what carvedilol used for

17Coreg ( carvedilol) is a beta-adrenergic blocking agent (beta-blocker) used to treat heart failure, hypertension, and left ventricular dysfunction after a heart attack. Coreg is available in generic form. Common side effects of Coreg includedizziness,

Coreg

Coreg Side Effects Center Find Lowest Prices on Medical Editor: Charles Patrick Davis, MD, Ph DLast reviewed on Rx List 09/29/20

lightheadedness,drowsiness,diarrhea,nausea,vomiting,weakness,tiredness,headache,joint pain,cough,dry eyes,vision changes,numbness or tingling sensation,decreased sex drive,impotence, ordifficulty having an orgasm. Contact your doctor if you experience serious side effects of Coreg includingfeeling faint,slow or irregular heart beats,chest pain,shortness of breath,difficulty swallowingloss of bladder control, orsevere skin reaction.

Coreg is available in strengths of 3.125, 6.25, 12.5, or 25 mg tablets. Coreg is usually taken with food; the recommended starting dose of Coreg (carvedilol) is 3.125 mg twice daily for 2 weeks for heart failure while for other problems, the starting dose is 6.25 mg twice a day.

Carvedilol is the generic name for the drug Coreg. Carvedilol is a type of beta-blocker that is used to treat high blood pressure, prevent a condition known as congestive heart failure from getting worse, and is used to treat a condition called left ventricular dysfunction in people who have had a heart attack. As with any drug, side effects are possible.

How to Cope With the Side Effects of Coreg (Carvedilol)

Expert Reviewed How to Cope With the Side Effects of Coreg (Carvedilol)Five Parts: Recognizing the Benefits and Side Effects Managing the Side Effects Making Lifestyle Changes Complying with Your Prescribed Treatment Seeking Medical Advice Community Q&A

Take steps to minimize problems you may be experiencing from the use of carvedilol.

ck. Carvedilol is often used in combination with other medications. Carvedilol is in a class of medications called beta-blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure

Carvedilol

Carvedilolpronounced as (kar' ve dil ol)Why is this medication prescribed? How should this medicine be used?

Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? In case of emergency/overdose What other information should I know? Brand names Why is this medication prescribed?

Carvedilol is used to treat heart failure (condition in which the heart cannot pump enough blood to all parts of the body) and high blood pressure. It also is used to treat people who have had a heart atta

High blood pressure is a common condition and when not treated, can cause damage to the brain, heart, blood vessels, kidneys and other parts of the body. Damage to these organs may cause heart disease, a heart attack, heart failure, stroke, kidney failure, loss of vision, and other problems. In addition to taking medication, making lifestyle changes will also help to control your blood pressure.

These changes include eating a diet that is low in fat and salt, maintaining a healthy weight, exercising at least 30 minutes most days, not smoking, and using alcohol in moderation. How should this medicine be used? Carvedilol comes as a tablet and an extended-release (long-acting) capsule to take by mouth. The tablet is usually taken twice a day with food. The extended-release capsule is usually taken once a day in the morning with food.

Try to take carvedilol at around the same time (s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take carvedilol exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Swallow the extended-release capsules whole. Do not chew or crush the capsules, and do not divide the beads inside a capsule into more than one dose. If you are unable to swallow the capsules, you may carefully open a capsule and sprinkle all of the beads it contains over a spoonful of cool or room temperature applesauce.

Swallow the entire mixture immediately without chewing. Your doctor will probably start you on a low dose of carvedilol and gradually increase your dose to allow your body to adjust to the medication.

Talk to your doctor about how you feel and about any symptoms you experience during this time. Carvedilol may help to control your condition but will not cure it. Continue taking carvedilol even if you feel well. Do not stop taking carvedilol without talking to your doctor. If you suddenly stop taking carvedilol, you may experience serious heart problems such as severe chest pain, a heart attack, or an irregular heartbeat.

Your doctor will probably want to decrease your dose gradually over 1 to 2 weeks. Your doctor will watch you carefully and will probably tell you to avoid physical activity during this time. Other uses for this medicine This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

What special precautions should I follow? Before taking carvedilol,tell your doctor and pharmacist if you have are allergic to carvedilol, any other medications, or any of the ingredients in carvedilol tablets and extended- release capsules.

Ask your pharmacist for a list of the ingredients.tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, herbal products, and nutritional supplements you are taking or plan to take.

Be sure to mention any of the following: cimetidine; clonidine (Catapres, Kapvay, in Clorpres), cyclosporine (Gengraf, Neoral, Sandimmune); digoxin ( Lanoxin); diltiazem (Cardizem, Cartia, Dilacor, Taztia, Tiazac); epinephrine (Epipen); fluoxetine (Prozac, Sarafem, Selfemra, in Symbyax); insulin; oral medications for diabetes; monoamine oxidase inhibitors (MAOIs) such as isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), and selegiline (Eldepryl, Emsam, Zelapar); paroxetine (Brisdelle, Paxil); propafenone (Rythmol); quinidine; reserpine; rifampin (Rifadin, Rimactane, in Rifater, in Rifamate); and verapamil (Calan, Covera-HS, Verelan, in Tarka).

Your doctor may need to change the doses of your medications or monitor you carefully for side effects.tell your doctor if you have or have ever had asthma or other breathing problems, a slow or irregular heartbeat, or liver disease.

Your doctor may tell you not to take carvedilol.tell your doctor if you have or have ever had problems with blood flow in your feet or legs, diabetes or any other condition that causes you to have low blood sugar, hyperthyroidism (condition in which there is too much thyroid hormone in the body), low blood pressure, Prinzmetal's angina (chest pain that comes at rest with no obvious cause), or pheochromocytoma (a tumor that develops on a gland near the kidneys and may cause high blood pressure and fast heartbeat).

Also tell your doctor if you have ever had a serious allergic reaction to a food or any other substance.tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding.

If you become pregnant while taking carvedilol, call your doctor.if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking carvedilol.you should know that this medication may make you feel tired, dizzy, or lightheaded, especially when you start taking carvedilol and when your dose is increased.

Do not drive a car or operate machinery until you know how this medication affects you. Be especially careful during the first hour after you take the medication.do not drink any alcoholic drinks or take any prescription or nonprescription medications that contain alcohol for 2 hours before and 2 hours after you take carvedilol extended-release capsules.

Ask your doctor or pharmacist if you do not know if a medication that you plan to take contains alcohol.you should know that carvedilol may cause dizziness, lightheadedness, and fainting, especially when you get up too quickly from a lying position.

This is more common when you first start taking carvedilol. To avoid this problem, get out of bed slowly, resting your feet on the floor for a few minutes before standing up.if you wear contact lenses, your eyes may become dry during your treatment with carvedilol. Tell your doctor if this becomes bothersome. What special dietary instructions should I follow? Unless your doctor tells you otherwise, continue your normal diet.

What should I do if I forget a dose? Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule.

Do not take a double dose to make up for a missed one. What side effects can this medication cause? Carvedilol may cause hyperglycemia (high blood sugar). Call your doctor immediately if you have any of the following symptoms of hyperglycemia:extreme thirstfrequent urinationextreme hungerweaknessblurred vision Carvedilol may cause side effects.

Tell your doctor if any of these symptoms are severe or do not go away:tirednessweaknesslightheadednessdizzinessheadachediarrheanauseavomitingvision changesjoint paindifficulty falling asleep or staying asleepcoughdry eyesnumbness, burning, or tingling in the arms or legs Some side effects may be serious.

If you experience any of the following symptoms, call your doctor immediately:faintingshortness of breathweight gainswelling of the arms, hands, feet, ankles, or lower legschest painslow or irregular heartbeatrashhivesitchingdifficulty breathing and swallowing Carvedilol may cause other side effects.

Tell your doctor if you experience any unusual problems while you are taking this medication. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) Med Watch Adverse Event Reporting program online ( http://www.fda.gov/Safety/Med Watch) or by phone (1-800-332-1088).

What should I know about storage and disposal of this medication? Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily.

To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach.

http://www.upandaway.org Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program.

Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website ( http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.

In case of emergency/overdose In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911.

Symptoms of overdose may include:slow heartbeatdizzinessfaintingdifficulty breathingvomitingloss of consciousnessseizures What other information should I know? Keep all appointments with your doctor and the laboratory. Your doctor may order certain laboratory tests to check your body's response to carvedilol.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements.

