Coreg/Dilatrend (Carvedilol) Dosage and Side Effects
COREG is used to treat high blood pressure and heart failure.
Warnings and Precautions
If you are prescribed COREG, you should never stop taking it without first speaking to your doctor.
If your physician decides to take you off COREG, 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 COREG.
Common Side Effects of COREG
•Changes in sex drive or performance
Serious Side Effects of COREG
•Low or uneven heartbeats
•Rapid weight gain
•Loss of bladder control
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
•Rapid heart beat
•Severe skin reaction
•Fruity breath odor
•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.
Interactions with this medication
Before using COREG, you should give your physician a complete list of all your prescription, non-prescription drugs, recreational drugs, vitamins, and herbal supplements.
COREG 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 COREG include:
•Cyclosporine (Restasis, Neoral, Sandimmune)
•Digoxin (Lanoxicaps or Lanoxin)
•Diltiazem (Cardizem or Tiazac)
Insulin and oral diabetes medications are also known to interact with COREG 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:
•Verapamil (Calan or Covera-HS)
•Bupropion (Wellbutrin or Zyban)
•Fluoxetine (Prozac or Sarafem)
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).
COREG 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 COREG. Stand up slowly and carefully.
Proper Use of this medication
COREG 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.