the Side Effects of Kankin for Heart Valve Repair Patients

Side effects of Kankun?

Hello Dr.
He: Three years ago, I experienced a rupture of the chordae tendineae of my mitral valve and underwent minimally invasive surgical repair (not replacement).
Since the repair could not restore full function, I need to take 1.25 mg of Concor (Bisoprolol) daily (with a follow-up every three months for medication refills).
Over the past year, I have gradually experienced symptoms such as dizziness, excessive sleepiness, fatigue, depression, irritability, and a lack of sexual desire, which have severely impacted my work and daily life.
During my follow-up visits, I mentioned these issues to my doctor, but he only told me that this medication is very important for me and that I should continue taking it, with no other interventions suggested.
What should I do? Recently, I feel that my symptoms are worsening, and I have lost all motivation.
Thank you.

Jason, 50~59 year old female. Ask Date: 2015/10/08

Dr. He Dongjin reply Cardiology

Hello, it is recommended to first consult a psychiatrist.
Adjusting medication is certainly possible due to side effects, but there could also be other reasons.
The dosage of Kang Ken 1.25 mg is very low, and I suspect there may be underlying psychiatric issues.
Changhua Hospital cares about your well-being.

Reply Date: 2015/10/08

More Info

Understanding the side effects of Kankin (Concor) for patients who have undergone heart valve repair is crucial, especially when these side effects significantly impact daily life. Kankin, which contains bisoprolol, is a beta-blocker commonly prescribed for various cardiovascular conditions, including heart valve issues, to help manage heart rate and reduce the workload on the heart. However, like all medications, it can have side effects that may affect a patient's quality of life.

In your case, you have reported experiencing dizziness, excessive sleepiness, fatigue, depression, irritability, and a lack of sexual desire after taking Kankin for an extended period. These symptoms can indeed be distressing and may lead to a decreased quality of life, affecting both personal and professional aspects of your life. It is important to recognize that while Kankin is beneficial for managing your heart condition, the side effects you are experiencing may warrant further evaluation and management.

Firstly, it is essential to have an open dialogue with your healthcare provider about the side effects you are experiencing. Although your doctor has emphasized the importance of continuing Kankin, it is crucial to discuss the severity of your symptoms and how they are affecting your daily life. Sometimes, healthcare providers may not fully understand the extent of a patient's side effects unless they are explicitly communicated. You may want to consider asking your doctor about the possibility of adjusting the dosage or switching to a different medication that may have a more favorable side effect profile for you.

In addition to discussing medication adjustments, it may also be beneficial to explore other therapeutic options. For instance, if depression and anxiety are significant components of your symptoms, a referral to a mental health professional could be advantageous. Cognitive-behavioral therapy (CBT) or other forms of counseling can help address these emotional challenges and improve your overall well-being. Furthermore, lifestyle modifications, such as regular exercise, a balanced diet, and stress management techniques, can also play a vital role in managing both physical and emotional symptoms.

Moreover, it is essential to monitor your symptoms closely. Keeping a diary of your symptoms, including their frequency and intensity, can provide valuable information to your healthcare provider. This documentation can help in making informed decisions about your treatment plan.

If you feel that your concerns are not being adequately addressed by your current physician, seeking a second opinion from another cardiologist or a specialist in heart valve disorders may provide you with additional insights and treatment options. It is your right as a patient to seek care that aligns with your needs and preferences.

In summary, while Kankin is an important medication for managing your heart condition, the side effects you are experiencing are significant and warrant further discussion with your healthcare provider. Exploring medication adjustments, seeking mental health support, and implementing lifestyle changes can all contribute to improving your quality of life. Remember, you are an active participant in your healthcare journey, and advocating for your needs is essential.

Similar Q&A

Understanding the Side Effects of Kanken 1.25: What You Need to Know

Hello, pharmacist. I apologize for the interruption. I previously sought medical attention due to heart discomfort. After undergoing an exercise electrocardiogram, which showed some signs of hypoxia at the 9-minute mark, my doctor prescribed Aspirin and Concor 1.25 for about a mo...

Dr. Liao Huiling reply Pharmacology
1. The side effects of medications you found may not occur in every user. Complete drug information serves as a reminder to be cautious, but please don't worry too much. 2. Regarding the symptoms you mentioned, it is difficult to determine whether they are caused by heart di...

Managing Medication Side Effects: Tremors and Heart Rate Concerns

Hello, Doctor: I am currently taking psychiatric medications (lithium, SSRIs, and other mood stabilizers). The side effects of lithium have caused hand tremors, which are exacerbated by the interaction between Lexapro and lithium, leading to increased tremors and body shaking. Th...

Dr. Wu Xueming reply Cardiology
A heart rate maintained between 60 to 100 beats per minute is considered acceptable. For other concerns, it is advisable to consult a psychiatrist.

Is Concan Safe for Arrhythmia Patients with a History of Bronchiectasis?

Hello, Director: I would like to ask if the medication Kankin is suitable for a patient with a 30-year history of bronchiectasis and arrhythmia. I have been taking this medication for 2 years due to my arrhythmia, but recently I often feel a sensation of tightness in my chest. I ...

Dr. He Dongjin reply Cardiology
Hello, Kang-Ken. This medication may potentially trigger asthma. Recently, I have been feeling a sensation of tightness in my chest, which could be due to weather factors or the medication. It might be a good idea to consult a physician about switching medications. Ping An Changh...

Post-Cold Heart Discomfort: When to Seek Medical Attention?

One day, I suddenly became extremely short of breath after only a few steps while walking. I had to squat down to feel more comfortable. After feeling a bit better, I stood up to walk again, but by the time I reached my destination, I was still so breathless that I could hardly s...

Dr. He Dongjin reply Cardiology
Hello, if you have a cold or upper respiratory infection, it may cause wheezing and chest tightness. You can start by observing your condition and taking Kankun 1.25 mg. If you still feel unwell, it is advisable to follow up at the outpatient clinic. Changhua Hospital cares about...