You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies. Brand names Coreg ®Coreg ® CRLast Revised - 12/15/2017Browse Drugs and Medicines

re. It also is used to treat people who have had a heart attack. Carvedilol is often used in combination with other medications. Carvedilol is in a class of medications called beta-blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure

Carvedilol

Carvedilolpronounced as (kar' ve dil ol)Why is this medication prescribed? How should this medicine be used?

Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? In case of emergency/overdose What other information should I know? Brand names Why is this medication prescribed?

Carvedilol is used to treat heart failure (condition in which the heart cannot pump enough blood to all parts of the body) and high blood pressu

High blood pressure is a common condition and when not treated, can cause damage to the brain, heart, blood vessels, kidneys and other parts of the body. Damage to these organs may cause heart disease, a heart attack, heart failure, stroke, kidney failure, loss of vision, and other problems. In addition to taking medication, making lifestyle changes will also help to control your blood pressure.

Try to take carvedilol at around the same time (s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take carvedilol exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Swallow the extended-release capsules whole. Do not chew or crush the capsules, and do not divide the beads inside a capsule into more than one dose. If you are unable to swallow the capsules, you may carefully open a capsule and sprinkle all of the beads it contains over a spoonful of cool or room temperature applesauce.

Swallow the entire mixture immediately without chewing. Your doctor will probably start you on a low dose of carvedilol and gradually increase your dose to allow your body to adjust to the medication.

Talk to your doctor about how you feel and about any symptoms you experience during this time. Carvedilol may help to control your condition but will not cure it. Continue taking carvedilol even if you feel well. Do not stop taking carvedilol without talking to your doctor. If you suddenly stop taking carvedilol, you may experience serious heart problems such as severe chest pain, a heart attack, or an irregular heartbeat.

Your doctor will probably want to decrease your dose gradually over 1 to 2 weeks. Your doctor will watch you carefully and will probably tell you to avoid physical activity during this time. Other uses for this medicine This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

What special precautions should I follow? Before taking carvedilol,tell your doctor and pharmacist if you have are allergic to carvedilol, any other medications, or any of the ingredients in carvedilol tablets and extended- release capsules.

Ask your pharmacist for a list of the ingredients.tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, herbal products, and nutritional supplements you are taking or plan to take.

Your doctor may need to change the doses of your medications or monitor you carefully for side effects.tell your doctor if you have or have ever had asthma or other breathing problems, a slow or irregular heartbeat, or liver disease.

Also tell your doctor if you have ever had a serious allergic reaction to a food or any other substance.tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding.

If you become pregnant while taking carvedilol, call your doctor.if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking carvedilol.you should know that this medication may make you feel tired, dizzy, or lightheaded, especially when you start taking carvedilol and when your dose is increased.

Do not drive a car or operate machinery until you know how this medication affects you. Be especially careful during the first hour after you take the medication.do not drink any alcoholic drinks or take any prescription or nonprescription medications that contain alcohol for 2 hours before and 2 hours after you take carvedilol extended-release capsules.

Ask your doctor or pharmacist if you do not know if a medication that you plan to take contains alcohol.you should know that carvedilol may cause dizziness, lightheadedness, and fainting, especially when you get up too quickly from a lying position.

This is more common when you first start taking carvedilol. To avoid this problem, get out of bed slowly, resting your feet on the floor for a few minutes before standing up.if you wear contact lenses, your eyes may become dry during your treatment with carvedilol. Tell your doctor if this becomes bothersome. What special dietary instructions should I follow? Unless your doctor tells you otherwise, continue your normal diet.

What should I do if I forget a dose? Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule.

Do not take a double dose to make up for a missed one. What side effects can this medication cause? Carvedilol may cause hyperglycemia (high blood sugar). Call your doctor immediately if you have any of the following symptoms of hyperglycemia:extreme thirstfrequent urinationextreme hungerweaknessblurred vision Carvedilol may cause side effects.

Tell your doctor if any of these symptoms are severe or do not go away:tirednessweaknesslightheadednessdizzinessheadachediarrheanauseavomitingvision changesjoint paindifficulty falling asleep or staying asleepcoughdry eyesnumbness, burning, or tingling in the arms or legs Some side effects may be serious.

If you experience any of the following symptoms, call your doctor immediately:faintingshortness of breathweight gainswelling of the arms, hands, feet, ankles, or lower legschest painslow or irregular heartbeatrashhivesitchingdifficulty breathing and swallowing Carvedilol may cause other side effects.

Tell your doctor if you experience any unusual problems while you are taking this medication. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) Med Watch Adverse Event Reporting program online ( http://www.fda.gov/Safety/Med Watch) or by phone (1-800-332-1088).

To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach.

http://www.upandaway.org Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program.

Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA's Safe Disposal of Medicines website ( http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.

In case of emergency/overdose In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911.

Symptoms of overdose may include:slow heartbeatdizzinessfaintingdifficulty breathingvomitingloss of consciousnessseizures What other information should I know? Keep all appointments with your doctor and the laboratory. Your doctor may order certain laboratory tests to check your body's response to carvedilol.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements.

You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies. Brand names Coreg ®Coreg ® CRLast Revised - 12/15/2017Browse Drugs and Medicines

Carvedilol is the generic form of Coreg, used to treat high blood pressure and heart failure. Heart failure prevents the heart from pumping an adequate amount of blood to all parts of the body. This drug may also be given to people whose hearts cannot pump blood as well as they used to because of a heart attack. Carvedilol is a beta blocker that will relax your blood vessels and slow your heart rate so that your blood flow improves and your blood pressure goes down. Approved by the Food and Drug Administration (FDA) in 1995, carvedilol is sold under the brand names Coreg and Coreg CR.

What Is Carvedilol (Coreg)?

What Is Carvedilol (Coreg)?11 Reviews

Glaxo Smith Kline manufactures the brand-name drugs and several pharmaceutical companies make the generic carvedilol. Carvedilol is available as a tablet and extended-release capsule, and it's often prescribed in combination with other medications. While taking carvedilol can't cure you, it may help to control your symptoms. Pregnancy and Carvedilol There are no adequate studies to determine how carvedilol might affect you if you are pregnant.

There is also no conclusive evidence as to whether it might harm your baby if you are taking it while breastfeeding. Let your doctor know right way if you are pregnant, might become pregnant, or are breastfeeding. Carvedilol Warnings If you are prescribed carvedilol, you should never stop taking it without first speaking to your doctor.

If your physician decides to take you off carvedilol, he/she may gradually decrease your dose over one to two weeks.

If your dose is decreased, it's a good idea to limit your physical activity to reduce strain on your heart. Seek medical attention right away if you develop chest pain, tightness, pressure, or chest pain that spreads to your jaw, neck, or arm.

Other signs of serious problems are unusual sweating, trouble breathing, or a fast or irregular heartbeat. If you have severe liver disease or certain heart conditions you should not use this medication either. People with a slow heart rate who don't have pacemakers should inform their doctor before starting this medication. Be sure to tell your doctor whether you have asthma or other breathing problems, liver disease, or a slow/irregular heartbeat.

You also need to mention any current or past blood flow problems in your feet or legs; diabetes and other conditions that might result in low blood sugar; low blood pressure; or hyperthyroidism, which results in too much thyroid hormone in your body.

Also on the must-disclose list: Chest pain that occurs for no obvious reason when you are resting (Prinzmetal's angina) and the condition pheochromocytoma, where a tumor appears on a gland near the kidneys, perhaps leading to a fast heartbeat or high blood pressure.

Before having surgery, including dental surgery, let your doctor know that you're using carvedilol. Back to Top Carvedilol Side Effects Common Side Effects of Carvedilol Nausea Weakness Headache Diarrhea Vision changes Changes in sex drive or performance Serious Side Effects of Carvedilol Low or uneven heartbeats Swelling Rapid weight gain Loss of bladder control Chest pain Wheezing Chest tightness Trouble breathing If you experience any of these problems, call your doctor right away.

Other conditions that require you to reach out to your physician include: Shortness of breath for no apparent reason Numbness or a cold feeling in your hands and feet Pale skin Lightheadedness Rapid heart beat Trouble concentrating Severe skin reaction Fever Sore throat Burning eyes Increased thirst Urination Hunger Dry mouth Fruity breath odor Drowsiness Dry skin Blurred vision Weight loss Skin pain (followed by a red or purple skin rash that spreads, especially on the face or upper body, and causes blistering and peeling)Seek emergency medical care immediately if you think you are having an allergic reaction.

