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WebDrug-Drug Interactions: Protol-40 XR Tablet 10's may interact with other beta-blockers (acebutolol, atenolol, bisoprolol, carteolol, esmolol, metoprolol, nadolol, nebivolol or sotalol) causing a dangerous drop in the heart rate. Besides this, Protol-40 XR Tablet 10's should not be used with other blood pressure related medicines (lisinopril, enalapril, diltiazem, … WebSep 9, 2024 · Bisoprolol blocks the adrenalin stimulation of beta receptors found in the heart muscle cells and heart conduction tissue. Usually, adrenalin and noradrenalin stimulation … WebSep 9, 2024 · Bisoprolol is used alone or in combination with other medicines in the treatment of hypertension (high blood pressure) and angina (chest pain due to decrease … endoderm medication