CARVEXAL 12.5MG (GENERIC COREG) (30 TABLETS)

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Carvedilol 12.5mg

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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 whose hearts cannot pump blood well as a result of 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

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 or any other      medications.
  • 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      (Tagamet); clonidine (Catapres), cyclosporine (Neoral, Sandimmune);      digoxin (Lanoxicaps, Lanoxin); diltiazem (Cardizem, Tiazac); epinephrine      (Epipen); fluoxetine (Prozac); insulin; oral medications for diabetes;      monoamine oxidase inhibitors (MAOIs) such as isocarboxazid (Marplan),      phenelzine (Nardil), tranylcypromine (Parnate), and selegiline (Eldepryl,      Emsam, Zelapar); paroxetine (Paxil); propafenone (Rythmol); quinidine;      reserpine (Serpalan,); rifampin (Rifadin, Rimactane); and verapamil      (Calan, Covera-HS, Verelan). 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 thirst
  • frequent urination
  • extreme hunger
  • weakness
  • blurred vision

Carvedilol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

  • tiredness
  • weakness
  • lightheadedness
  • dizziness
  • headache
  • diarrhea
  • nausea
  • vomiting
  • vision changes
  • joint pain
  • difficulty falling asleep or staying asleep
  • cough
  • dry eyes
  • numbness, 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:

  • fainting
  • shortness of breath
  • weight gain
  • swelling of the arms, hands, feet, ankles, or      lower legs
  • chest pain
  • slow or irregular heartbeat
  • rash
  • hives
  • itching
  • difficulty breathing and swallowing

Carvedilol may cause other side effects. Tell your doctor if you experience any unusual problems while you are taking this medication.

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