Signs may range from swelling of your face, lips, tongue, or throat to hives and difficulty breathing. Back to Top Carvedilol Interactions Before using carvedilol, you should give your physician a complete list of all your prescription, non-prescription drugs, recreational drugs, vitamins, and herbal supplements. Carvedilol may interact with some of these products impacting the drug's effectiveness and/or producing serious side effects.

Some of the medications that may interact with carvedilol include: Cimetidine (Tagamet)Clonidine (Catapres)Cyclosporine (Restasis, Neoral, Sandimmune)Digoxin (Lanoxicaps or Lanoxin)Diltiazem (Cardizem or Tiazac)Epinephrine (Epipen)Insulin and oral diabetes medications are also known to interact with carvedilol as are monoamine oxidase inhibitors (MAOIs) such as isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), and selegiline (Eldepryl, Emsam, Zelapar).

Tell your doctor if you are undergoing allergy skin testing or allergy treatments as well as whether you are on any of the following medications: Paroxetine (Paxil)Propafenone (Rythmol)Verapamil (Calan or Covera-HS)Fluconazole (Diflucan)Bupropion ( Wellbutrin or Zyban)Clomipramine (Anafranil)Desipramine (Norpramin)Duloxetine ( Cymbalta)Fluoxetine ( Prozac or Sarafem)Imipramine (Tofranil)Sertraline ( Zoloft)In addition, make your doctor aware of any HIV /AIDS medicines you're taking such as delavirdine (Rescriptor) or ritonavir (Norvir or Kaletra), or any medications that help psychiatric disorders such as chlorpromazine ( Thorazine ), fluphenazine (Permitil or Prolixin), haloperidol ( Haldol ), perphenazine (Trilafon), and/or thioridazine (Mellaril).

Carvedilol may impair your thinking or reaction time so it's a good idea to refrain from driving or other activities that require concentration until you know how this medication will affect you.

Avoid drinking alcohol as it could also boost your blood pressure further, increasing certain side effects of the medicine. Never stand up quickly when you are lying down or sitting since you may feel dizzy while taking carvedilol. Stand up slowly and carefully. Back to Top Carvedilol Dosage Carvedilol comes in tablets ranging from of 3.125 milligrams (mg) to 25 mg.

It's also available as an extended-release capsule. It's up to your doctor to determine which strength is right for you. You will probably begin with a low dose. Most people take the tablets twice a day with food; extended-release capsules are usually taken once a day in the morning with food.

Don't chew or crush the capsules or divide up the beads into more than one dose. If you can't swallow capsules, open the capsule and sprinkle the beads over a spoonful of cool or room temperature applesauce and swallow the entire thing without chewing. Carvedilol Overdose If you think you have taken too much get to the emergency room right away or call a poison control center at 1-800-222-1222.

Signs of an overdose include: Slow heartbeat Difficulty breathing Dizziness Fainting Vomiting Seizures Losing consciousness Missed Dose of Carvedilol If you forget to take your medication, take the missed dose as soon as you remember unless it's almost time for your next dose. If that is the case, skip the missed dose and continue your regular regimen. Never take extra to make up for what you forgot. Back to Top

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Common Side effects, drug interaction checker to coreg cr. are on Medline Plus. Carvedilol is often used to receive carvedilol in the brand name Coreg among others, is used alone or the effects of carvedilol in combination with the brand name Coreg CR drug prescribed for treating mild to coreg cr. are on uses, effects, drug interaction checker to Carvedilol These side to create Carvedilol amlodipine combination, carvedilol y taquicardia Bing also provides search results to people using Yahoo to search the Web, and sometimes the more expensive parts.

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Amlodipine is prescribed for High Blood Pressure and is mostly mentioned together with this indication. Coreg is prescribed for Chronic Heart Failure, Heart Failure, High Blood Pressure and Heart Attack and is mostly mentioned together with these indications. In addition, our data suggest that it is taken for A Fib, although it is not approved for this condition*.

Amlodipine vs Coreg

All High Blood Pressure Medications Amlodipine vs Coreg Did you mean taking both Amlodipine and Coreg? Amlodipine (Rx)Coreg (Rx)Amlodipine is a calcium channel blocker. Coreg is a cardiovascular medication ( beta blocker ).

Satisfaction Score?2.2Slightly Satisfied Satisfaction Score?2.8Moderately Satisfied Helpfulnessfor High Blood Pressure2.2Concern level 3.0Helpfulnessfor High Blood Pressure3.3Concern level 2.414,642 Discussions 16,416 Discussions Approval Date Not Available September 14, 1995Side Effects and Concerns Aml Headaches Dizziness Swelling+More Cor Tiredness Cardiomyopathy Shortness of Breath+More Compare by concerns Alcohol warning There may be a negative interaction between Amlodipine and alcohol.

There may be a negative interaction between Coreg and alcohol. Food Instructions No Food Instructions No Food Instructions Method of use Pill Pill Dosages Tablet: 2.5 mg, 5 mg, 10 mg Tablet: 3.125 mg, 6.25 mg, 12.5 mg, 25 mg Ingredients Amlodipine Besylate Carvedilol Taken For Condition Number of posts#1 for High Blood Pressure 3,606#2 for Angina 306Condition Number of posts#1 for Chronic Heart Failure 1,605#2 for Heart Failure 884#3 for High Blood Pressure 866+More

Drug Interactions Interaction between Amlodipine and Coreg: There is no known interaction between Amlodipine and Coreg in our records.

However, an interaction may still exist. Always consult your doctor before taking these medications together. Do not stop taking the medications without a physician's advice. Read more about: Amlodipine Read more about: Coreg

Carvedilol is a beta-blocker. Beta-blockers affect the heart and circulation (blood flow through arteries and veins). Carvedilol is used to treat heart failure and hypertension (high blood pressure). It is also used after a heart attack that has caused your heart not to pump as well. Carvedilol may also be used for purposes not listed in this medication guide.

Carvedilol

"Carvedilol Generic Name: carvedilol (KAR ve dil ole) Brand Names: Coreg, Coreg CROverview Side Effects Dosage Professional Tips More Interactions Pregnancy Warnings Breastfeeding Warnings User Reviews Drug Images Support Group Q & ACompare Alternatives Pricing & Coupons What is carvedilol?

Slideshow COPD: Could You Be At Risk? Important information You should not take carvedilol if you have asthma, bronchitis, emphysema, severe liver disease, or a serious heart condition such as heart block, ""sick sinus syndrome,"" or slow heart rate (unless you have a pacemaker). Avoid drinking alcohol within 2 hours before or after taking extended-release carvedilol (Coreg CR). Also avoid taking medicines or other products that might contain alcohol. Alcohol may cause the carvedilol in Coreg CR to be released too quickly into the body.

If you are being treated for high blood pressure, keep using carvedilol even if you feel well. High blood pressure often has no symptoms.

You may need to use blood pressure medication for the rest of your life. Before taking this medicine You should not take carvedilol if you are allergic to it, or if you have:asthma, bronchitis, emphysema;severe liver disease; ora serious heart condition such as heart block, ""sick sinus syndrome,"" or slow heart rate (unless you have a pacemaker). To make sure carvedilol is safe for you, tell your doctor if you have:diabetes (taking carvedilol can make it harder for you to tell when you have low blood sugar);angina (chest pain);liver or kidney disease;a thyroid disorder;pheochromocytoma (tumor of the adrenal gland);circulation problems (such as Raynaud's syndrome); ora history of allergies.

FDA pregnancy category C. It is not known whether carvedilol will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

See also: Pregnancy and breastfeeding warnings (in more detail)It is not known whether carvedilol passes into breast milk or if it could harm a nursing baby. You should not breast-feed while you are taking carvedilol. How should I take carvedilol? Take carvedilol exactly as prescribed by your doctor.

Follow all directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended. Carvedilol works best if you take it with food.

You may open the carvedilol capsule and sprinkle the medicine into a spoonful of pudding or applesauce to make swallowing easier. Swallow right away without chewing. Do not save the mixture for later use. Discard the empty capsule. Take carvedilol at the same time every day. Do not skip doses or stop taking carvedilol without first talking to your doctor.

Stopping suddenly may make your condition worse. If you are switched from carvedilol tablets to carvedilol extended-release capsules (Coreg CR), your daily total dose of this medicine may be higher or lower than before. Older adults may be more likely to become dizzy or feel faint when switching from tablets to extended-release capsules.

Follow your doctor's instructions. Your blood pressure will need to be checked often. If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.

