Indications
- Carvedilol treats high blood pressure and heart failure.
- It’s used post-heart attack to enhance survival chances with poor heart pumping.
- Lowers blood pressure to prevent strokes, heart attacks, and kidney issues.
- Blocks natural substances like epinephrine on heart and blood vessels.
- Reduces heart rate, blood pressure, and heart strain.
- Belongs to the class of alpha and beta blockers.
Dosage and administration
- Read the Patient Information Leaflet before starting carvedilol and with each refill.
- If you have questions, ask your doctor or pharmacist.
- Take this medication by mouth with food, usually twice daily.
- Dosage depends on your condition and response to treatment.
- Your doctor may start you on a low dose to reduce side effects, then increase gradually.
- Take regularly at the same times each day for best results.
- It may take 1 to 2 weeks for full benefit in treating high blood pressure.
- Keep taking even if you feel well; many with high blood pressure don’t feel sick.
- Tell your doctor if the condition doesn’t improve or worsens.
Side effects
- Possible side effects may include dizziness, lightheadedness, drowsiness, diarrhea, impotence, or tiredness.
- If these effects persist or worsen, inform your doctor or pharmacist.
- To reduce dizziness/lightheadedness, rise slowly from sitting or lying positions.
- Dizziness risk is highest within 1 hour of taking the dose.
- Taking with food and starting with a low dose can help reduce dizziness.
- This medication may cause cold hands/feet due to reduced blood flow.
- Smoking can worsen this; dress warmly and avoid tobacco.
- Serious side effects may include slow heartbeat, severe dizziness, fainting, weakness, signs of kidney problems, numbness/tingling in hands/feet, blue fingers/toes, easy bruising/bleeding, mental/mood changes, seizures.
- Notify your doctor immediately if you experience these.
- Rarely, new or worsening heart failure symptoms may occur, especially at the start of treatment.
- Alert your doctor promptly if you notice shortness of breath, swelling ankles/feet, unusual tiredness, or sudden weight gain.
- Serious allergic reactions are rare but seek medical help if you notice rash, swelling, severe dizziness, or trouble breathing.
- This isn’t a complete list of side effects; contact your doctor for any other concerns.
Precautions
- Before taking carvedilol, inform your doctor or pharmacist about allergies or any other allergies.
- This product may contain inactive ingredients causing allergic reactions; consult your pharmacist for details.
- Discuss your medical history, especially heartbeat/heart rhythm issues, breathing problems, severe heart failure, liver/kidney disease, circulation problems, allergies needing epinephrine treatment, overactive thyroid, certain tumors, heart conditions, muscle disease, or eye problems.
- Carvedilol may cause dizziness, drowsiness, or fainting, especially within 1 hour of dose, or when starting/increasing treatment. Avoid driving or hazardous tasks. Alcohol or marijuana can increase dizziness or drowsiness; limit alcohol and discuss marijuana use with your doctor.
- People wearing contact lenses may experience dry eyes.
- Inform your doctor or dentist before surgery about carvedilol usage and all other products you use.
- Carvedilol may prevent the usual fast/pounding heartbeat during low blood sugar (hypoglycemia), increasing risk if diabetic or experiencing vomiting, fasting, or irregular eating. Other symptoms of low blood sugar are unaffected.
- For diabetics, carvedilol may make blood sugar control harder. Monitor levels regularly and inform your doctor of symptoms of high blood sugar.
- Children may have increased risk of low blood sugar, especially if vomiting or not eating regularly. Ensure regular eating and inform the doctor if symptoms occur.
- Older adults may be more sensitive to side effects, particularly dizziness and lightheadedness.
- Inform your doctor if pregnant or planning pregnancy; carvedilol should not be used during pregnancy due to potential harm to the unborn baby.
- It’s unclear if carvedilol passes into breast milk, but in small amounts. Consult your doctor before breastfeeding.