Short answer: Section 17 of the Bystolic label says that if a dose is missed, take the next scheduled dose only, without doubling it. The Patient Information says take it as soon as you remember unless it is close to your next dose, then take the next dose at the usual time. Both say never 2 doses together.
| Situation | What the label says |
|---|---|
| Schedule | Once daily, with or without food; usually 5 mg to start, up to 40 mg (2.1) |
| Prescribing information | Take the next scheduled dose only, without doubling it (17) |
| Patient Information | Take it as soon as you remember, unless close to the next dose |
| Doubling up | Do not take 2 doses at the same time (17, Patient Information) |
| Stopping | Do not stop without talking to your doctor (17, Patient Information) |
Section 17 says: if a dose is missed, take the next scheduled dose only (without doubling it). It adds: do not interrupt or discontinue Bystolic without consulting the physician.
The Patient Information, which is part of the same FDA label, says: if you miss a dose, take your dose as soon as you remember, unless it is close to the time to take your next dose. Do not take 2 doses at the same time. Take your next dose at the usual time.
The prescribing information tells the prescriber to advise skipping straight to the next scheduled dose. The leaflet allows a late dose when the next one is not close. Both agree on not doubling and on keeping the usual time. The label does not say how close is "close"; that is a question for your prescriber or pharmacist.
No. Section 5.1 warns that abruptly stopping a beta-blocker can worsen chest pain or lead to a heart attack in people with coronary artery disease, which is why the label says not to stop Bystolic without talking to your doctor.
This page summarizes FDA labeling. It is not personalized medical advice; confirm what to do with your prescriber or pharmacist.