If you need surgery, tell the surgeon ahead of time that you are using carvedilol. You may need to stop using the medicine for a short time. You should not stop using carvedilol suddenly. Stopping suddenly may make your condition worse. Carvedilol can affect your pupils during cataract surgery. Tell your eye surgeon ahead of time that you are using this medication. Do not stop using carvedilol before surgery unless your surgeon tells you to.

Carvedilol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.

Store at room temperature away from moisture and heat. See also: Dosage Information (in more detail)What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include uneven heartbeats, shortness of breath, bluish-colored fingernails, dizziness, weakness, fainting, and seizure (convulsions).

What should I avoid while taking carvedilol? Carvedilol may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Drinking alcohol can further lower your blood pressure and may increase certain side effects of carvedilol. You should especially avoid drinking alcohol within 2 hours before or after taking extended-release carvedilol (Coreg CR).

Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall. Carvedilol side effects Get emergency medical help if you have any of these signs of an allergic reaction to carvedilol: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:a light-headed feeling, like you might pass out;slow or uneven heartbeats;swelling, rapid weight gain, feeling short of breath (even with mild exertion);cold feeling or numbness in your fingers or toes;chest pain, dry cough, wheezing, chest tightness, trouble breathing; orhigh blood sugar (increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, weight loss).

Common carvedilol side effects may include:weakness, dizziness;diarrhea;dry eyes;tired feeling; orweight gain. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

You may report side effects to FDA at 1-800-FDA-1088. See also: Side effects (in more detail)Carvedilol dosing information Usual Adult Dose for Angina Pectoris: Immediate-release tablets: Initial dose: 6.25 mg orally twice a day with food Maintenance dose: 6.25 mg to 25 mg orally twice a day with food Maximum dose: 50 mg per day Usual Adult Dose for Congestive Heart Failure: Immediate-release tablets: Initial dose: 3.125 mg orally twice a day for 2 weeks.

If tolerated, increase dosage to 6.25 mg orally twice a day. Dosage should then be doubled every 2 weeks to the highest level tolerated by the patient. Maximum dose: 50 mg orally twice a day in patients weighing 85 kg or greater and 25 mg orally twice a day in patients weighing 85 kg or less Extended-release capsules: Initial dose: 10 mg orally once a day for 2 weeks.

If tolerated, increase dosage to 20 mg, 40 mg, and 80 mg over successive intervals of at least 2 weeks. Usual Adult Dose for Hypertension: Immediate-release tablets: Initial dose: 6.25 mg orally twice a day with food Maintenance dose: 6.25 mg to 25 mg orally twice a day with food Maximum dose: 50 mg per day Extended-release capsules: Initial dose: 20 mg orally once a day for 7 to 14 days.

If tolerated, may increase dosage to 40 mg orally once a day, then again to 80 mg orally once a day after 7 to 14 days. Maximum dose: 80 mg per day Usual Adult Dose for Left Ventricular Dysfunction: Immediate-release tablets: Initial dose: 6.25 mg orally twice a day (an initial dosage of 3.25 mg twice daily can be given to patients unable to tolerate the initial dosage).

Maintenance dose: If tolerated, the initial dosage may be titrated to 12.5 mg twice a day after 3 to 10 days to a target dose of 25 mg twice a day.

Extended-release capsules: Initial dose: 20 mg orally once a day (an initial dosage of 10 mg once daily can be given to patients unable to tolerate the initial dosage). If tolerated, may increase dosage to 40 mg after 3 to 10 days, then again to 80 mg orally once a day.

What other drugs will affect carvedilol? Other drugs may interact with carvedilol, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

Next → Side Effects Add to My Med List More about carvedilol Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Images Drug Interactions Compare Alternatives Support Group Pricing & Coupons En Español108 Reviews – Add your own review/rating Drug class: non-cardioselective beta blockers Consumer resources Carvedilol Tablets Carvedilol Extended-Release Capsules Carvedilol (Advanced Reading)Other brands: Coreg, Coreg CRProfessional resources Carvedilol (AHFS Monograph)... +3 more Related treatment guides High Blood Pressure Atrial Fibrillation Left Ventricular Dysfunction Heart Failure Angina Where can I get more information?

Your pharmacist can provide more information about carvedilol. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use carvedilol only for the indication prescribed.

Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect.

Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise.

Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Copyright 1996-2018 Cerner Multum, Inc. Version: 15.01. Revision Date: 2014-01-20, 8:29:33 AM. "

es This medication is a beta-blocker used to treat chest pain ( angina ), heart failure, and high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems.

Metoprolol Succinate

"Drugs & Medications Metoprolol Succinate COMMON BRAND (S): Toprol XLGENERIC NAME (S): Metoprolol Succinate Read Reviews (737)WARNINGS: Do not stop taking this medication without consulting... Show More Uses Side Effects Precautions Interactions Overdose Images Us

This drug works by blocking the action of certain natural chemicals in your body (such as epinephrine) that affect the heart and blood vessels. This lowers heart rate, blood pressure, and strain on the heart. How to use Metoprolol Succinate See also Warning section. Take this medication by mouth, with or right after a meal, as directed by your doctor, usually once daily.

The dosage is based on your medical condition and response to treatment. Do not crush or chew extended-release tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose.

Follow your doctor's instructions carefully. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. Do not suddenly stop taking this medication without consulting your doctor. Your condition may become worse when the drug is suddenly stopped. For the treatment of high blood pressure, it may take several weeks before you get the full benefit of this drug.

It is important to continue taking this medication even if you feel well. Most people with high blood pressure do not feel sick. To prevent chest pain, a second heart attack, or migraine headaches, it is very important to take this medication regularly as prescribed.

This drug should not be used to treat chest pain or migraines when they occur. Use other medications to relieve sudden attacks as directed by your doctor (for example, nitroglycerin tablets placed under the tongue for chest pain, ""triptan"" drugs such as sumatriptan for migraines ). Consult your doctor or pharmacist for details. Tell your doctor if your condition does not improve or if it worsens (for example, if your routine blood pressure readings remain high or increase, if your chest pain or migraines occur more often).

Related Links What conditions does Metoprolol Succinate treat? Read More Next: Side Effects More Resources for metoprolol succinate oral Check Interactions Read Reviews (737) "

Uses Uses Amlodipine is used with or without other medications to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems.

Norvasc

Drugs & Medications Norvasc GENERIC NAME (S): Amlodipine Read Reviews (663)

Amlodipine belongs to a class of drugs known as calcium channel blockers. It works by relaxing blood vessels so blood can flow more easily.

Amlodipine is also used to prevent certain types of chest pain ( angina ). It may help to increase your ability to exercise and decrease the frequency of angina attacks. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor.

How to use Norvasc Take this medication by mouth with or without food as directed by your doctor, usually once daily. The dosage is based on your medical condition and response to treatment. Your doctor may gradually increase your dose. Follow your doctor's instructions carefully. Use this medication regularly to get the most benefit from it.

To help you remember, take it at the same time each day. It is important to continue taking this medication even if you feel well. Most people with high blood pressure do not feel sick. If used for angina, this medication must be taken regularly to be effective.

It should not be used to treat angina when it occurs. Use other medications (such as sublingual nitroglycerin) to relieve an angina attack as directed by your doctor.

Consult your doctor or pharmacist for details. Tell your doctor if your condition does not improve or if it worsens (for example, your blood pressure readings remain high or increase, chest pain continues or worsens). Related Links What conditions does Norvasc treat? Side Effects Precautions Interactions Overdose Images More Resources for Norvasc oral Check Interactions Read Reviews (663)

An enlarged left ventricle is usually due to either cardiomyopathy (a weakening of the heart muscle) or valvular heart disease. Valve disease is usually treated by correcting the underlying valve problem (initially with medicines, often later with surgery). The most common cause of an enlarged left ventricle is cardiomyopathy. Initial treatment is with medications, such as diuretics, digitalis, vasodilators (ACE inhibitors and/or ARB inhibitors), and beta blockers, such as carvedilol (Coreg) or metoprolol (Lopressor, Toprol XL).

How is an enlarged left ventricle treated?

Posted: January 11, 2007 | Report This |Q. How is an enlarged left ventricle treated? Related Topics: Ventricle Follow Question Answers From Experts & Organizations (1)Medicine Net5,093 Answers 311,554 Helpful Votes 212 Followers A.

In more severe cases special pacemakers or defibrillators are used. Only in the most difficult cases are heart transplants occasionally required.

