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Coreg CR (Generic Carvedilol)

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Why is this medication prescribed?

Heart failure (condition in which the heart cannot pump enough blood to all areas of the body) and high blood pressure are both treated with carvingilol. Moreover, it is applied to the treatment of heart attack victims. Carvedilol is frequently taken in conjunction with other drugs. Carvedilol belongs to the beta-blocker drug class. It improves blood flow and lowers blood pressure by relaxing blood vessels and lowering heart rate.

High blood pressure is a common illness that, if left untreated, can harm the kidneys, brain, heart, blood vessels, and other organs. Heart disease, a heart attack, heart failure, a stroke, renal failure, eyesight loss, and other issues may result from damage to these organs. Making lifestyle modifications will help you control your blood pressure in addition to taking medication. These adjustments include quitting smoking, drinking alcohol in moderation, eating a diet low in fat and salt, keeping a healthy weight, and exercising for at least 30 minutes most days.

How should this medicine be used?

Carvedilol is available as a tablet and an oral extended-release (long-acting) capsule. The tablet is typically taken with food twice a day. Typically, one extended-release capsule is taken in the morning with meals. Carvedilol should ideally be taken every day at roughly the same time(s). Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. Follow the medication instructions exactly. Never take it in larger or less amounts or more frequently than directed by your doctor.

The extended-release capsules should be taken whole. The capsules shouldn’t be chewed or crushed, and the beads inside shouldn’t be divided into more than one dose. You can carefully open a capsule and pour all of its beads over a spoonful of cool or room temperature applesauce if you are unable to swallow the capsules. Without chewing, instantly swallow the entire concoction.

In order to give your body time to get used to the drug, your doctor will likely start you on a low dose of carvedilol and then gradually raise it. Inform your doctor of your feelings and any symptoms you are having at this time.

Although it won’t treat your disease, carvingilol may help you manage it. Despite feeling fine, keep taking carvedilol. Without consulting your doctor, do not discontinue taking carvedilol. You run the risk of suffering from major cardiac issues like severe chest pain, a heart attack, or an irregular heartbeat if you abruptly stop using carvedilol. Your doctor will likely want to gradually reduce your dose over the course of one to two weeks. Your doctor will closely monitor you and probably advise you to refrain from exercising during this period.

Other uses for this medicine

Other prescriptions for this drug are possible. For more information, consult your physician or pharmacist.

What special precautions should I follow?

Before taking carvedilol,

  • If you have any allergies, including to carvedilol, any other drugs, or any of the substances in carvedilol tablets and extended-release capsules, notify your doctor and pharmacist right away. Get a list of the components from your pharmacist.
  • Inform your doctor and pharmacist about any prescription and over-the-counter drugs, vitamins, herbal remedies, and dietary supplements you are now taking or intend to use. Incorporate any of the following: cimetidine; digoxin (Lanoxin), diltiazem (Cardizem, Cartia, Dilacor, Taztia, Tiazac), epinephrine (Epipen), fluoxetine (Prozac, Sarafem, Selfemra, in Symbyax), insulin, oral diabetes medications, monoamine oxidase inhibitors (MAOIs), such as isocarboxazid (Marplan), phenelzine (Nardil); quinidine, reserpine, rifampin (Rifadin, Rimactane, in Rifater, in Rifamate), paroxetine (Brisdelle, Paxil), propfenone (Rythmol), quinidine, and verapamil (Calan, Covera-HS, Verelan, in Tarka). Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects.
  • Inform your doctor if you have or have previously had liver illness, slow or irregular heartbeat, or asthma or other breathing issues. Your physician might advise against taking carvedilol.
  • If you have diabetes or any other condition that results in low blood sugar, hyperthyroidism (a 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 clear cause), or pheochromocytoma, let your doctor know (a tumour that develops on a gland near the kidneys and may cause high blood pressure and fast heartbeat). Furthermore let your doctor know if you’ve ever experienced a severe allergic response to food or anything else.
  • Inform your doctor if you are expecting, intend to get pregnant, or are nursing a baby. Call your doctor if you become pregnant while taking carvedilol.
  • Inform your doctor or dentist that you are taking carvedilol if you are having surgery, including dental surgery.
  • In particular when you first start taking carvedilol and when your dose is increased, you should be aware that this medicine may cause you to feel sleepy, woozy, or lightheaded. Prior to understanding how this drug affects you, avoid using machinery or driving a car. After taking the drug for an hour, exercise extra caution.
  • During 2 hours prior to and 2 hours following the administration of carvedilol extended-release capsules, refrain from consuming any alcoholic beverages or taking any prescription or over-the-counter drugs that include alcohol. If you are unsure whether a drug you intend to take contains alcohol, ask your doctor or pharmacist.
  • You should be aware that carvedilol can make you feel queasy, lightheaded, and dizzy, particularly if you get out of bed too quickly. When you initially start taking carvedilol, this happens more frequently. Get out of bed gradually, resting your feet on the floor for a few minutes before standing up, to avoid this issue.
  • During your carvedilol treatment, your eyes may get dry if you wear contact lenses. If this starts to trouble you, let your doctor know.

What special dietary instructions should I follow?

Keep eating normally unless your doctor instructs you otherwise.

What should I do if I forget a dose?

If you miss a dosage, take it as soon as you recall. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. To make up for a missing dose, do not take a second one.

What side effects can this medication cause?

Carvedilol could result in hyperglycemia (high blood sugar). If you experience any of the following signs of hyperglycemia, call your doctor right away:

  • Severe thirst
  • Excessive urination
  • Severe hunger
  • Weakness
  • Fuzzy vision

Carvedilol’s negative effects could occur. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Tiredness
  • Weakness
  • Lightheadedness
  • Dizziness
  • Headache
  • Diarrhea
  • Nausea
  • Vomiting
  • Vision alterations
  • Joints hurt
  • Difficulty Sleeping or remaining asleep
  • Sneeze, dry eyes
  • Arm or leg tingling, burning, or numbness

There could be some severe negative effects. Call your doctor right away if you have any of the following symptoms:

  • Fainting
  • Breathing difficulty
  • Gaining weight
  • Edoema of the lower legs, lower arms, feet, ankles, or hands
  • Chest ache
  • Sluggish or unpredictable heartbeat
  • Rash
  • Hives
  • Itching
  • Breathing and swallowing challenges

There may be more negative effects from carvingol. If you encounter any strange issues while taking this drug, let your doctor know right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

What should I know about storage and disposal of this medication?

Keep this medication tightly closed in the original container and out of the reach of children. Keep it away from excessive heat and moisture at room temperature (not in the bathroom).

Although many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning.

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medications website at for additional information.

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Moreover, information can be found online at Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

Symptoms of overdose may include:

  • Sluggish heartbeat
  • Dizziness
  • Fainting
  • Breathing issues
  • Vomiting
  • Consciousness is lost
  • Seizures

What other information should I know?

Keep all of your appointments with your physician and the lab. To monitor how your body is responding to carvedilol, your doctor may request specific laboratory tests.

No one else should take your medication. Any queries you may have regarding medication refills should be directed to your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Coreg®
  • Coreg® CR
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