  6. Vomitingbeing sick9.1%753
  7. Hypotensionlow blood pressure8.7%725
  8. Diarrhoealoose or frequent stools8.3%686
  9. Falla fall8%666
  10. Headachehead pain7.8%650
  11. Pruritusitching7.7%636
  12. Bradycardiaslow heart rate7.6%633
  13. Arthralgiajoint pain7.2%594
  14. Tachycardiafast heart rate7.1%592
  15. Pyrexiafever6.8%563
  16. Drug interactionan interaction between medicines6.6%550
  17. Insomniadifficulty sleeping6.6%550
  18. Off label useused for a purpose or in a way not on the label6.6%548
  19. Blindnessloss of sight6%498
  20. Syncopefainting5.9%493
  21. Tinnitusringing in the ears5.9%486
  22. Abdominal pain upperupper stomach pain5.8%480
  23. Astheniaweakness or lack of energy5.7%474
  24. Chest painchest pain5.7%470
  25. Diplopiadouble vision5.6%465
  26. Myocardial infarctionheart attack5.3%437
  27. Drug ineffectivethe medicine did not work as expected5.2%434
  28. Dehydrationdehydration5.2%428
  29. Painpain, site not specified5.2%428
  30. Anxietyanxiety5.1%427

Top 30 of 1,488 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 22 drugs in the beta-adrenergic blocker class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death11.5%950
Life-threatening10.6%875
Hospitalisation (initial or prolonged)53.2%4,410
Disability5%417
Congenital anomaly0.7%62
Other serious59.5%4,932
Not serious1.8%151

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 148,208 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.4%30
2 to 110.2%20
12 to 170.2%20
18 to 444.1%341
45 to 6420.3%1,687
65 to 7420.9%1,729
75 and over34.2%2,835
Age not given19.7%1,630

Patient sex

Female43.2%3,578
Male45%3,732
Not given11.8%982

Who reported

Physician32.3%2,681
Pharmacist11.9%984
Other health professional35.2%2,921
Lawyer0%2
Consumer or non-health professional15%1,246
Not given5.5%458

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hypertension1,78221.5%
Atrial fibrillation4034.9%
Cardiac failure3774.5%
Cerebrovascular accident prophylaxis2943.5%
Myocardial ischaemia1401.7%
Arrhythmia520.6%

The indication field is filled in by the reporter and is often blank; shares are of all 8,292 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Bisoprolol fumarate reports
Furosemide1,61019.4%
Ramipril1,38116.7%
Aspirin1,30715.8%
Simvastatin1,00312.1%
Atorvastatin96411.6%
Hydrochlorothiazide8239.9%
Lansoprazole8239.9%
Pantoprazole7559.1%
Bisoprolol6708.1%
Acetaminophen6678%

Other products listed in reports where Bisoprolol fumarate is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureBisoprolol fumaratebeta-Adrenergic blockerAll reports
Reports as suspect product8,292148,20820,646,523
Share of that pool—5.6%0%
Reports, latest 12 months546—1,332,454
Marked serious98.2%78.7%57.4%
Death recorded among outcomes, per 1,000 reports11513191
Hospitalisation recorded, per 1,000 reports532387213
Consumer-filed share15%26.8%45.8%
Top term, share of reportsDyspnoea 12.7%median 5.8%2.7%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the beta-adrenergic blocker class

DrugName typeReportsLatest 12 monthsMarked serious
Metoprololgeneric27,4101,52088.2%
Bisoprololbrand22,8811,45499.1%
Atenololgeneric17,02244484.9%
Propranololgeneric13,7331,17787.1%
Metoprolol succinategeneric10,41666465.4%
Metoprolol tartrategeneric9,10355772.4%
Propranolol hydrochloridegeneric6,10248471.9%
Timololgeneric4,8189720.7%
Hemangeolbrand4,3834415.4%
Nebivololgeneric4,21138693.9%
Toprol Xlbrand3,3413544.5%
Labetalolgeneric2,96019288.7%
Bystolicbrand2,8412131.1%
Timolol maleategeneric2,74312029.9%
Tenorminbrand1,7861480.2%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Bisoprolol fumarate reports

How many adverse event reports has FDA received for Bisoprolol fumarate?

8,292 reports list Bisoprolol fumarate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 546 of them arrived in the latest 12 months. Another 26,949 list it only as a concomitant medication.

What reactions are recorded in Bisoprolol fumarate reports?

dyspnoea (12.7%), fatigue (11.2%), dizziness (10.6%), malaise (10.2%) and nausea (9.6%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Bisoprolol fumarate was responsible.

How serious are the reports?

98.2% are marked serious by the reporter. Among the outcomes recorded, 11.5% of reports include death and 53.2% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (35.2%), physician (32.3%) and consumer or non-health professional (15%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Bisoprolol fumarate rising?

546 reports in the 12 months to June 2026, down 18% from 663 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Bisoprolol fumarate was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Bisoprolol fumarate?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Bisoprolol fumarate as a suspect or interacting product; reports listing it only as a concomitant medication (26,949) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.