This answer should not be considered medical advice... Posted: January 11, 2007 | Report This Archived: March 20, 2014Was this helpful? Yes No108 of 124 found this helpful Read the Original Article: Enlarged Left Ventricle Treatment1 Answer

Carvedilol is usually used to help lower blood pressure in people with hypertension, or as an additional treatment for people with heart failure. As a result of the way it works, reducing the heart rate and blood pressure, carvedilol is a good option for people with high blood pressure to reduce the load on the heart.

How Does Carvedilol Work?

Carvedilol is a type of drug called a beta blocker, which works by blocking certain receptors in your heart and around your body to reduce your heartbeat and blood pressure around your body. If you take carvedilol to reduce your blood pressure or for another health condition, it’s a good idea to know a little about how it works and what it does to your body.

Brand Names and Doses Carvedilol is the name of the active drug in the medication, also known as the generic name. There are many different brand names of drugs with carvedilol as the active component, so your medication might be called something slightly different, such as Dilasig Dilatrend Vedilol Dicarz Each of these brand names contains atenolol; they work in the same way and do the same thing.

It's just the brand names, as they are made by different companies, that are different. There are four different doses available: 3.125 mg, 6.25 mg, 12.5 mg, 25 mg. These different doses make it easier for you to take the right dose for you to lower you blood pressure - just enough and no more. It is usually best to take a lower dose initially when starting treatment with carvedilol. This allows time for your body to adjust to the new medication and decreases the risk of side effects.

With the help of your doctor, you can then slowly increase the dose until your blood pressure is well managed. What type of drug is it? Carvedilol is a type of drug called a beta blocker, which is a group of medications that all work in a similar way. Other beta blocker drugs include: Atenolol Bisoprolol Labetalol Metoprolol Oxprenolol Pindolol Propranolol Even though they are all in the same drug class, there are a few subtle differences between them.

What makes carvedilol stand out? Carvedilol has a particularly broad mechanism of action, called a non-selective beta blocker. Rather than just working on the beta receptors in the heart (known as B1 receptors), it also has an effect on the B2 receptors found in the lungs and other areas of the body, and the alpha-1 receptors in the body.

This means that it can have certain side effects, such tightening of airways and difficulty breathing, particularly if you suffer from asthma or other lung diseases.is almost completely metabolised in your liver to be excreted.

This means it is a great option for someone with good hepatic function (or someone with bad kidneys, the other organ used to excrete some beta blockers) but may be problematic for someone with poor hepatic function of the liver.

How does it work? The heart is critical in the cardiovascular system and is needed to push the blood through your blood vessels and around your body. There are certain receptors that are found in your heart – called beta-adrenergic receptors – that send the message to the heart muscles, telling them to contract and push the blood out of the heart and around the body. Beta blockers stop this process from occurring as usual because they attach to the beta receptors in the heart and prevent the normal molecules from activating the receptors.

What happens? The heart muscles don't contract to pump the blood around the body as often and when they do, it has less force. This leads to a drop in heart rate and blood pressure when you take carvedilol. This is beneficial because it helps to relieve the stress placed on the heart and blood vessels, protecting you from cardiovascular events, like a heart attack or stroke. High blood pressure means there is too much blood pumping around the body too fast, putting a lot of pressure on the heart and the rest of the cardiovascular system. Nifedipine allows the blood vessels to relax and expand slight, letting the blood flow through more easily. What is it used for?

Carvedilol can also be used in the treatment of heart failure, in addition to medications from other drug classes, such as ACE inhibitors and diuretics. Side Effects Some people that take carvedilol may notice some side effects, such as nausea, diarrhoea or a cold sensation in your hands and feet.

It is normal for you to have a slower heartbeat than normal because this is part of the way that the medication works.

However, if it gets too low (less that 55 beats/minute) you should see a doctor to talk about reducing the dose. Similarly you need to decrease the dose if carvedilol does its job too well and you have low blood pressure.

Signs of low blood pressure are: Headache Tiredness Dizziness Flushing Interactions Carvedilol can also interact with some other medications if you take them together.cyclosporin + carvedilol interaction Carvedilol can increase the concentration of cyclosporin and increase the risk of adverse effects.

This can be managed by either reducing the dose of cyclosporin, or substituting it for an alternative beta blocker, such as metoprolol.digoxin + carvedilol interaction Carvedilol can increase the concentration of digoxin and increase risk of adverse effects. Additionally, both drugs ower the heart rate, so the heart rate may become too low with both drugs.

If both drugs must be used together, the dose of digoxin should be decreased.rifampicin + carvedilol interaction Rifampicin can reduce the concentration of carvedilol in the blood, so you may need to increase the dose of carvedilol or substitute it for another beta blocker, such as atenolol.

Cautions Carvedilol is designed for long-term use to control high blood pressure. If you suddenly stop taking it, your heart might start working too quickly again and resulting in even higher blood pressure than before, called rebound hypertension.

To evade this, it’s best to slowly reduce the dose and stop taking it over time to allow your body time to adjust without carvedilol. Initially, your blood pressure will drop considerably when you begin to take carvedilol and you might feel light-headed, tired and less alert than usual.

If you experience reduced mental coordination, you should not drive or operate machinery until your senses return to normal. Carvedilol is not the ideal choice of drug if you have poor renal function of the kidneys or hepatic function of the liver. In most cases, it is best to use another drug alternative. Pregnancy and Breastfeeding Carvedilol is not recommended to be used in pregnancy.

The risk is greatest in the first trimester, when it should be avoided entirely, and an alternative medication for the entire pregnancy is preferable. For women who are breastfeeding, carvedilol is expected to be excreted in breast milk and may have an effect on your baby. Other beta blockers, such as labetalol or metoprolol, are usually preferable. If carvedilol must be used it is important to check the heart rate and blood pressure of the baby to make sure they are in healthy and safe ranges.

Generic Name: Carvedilol Coreg is classified under a group drugs known as beta-blockers. Beta blockers affect the heart and blood circulation. It is used as a medication to treat high blood pressure and heat failure primarily. However, it can also be used for other purposes under your doctor’s guidance. Important Information:

Coreg

Coreg Brand Name: Coreg, Coreg CR

Do not stop taking Coreg without consulting your doctor first. Failure to do so may make your condition worse. And if you are having any type of surgery, make sure your surgeon knows that you are taking the Coreg medicine and your condition.

In addition, do tell your doctor if you have:low blood pressurediabetesliver/kidney diseasethyroid disorderheart problemasthma, emphysema, bronchitisdepressionpheochromocytoma You may not be able to take Coreg if you have any of the stated conditions above or you may need a dosage adjustment under your doctor’s supervision. Coreg Side Effects If you have hives, swelling of lips, tongue, or face, difficulty in breathing, this means that you have the symptoms of having an allergic reaction.

You must seek medical attention immediately. Some of the serious side effects of Coreg includes: Swollen feet/anklesslow or uneven heartbeatsfaintingbreathlessnessnauseadepressioncold feeling in your hands and feet Other less serious side effects include:insomniafatiguedecrease in sex driveanxiety Be sure to seek for medical attention and consult your doctor if you encounter any of the symptoms above.

The list above is not exhaustive. If you feel something unusual, don’t hesitate to get help immediately. How to Take Coreg Take it exactly as prescribed by your doctor. Do not take the drug in a larger amount or longer than the period as recommended by your doctor.

You should take Coreg with a full glass of water and at the same time daily. Please take note that you should not chew or break the capsule.

The medication is made to control the released of the drug over time. If there are ways to lower your high blood pressure naturally without drugs and NO side effects, would you be interested to know? I bet you would! Click here to find out how you can do it.

Not all research has shown an increased risk of diabetes associated with older beta-blockers, however. A 2011 study from Tulane University explored the risk of new-onset diabetes among individuals with high blood pressure who were starting therapy with carvedilol or other beta-blockers (i.e., atenolol, metoprolol).

Type 2 Diabetes and Beta-Blockers, What You Should Know

"Type 2 Diabetes and Beta-Blockers, What You Should Know By Deborah Mitchell G+ Nov 12 2012 - 8:37am Advertisement When you think about risk factors for type 2 diabetes, obesity, high blood pressure, and inactivity may come to mind.

One lesser known factor is use of beta-blockers, but not all of the drugs in this class may raise the chances of developing type 2 diabetes. Some beta-blockers increase diabetes risk Beta-blockers (aka, beta-adrenergic blocking agents or beta antagonists) have been on the market for about six decades. The first clinically beneficial beta-blocker to enter the market was propranolol, which was prescribed to treat angina pectoris, a condition in which the heart's need for oxygen exceeds the available supply.

Since then, propranolol and other beta-blockers have been developed and prescribed most often for arrhythmias (abnormal heart rhythms), atrial fibrillation (irregular heart rhythms), high blood pressure, and heart attack, and less often for migraines, anxiety, overactive thyroid, and glaucoma. Beta-blockers work by slowing the heart beat and reducing contractions of blood vessels in the heart, brain, and throughout the body.

According to cardiologist Ragaendra R. Baliga at The Ohio State University Wexner Medical Center, ""Studies show that older beta- blockers can increase a patient's risk of type 2 diabetes by more than 25 percent."" While raising the risk of diabetes is not good for anyone, it is especially damaging for individuals who already have conditions that affect the heart and vascular system.

In a recent issue of Heart Failure Clinics, Baliga explained that ""older beta-blockers are doubled-edged swords. They save lives, but you want to avoid complications down the road, like diabetes."" When some beta-blockers are used for a long time, they may have a negative impact on insulin sensitivity and lipid profiles, as well as cause weight gain, all risk factors for diabetes.

Advertisement Among the older beta-blockers are atenolol (Tenormin), metoprolol (Lopressor), and propranolol (Inderal LA). Baliga noted that when patients have no other limitations, he considers prescribing newer beta-blockers, such as carvedilol (Coreg), rather than the older drugs. Recent research has suggested carvedilol may improve the efficiency of insulin and thus help prevent diabetes.

Among the 3,084 patients who took carvedilol and the 9,252 who took the other beta-blockers, the rate of new-onset diabetes during the mean follow-up period of 12.8 and 14.8 months, respectively, was 3.16 per 100 person-years in the carvedilol group and 3.36 in the other beta-blocker group. Therefore, the authors concluded that the risk of new-onset type 2 diabetes among patients with high blood pressure was similar between the newer beta-blocker (carvedilol) and older beta-blockers.

The bottom line The new report indicates there may be an increased risk of type 2 diabetes among people who take the older beta-blockers on the market. However, Baliga emphasized that anyone who is taking beta-blockers should not stop or switch their medication without first consulting their healthcare provider about the potential for type 2 diabetes and which medications may be more appropriate.

SOURCES: Baliga RR et al. β-Blockers in heart failure: breaking tradition to avoid diabetes? Heart Failure Clinics 2012 Oct. 8 (4): xiii-xvi Fonseca V et al. Risk of new-onset diabetes mellitus associated with beta-blocker treatment for hypertension. Current Medical Research and Opinion 2011 Apr; 27 (4): 799-807 Kveiborg B et al.

Metoprolol compared to carvedilol deteriorates insulin-stimulated endothelial function in patients with type 2 diabetes--a randomized study. Cardiovascular Diabetology 2010 May 25; 9:21Image: Morguefile Diabetes Care Current Health News Share this content.facebook linkedin twitter pinterest Advertisement "

Carvedilol is used very often for specific cases of congestive heart failure, high blood pressure, and treatment after a heart attack. Carvedilol is a beta blocker used to treat, but not cure, congestive heart failure. Beta blockers lessen the work that the heart has to do and, by doing so, help maintain a regular heartbeat. In this way, carvedilol helps to lessen the progression and symptoms of congestive heart failure.

How does carvedilol treat congestive heart failure?

Stacy Wiegman, Pharm DPharmacy

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Carvedilol is used for treating high blood pressure and congestive heart failure. It is related to labetalol (Normodyne, Trandate). Carvedilol blocks receptors of the adrenergic nervous system Dose Tablet, 6.25 mg po bid, may titrate to 25 mg po bid; Extended-release capsule, 10-20 mg po daily in the morning, max 80 mg po daily

CARVEDILOL: Coreg, Coreg CR

9 terms estu12CARVEDILOL: Coreg, Coreg CRα/β-Adrenergic Blocker Learn Flashcards Write Spell Test Match Gravity Advertisement Upgrade to remove ads Like this study set? Create a free account to save it. Create a free account Maybe later Sort Classification Carvedilol Action/Use

MOA Carvedilol is a selective α-1 and nonselective β-adrenergic blocker that decreases AV nodal conduction in supraventricular tachycardias and blockade of catecholamine-induced dysrhythmias.

Contraindications Hypersensitivity, bronchial asthma, severe sinus, bradycardia, second or third degree atrioventricular block, sick sinus syndrome, overt CHF, cardiogenic shock, severe hepatic impairment Common Adverse Reactions (>10%) Cold extremities, dizziness, erectile dysfunction, fatigue, hypotension, weight gain Rare but Serious Adverse Reactions (<1%) Heart failure, hepatotoxicity, Stevens-Johnson syndrome Patient Teaching Take carvedilol with food or milk. Report signs/symptoms of heart failure, bradyarrhythmias, bronchospasm, hepatotoxicity, hypotension, syncope, or exacerbation of angina with initial dosing and dose changes.

Avoid alcohol. Avoid abrupt discontinuation, may cause rebound hypertension. Avoid driving, using machinery, or doing anything else that could be dangerous if not alert. Diabetic patients carefully follow blood sugar levels as β-blockers may mask symptoms of hypoglycemia. Additional Information Safety and efficacy not established in pediatric patients.

). Carvedilol levels reduced by rifampin. Increased absorption with cimetidine. Caution with drugs that affect cardiac conduction (esp. diltiazem, verapamil). May potentiate antidiabetic agents. Monitor digoxin, cyclosporine when changing carvedilol dose. Anesthesia. See Also: COREG CRPharmacological Class: Noncardioselective beta-blocker/alpha-1 blocker.

COREG Rx

CHF and arrhythmias Hypertension Indications for COREG: Mild to severe heart failure (HF), to increase survival and reduce hospitalization risk.

To reduce cardiovascular mortality post-MI with left ventricular ejection fraction ≤40%. Adult: Take with food. Monitor dose increases closely. ≥18yrs: CHF: initially 3.125mg twice daily for 2 weeks, may double dose every 2 weeks if tolerated; mild to moderate HF (>85kg): usual max 50mg twice daily. Reduce dose if pulse <55. Post-MI: initially 6.25mg twice daily; increase to 12.5mg twice daily after 3–10 days if tolerated; then to target dose 25mg twice daily.

Low BP or heart rate, or fluid retention: may start at 3.125mg twice daily. Children:<18yrs: not recommended. Contraindications: Cardiogenic shock or decompensated HF requiring intravenous inotropic therapy. Asthma, related bronchospastic conditions.

2 nd or 3 rd -degree AV block, sick sinus syndrome, or severe bradycardia, unless paced. Severe hepatic impairment. Warnings/Precautions: Peripheral vascular disease. Nonallergic bronchospasm. Diabetes (monitor blood glucose).

Hyperthyroidism. Monitor renal function in ischemic heart disease, diffuse vascular disease, underlying renal insufficiency, and/or if systolic BP <100 mm Hg. Initiation of therapy may temporarily worsen signs and symptoms; benefits may be delayed for several weeks; may need increased diuretic dose at first. Avoid abrupt cessation. Prinzmetal's angina. Pheochromocytoma. Elderly. Pregnancy. Nursing mothers. Interactions: May be potentiated by CYP2D6 inhibitors (eg, quinidine, fluoxetine, paroxetine, propafenone), alcohol (separate by 2 hours). Bradycardia, hypotension with catecholamine depletors (eg, reserpine, MAOIs

Adverse Reactions: Dizziness, edema, hypotension, syncope, bradycardia, AV block, GI upset, hyperglycemia, weight gain, abnormal vision. How Supplied: CR caps—30, 90; Tabs—100COREG 25mg tablets (Qty:60)appx. price $303.00Good Rx

Coreg is available in strengths of 3.125, 6.25, 12.5, or 25 mg tablets. Coreg is usually taken with food; the recommended starting dose of Coreg (carvedilol) is 3.125 mg twice daily for 2 weeks for heart failure while for other problems, the starting dose is 6.25 mg twice a day.

Coreg

Coreg Side Effects Center Find Lowest Prices on Medical Editor: Charles Patrick Davis, MD, Ph DLast reviewed on Rx List 09/29/20

17Coreg ( carvedilol) is a beta-adrenergic blocking agent (beta-blocker) used to treat heart failure, hypertension, and left ventricular dysfunction after a heart attack. Coreg is available in generic form. Common side effects of Coreg includedizziness,

lightheadedness,drowsiness,diarrhea,nausea,vomiting,weakness,tiredness,headache,joint pain,cough,dry eyes,vision changes,numbness or tingling sensation,decreased sex drive,impotence, ordifficulty having an orgasm. Contact your doctor if you experience serious side effects of Coreg includingfeeling faint,slow or irregular heart beats,chest pain,shortness of breath,difficulty swallowingloss of bladder control, orsevere skin reaction.

Carvedilol (Coreg, Coreg CR) drug prescribed to control high blood pressure in addition to a diuretic. Carvedilol also may be prescribed in addition with other drugs to manage mild to moderate congestive heart failure and heart disease for patients who have suffered a recent heart attack. Side effects, drug interactions, dosage, storage, and pregnancy safety information should be reviewed prior to taking this medication.

carvedilol

High Blood Pressure Slideshow Pictures Take the Salt Quiz!Lowering Blood Pressure Exercise Tips Pictures What is carvedilol, and how does it work (mechanism of action)? What brand names are available for carvedilol? Is carvedilol available as a generic drug? Do I need a prescription for carvedilol? What are the side effects of carvedilol? What is the dosage for carvedilol? Which drugs or supplements interact with carvedilol?

Is carvedilol safe to take if I'm pregnant or breastfeeding? What else should I know about carvedilol? What is carvedilol, and how does it work (mechanism of action)? Carvedilol is used for treating high blood pressure and congestive heart failure.

It is related to labetalol ( Normodyne, Trandate ). Carvedilol blocks receptors of the adrenergic nervous system, the system of nerves in which adrenalin (epinephrine) is active.

Nerves from the adrenergic system enter the heart and release an adrenergic chemical (norepinephrine) that attaches to receptors on the heart's muscle and stimulates the muscle to beat more rapidly and forcefully. By blocking the receptors, carvedilol reduces the heart's rate and force of contraction and thereby reduces the work of the heart. Carvedilol also blocks adrenergic receptors on arteries and causes the arteries to relax and the blood pressure to fall. The drop in blood pressure further reduces the work of the heart since it is easier to pump blood against a lower pressure.

The FDA first approved carvedilol in 1995. What brand names are available for carvedilol? Coreg, Coreg CRIs carvedilol available as a generic drug? GENERIC AVAILABLE: yes Do I need a prescription for carvedilol?yes What are the side effects of carvedilol?

The most common side effects of carvedilol are:dizziness,edema (fluid accumulation),decreased heart rate,diarrhea andpostural hypotension (a rapid decrease in blood pressure when going from the seated to the standing position that causes lightheadedness and/or fainting ). Taking carvedilol with food minimizes the risk of postural hypotension. Other common side effects of carvedilol are irregular heart rhythm, and abnormalities of vision.

Carvedilol should be used cautiously in patients who use diuretics or who are elderly or have cirrhosis, asthma , peripheral vascular disease , hyperthyroidism, Prinzmetal's variant angina (angina at rest), or kidney disease. Quick Guide How to Lower Blood Pressure: Exercise Tips What is the dosage for carvedilol? Carvedilol tablets are usually given twice daily.

For high blood pressure, the dose is 6.25 mg twice daily to a maximum of 25 mg twice daily. For congestive heart failure, the dose is 3.25 mg twice daily to a maximum of 25 mg twice daily.

A maximum dose of 50 mg twice daily has been used in persons weighing more than 85 kg (187 pounds). Carvedilol should be taken with food to slow its absorption and reduce the occurrence of low blood pressure when rising from a sitting or sleeping position (orthostatic hypotension).

Stopping and changing doses of carvedilol should be done under the direction of a physician since sudden changes in dose can result in serious cardiac complications such as arrhythmias.

The dose range for treating heart failure or high blood pressure with extended release capsules is 10 to 80 mg once daily. Which drugs or supplements interact with carvedilol? Carvedilol can mask early warning symptoms of low blood sugar ( hypoglycemia) such as tremors and increased heart rate. (These symptoms are caused by activation of the adrenergic nervous system which is blocked by the carvedilol.) Therefore, patients with diabetes taking medications that lower blood sugar such as insulin or oral anti-diabetic medications may need to monitor their blood sugar more often.

Carvedilol taken with calcium channel blockers ( CCBs) such as diltiazem ( Cardizem) or verapamil ( Calan) may trigger an irregular heart rhythm or an increase in blood pressure. Reserpine, monoamine oxidase inhibitors (phenelzine or isocarboxazid) and clonidine (Catapress), because they have similar mechanisms of action as carvedilol, may greatly accentuate the effects of carvedilol and cause a steep decline in blood pressure and/or heart rate.

Close monitoring of blood pressure and heart rate may be needed. Carvedilol may cause an increase in digoxin ( Lanoxin) blood levels. Therefore, in patients receiving digoxin, the digoxin blood level should be monitored if carvedilol is started, adjusted or discontinued. Rifampin ( Rifadin) can sharply decrease the carvedilol blood level. Therefore, in patients taking rifampin, the dose of carvedilol may need to be increased.

Carvedilol shares a common pathway for elimination by the liver with several other drugs such as quinidine (Quinaglute), fluoxetine ( Prozac ), paroxetine ( Paxil ), or propafenone ( Rythmol ). Use of these drugs may block the elimination of carvedilol. No studies have been done to confirm these effects on the elimination of carvedilol; however, carvedilol blood levels may be increased (along with the risk for carvedilol's side effects) if patients are taking any of these drugs. Carvedilol may increase cyclosporin ( Sandimmune, Neoral) blood levels. The dose of cyclosporin may need to be adjusted when the two drugs are used together.

Amiodarone ( Cordarone) may increase carvedilol levels in the blood, increasing the effects and potential for toxicity of carvedilol.

High Blood Pressure Slideshow Pictures Take the Salt Quiz!Lowering Blood Pressure Exercise Tips Pictures Is carvedilol safe to take if I'm pregnant or breastfeeding? Safe use of carvedilol during pregnancy has not been established. No studies with carvedilol are available in nursing mothers; however, use is not recommended due to the risk of a slow heart rate in the infant. What else should I know about carvedilol? How should I keep carvedilol stored? Tablets should be stored at room temperature, 15 C and 30 C (59 F and 86 F). From Tips to Better Manage Your Migraine Start Now Summary

Carvedilol (Coreg, Coreg CR) drug prescribed to control high blood pressure in addition to a diuretic. Carvedilol also may be prescribed in addition with other drugs to manage mild to moderate congestive heart failure and heart disease for patients who have suffered a recent heart attack. Side effects, drug interactions, dosage, storage, and pregnancy safety information should be reviewed prior to taking this medication.

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Report Problems to the Food and Drug Administration You are encouraged to report negative side effects of prescription drugs to the FDA.

Visit the FDA Med Watch website or call 1-800-FDA-1088. See more info: carvedilol on Rx List References Related Article Salt Quiz: Test Your Diet IQSalt or sodium is a vital part of a diet, but many people get too much.

Too much sodium can cause high blood pressure and other problems. Learn about low sodium diets, low sodium diet, foods, guidelines & recipes. Read more: Salt Quiz: Test Your Diet IQComplete List Top carvedilol Related Articles Angina Symptoms Angina is chest pain due to inadequate blood supply to the heart. Angina symptoms may include chest tightness, burning, squeezing, and aching. Coronary artery disease is the main cause of angina but there are other causes.

Angina is diagnosed by taking the patient's medical history and performing tests such as an electrocardiogram (EKG), blood test, stress test, echocardiogram, cardiac CT scan, and heart catheterization. Treatment of angina usually includes lifestyle modification, medication, and sometimes, surgery. The risk of angina can be reduced by following a heart healthy lifestyle.

Chest Pain Chest pain is a common complaint by a patient in the ER. Causes of chest pain include broken or bruised ribs, pleurisy, pneumothorax, shingles, pneumonia, pulmonary embolism, angina, heart attack, costochondritis, pericarditis, aorta or aortic dissection, and reflux esophagitis.

Diagnosis and treatment of chest pain depends upon the cause and clinical presentation of the patient's chest pain. Congestive Heart Failure (CHF) Overview Congestive heart failure (CHF) refers to a condition in which the heart loses the ability to function properly. Heart disease, high blood pressure, diabetes, myocarditis, and cardiomyopathies are just a few potential causes of congestive heart failure.

Signs and symptoms of congestive heart failure may include fatigue, breathlessness, palpitations, angina, and edema. Physical examination, patient history, blood tests, and imaging tests are used to diagnose congestive heart failure. Treatment of heart failure consists of lifestyle modification and taking medications to decrease fluid in the body and ease the strain on the heart.

The prognosis of a patient with congestive heart failure depends on the stage of the heart failure and the overall condition of the individual. Heart Attack Heart attack happens when a blood clot completely obstructs a coronary artery supplying blood to the heart muscle.

A heart attack can cause chest pain, heart failure, and electrical instability of the heart. Heart Attack Treatment A heart attack involves damage or death of part of the heart muscle due to a blood clot.

The aim of heart attack treatment is to prevent or stop this damage to the heart muscle. Heart attack treatments included medications, procedures, and surgeries to protect the heart muscle against injury. CAD Slideshow What is heart disease (coronary artery disease)? Learn about the causes of heart disease. Symptoms of heart disease include chest pain and shortness of breath. Explore heart disease diagnosis, treatment, and prevention.

Heart Disease Slideshow Learn about heart disease and heart attack symptoms and signs of a heart attack in men and women. Read about heart disease diagnostic tests, treatments, and prevention strategies. Heart Failure Heart failure (congestive) is caused by many conditions including coronary artery disease, heart attack, cardiomyopathy, and conditions that overwork the heart.

Symptoms of heart failure includecongested lungs, fluid and water retention, dizziness, fatigue and weakness, and rapid or irregular heartbeats. There are two types of congestive heart failure, systolic or left-sided heart failure; and diastolic or right-sided heart failure. Treatment, prognosis, and life-expectancy for a person with congestive heart failure depends upon the stage of the disease.

Heart Rhythm Disorders Heart rhythm disorders vary from minor palpitations, premature atrial contractions (PACs), premature ventricular contractions (PVCs), sinus tachycardia, and sinus brachycardia, to abnormal heart rhythms such as tachycardia, ventricular fibrillation, ventricular flutter, atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia (PSVT), Wolf-Parkinson-White syndrome, brachycardia, or heart blocks.

Treatment is dependent upon the type of heart rhythm disorder. High Blood Pressure Hypertension High blood pressure (hypertension) is a disease in which pressure within the arteries of the body is elevated.

About 75 million people in the US have hypertension (1 in 3 adults), and only half of them are able to manage it. Many people do not know that they have high blood pressure because it often has no has no warning signs or symptoms.

Systolic and diastolic are the two readings in which blood pressure is measured. The American College of Cardiology released new guidelines for high blood pressure in 2017. The guidelines now state that blood normal blood pressure is 120/80 mm Hg. If either one of those numbers is higher, you have high blood pressure.

The American Academy of Cardiology defines high blood pressure slightly differently. The AAC considers 130/80 mm Hg. or greater (either number) stage 1 hypertension. Stage 2 hypertension is considered 140/90 mm Hg. or greater. If you have high blood pressure you are at risk of developing life threatening diseases like stroke and heart attack. REFERENCE: CDC. High Blood Pressure. Updated: Nov 13, 2017. Take the HBP Quiz Take this quiz and test your IQ of high blood pressure (hypertension), the cardiovascular disease that causes most strokes and heart attacks.

How are dizziness, snoring, and gout related to HBP? Find the answer and learn how medical treatments and lifestyle adjustments fight this common problem. High Blood Pressure Treatment High blood pressure (hypertension) means high pressure (tension) in the arteries.

Treatment for high blood pressure include lifestyle modifications (alcohol, smoking, coffee, salt, diet, exercise), drugs and medications such as ACE inhibitors, angiotensin receptor blockers, beta blockers, diuretics, calcium channel blockers (CCBs), alpha blockers, clonidine, minoxidil, and Exforge. Hypertension Picture High blood pressure, defined as a repeatedly elevated blood pressure exceeding 140 over 90 mm Hg -- a systolic pressure above 140 with a diastolic pressure above 90.

See a picture of Hypertension and learn more about the health topic. Parathyroidectomy Parathyroidectomy is the removal of one or more of the parathyroid glands to treat hyperparathyroidism. Risks of parathyroidectomy include:paralysis of the vocal cords, difficulty swallowing thin liquids, difficulty breathing, and drug reactions.

Possible complications of parathyroidectomy include:damage to the recurrent laryngeal nerve, bleeding or hematoma, problems maintaining calcium levels in the blood, need for further and more aggressive surgery, need for a limited or total thyroidectomy, prolonged pain, impaired healing, and recurrence of the tumor.

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Carvedilol is a prescription drug and can only be obtained from a veterinarian or by prescription from a veterinarian. This drug is not approved for use in animals by the Food and Drug Administration but it is prescribed legally by veterinarians as an extra-label drug.

Carvedilol (CoregÂ®) for Dogs

Carvedilol (Coreg®) for Dogs Drug Library >7 Aug, 2015 Dr. Debra Primovic - DVM 24,892 Views Share Overview of Carvedilol for Canines Carvedilol, commonly known as Coreg®, is a multiple-action cardiovascular agent that is further categorized as a nonselective beta-adrenoceptor antagonist and a vasodilator.

At high dosages, carvedilol exerts calcium channel blocking activity. Because of carvedilol's afterload-reducing properties and the fact that it has fewer negative chronotropic and inotropic effects than other beta blockers, it is potentially a useful treatment for heart failure. In addition, carvedilol has a protective effect on the ischemic myocardium, possibly because of a novel anti-oxidant effect that is not shared by other beta-blockers.

The reduction in arterial blood pressure produced by carvedilol is not associated with reflex tachycardia owing to its beta-adrenoceptor blocking activity. The beta-blocking actions of carvedilol are generally evident within one hour of administration in humans.

Brand Names and Other Names of Carvedilol This drug is registered for use in humans only. Human formulations: Coreg® (Glaxo Smith Kleine)Veterinary formulations: None Uses of Carvedilol for Dogs Treatment of congestive cardiac failure (sometimes in association with other pharmacologic therapies)Management of hypertension Precautions and Side Effects While generally safe and effective when prescribed by a veterinarian, carvedilol can cause side effects in some animals.

Carvedilol should not be used in animals with known hypersensitivity or allergy to the drug. It is contraindicated in patients with bronchospastic conditions, cardiogenic shock, decompensated heart failure requiring inotropic therapy, severe liver impairment, A-V block, sick sinus syndrome, and severe bradycardia. In patients with diabetes or thyroid disease, carvedilol can mask the signs of hypoglycemia and hyperthyroidism, including tachycardia. Furthermore, it may potentiate insulin-induced hypoglycemia. Side effects of carvedilol include fatigue, diarrhea, bradycardia, edema, sleeplessness, dyspnea and urinary tract infections.

Liver function abnormalities have been noted in humans; however, no deaths have been reported. During treatment with carvedilol, cardiovascular parameters, such as blood pressure (BP) and electrocardiograms (ECG) should be monitored and it is prudent to check a complete blood count (CBC) and blood chemistries periodically during prolonged therapy.

Drug Interactions Carvedilol may interact with other medications. Consult with your veterinarian to determine if other drugs your pet is receiving could interact with carvedilol.

Such interactions may include: Carvedilol may mask signs of hypoglycemia when used with antidiabetic medications When used with calcium channel blockers it may cause cardiac conduction disturbances Cimetidine may increase the plasma concentration of carvedilol by 30%Alpha-2 blockers (e.g. detomidine, xylazine) may potentiate the hypotensive and bradycardic effects of carvedilol The plasma concentration of digoxin is increased by 15% when used concomitantly with a beta blocker, like carvedilol Rifampin reduces carvedilol's plasma concentration by ~ 70%SSRIs may inhibit the metabolism of some beta blockers. Diphenhydramine may inhibit the metabolism of carvedilol, increasing its pharmacologic and side effects Clearance of disopyramide from plasma may be reduced by carvedilol How Carvedilol is Supplied Carvedilol is available in 3.125 mg, 6.25 mg, 12.5 mg, 25 mg tablets.

Dosing Information of Carvedilol for Dogs Medication should never be administered without first consulting your veterinarian.

The dosage prescribed may vary depending on the reason for prescribing. The duration of administration depends on the condition being treated, response to the medication and the development of any adverse effects.

Be certain to complete the prescription unless specifically directed by your veterinarian. Even if your pet feels better, the entire treatment plan should be completed to prevent relapse. In dogs, the usual dose of Carvedilol is 0.1 to 0.2 mg per pound (0.2 to 0.4 mg/kg) every 24 hours. Carvedilol should be ideally given with food. The dose of Carvedilol may be gradually increased over time.<!–Cardiovascular Drugs–><!–Cardiology & Cardiovascular diseases–><Pg 1 of 2>Share