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Active substance(s): CARVEDILOL

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Package leaflet: Information for the patient
Carvedilol 3.125 mg, 6.25 mg, 12.5 mg and 25 mg Film-coated Tablets
Read all of this leaflet carefully before you start taking this medicine because it contains
important information for you.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you only. Do not pass it on to others. It may harm them,
even if their signs of illness are the same as yours.
- If you get any side effects, talk to your doctor or pharmacist. This includes any possible side
effects not listed in this leaflet. See section 4.
In this leaflet:
1. What Carvedilol is and what it is used for
2. What you need to know before you take Carvedilol
3. How to take Carvedilol
4. Possible side effects
5. How to store Carvedilol
6. Contents of the pack and other information.

What Carvedilol is and what it is used for

Carvedilol contains the active ingredient carvedilol which is a beta blocker and vasodilator.
Carvedilol widens blood vessels, lowers blood pressure and reduces the effort needed for the heart
to pump blood around the body.
Carvedilol is used to treat high blood pressure and angina (chest pain). Carvedilol can also be
given, along with other medicine, to help treat moderate to severe heart failure.
2. What you need to know before you take Carvedilol
Do not take Carvedilol:
 if you are allergic to carvedilol or any of the other ingredients of this medicine (listed in section
 if you have or had asthma or bronchospasm
 if you have unstable heart failure or a conduction defect of the heart (so-called AV-block of
type II or III unless you have a pacemaker in place, or so-called sick sinus node)
 if you are suffering from a severe heart condition called cardiogenic shock
 if you have a very slow heart beat (less than 50 beats per minute) or very low blood pressure
 if you have liver disease
Warnings and precautions
Talk to your doctor or pharmacist before taking Carvedilol
 if you have heart failure and also
- low blood pressure
- fluid retention (swelling)

- not enough blood supply to your heart (ischaemic heart disease)
- and/or kidney problems
Your doctor will monitor your kidney function. It may be necessary to reduce your dose.
if you have a conduction problem of the heart known as AV-block type I
if you have diabetes. Treatment with Carvedilol may mask the signs of low blood sugar such
as feeling sick, sweating and weakness. Monitor your blood sugar regularly.
if you have breathing problems , such as breathlessness or wheezing, and you are not taking
medicine for it. Carvedilol may worsen these breathing difficulties.
if you wear contact lenses as Carvedilol can cause dry eyes
if you have Raynaud’s phenomenon (cold hands and feet) or other peripheral vascular
disease e.g. blood circulation problems in your legs causing cramp-like pain when you walk as
Carvedilol may worsen your symptoms
if you have an overactive thyroid gland as Carvedilol may hide your symptoms
if you have ever had a serious allergic reaction (e.g. to an insect bite or food) or if you are
having allergic desensitisation therapy
if you have psoriasis.
If you are suffering from a serious disturbance in the body´s acid-balance a condition called
metabolic acidosis which causes dehydration, rapid breathing, drowsiness and confusion.
if you have a very low pulse (especially if it is less than 55 beats per minute).
if you have an over-function of the adrenal glands (phaeochromocytoma).
if you suffer from a particular form of angina pectoris called Prinzmetal’s variant angina
caused by cramping of coronary arteries.
if you have labile or secondary hypertension (your blood pressure fluctuates rapidly or high
blood pressure is caused by another medical condition).
if you suffer from orthostatic hypotension, a sudden fall of blood pressure when you stand
if you have acute inflammatory heart disease.
if you have obstruction of heart valves.

Other medicines and Carvedilol
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other
medicines including medicines obtained without a prescription, herbal medicines, especially any
of the following:
* other medicines for your heart or blood pressure including alpha blockers (e.g. doxazosin),
calcium channel blockers (e.g. verapamil, diltiazem), medicine for an irregular heart rhythm
(e.g. quinidine, flecainide,amiodarone), nitrates (e.g. isosorbide mononitrate), digoxin,
* other medicine which can cause lowering of blood pressure as a side effect; as carvedilol may
worsen this effect e.g. barbiturates (for epilepsy)
* carbamazepine, to treat epilepsy
* cinacalcet, to treat high blood levels of calcium
* bupropion, to treat nicotine addiction
* fluconazole, to treat fungal infections
* clonidine, for high blood pressure or migraines; if stopping treatment, Carvedilol treatment
should be stopped a few days before slowly reducing the clonidine dose
* antibiotics such as rifampicin, erythromycin
* cimetidine, to treat stomach ulcers, heartburn



ciclosporin, an immunosuppressant used after organ transplants
antidepressants (to treat depression) such as monoamine oxidase inhibitors (MAOIs e.g.
phenelzine), paroxetine, fluoxetine, amitriptyline
all types of antidiabetic medicine, including insulin, as carvedilol can increase the effect of
these medicines as well as hide the symptoms of low blood sugar (feeling sick, weak and
medicines known as sympathomimetics such as pseudoephedrine (to treat colds), adrenaline
(epinephrine) and isoprenaline (heart stimulants), noradrenaline (norepinephrine)
neuromuscular blocking medicine (to reduce muscle tension)
medicines for breathing problems (e.g. salbutamol, formotarol)
ergotamine, for migraine
certain painkillers (NSAIDs) e.g. ibuprofen
oestrogens (hormones)
corticosteroids e.g. prednisolone.

Carvedilol can react with anaesthetics during surgery. If you are due to have any kind of surgery,
including dentistry, tell your doctor or dentist you are taking Carvedilol
Ask your doctor for advice before taking any medicine.
Carvedilol with alcohol
Alcohol may increase the effects of Carvedilol causing side effects such as dizziness.
Pregnancy and breast-feeding
Beta-blockers may affect the growth of your unborn baby. Carvedilol should only be used during
pregnancy if the benefits to the mother outweigh the risk of harm to the baby.
Mothers taking carvedilol should not breast feed as carvedilol can pass into breast milk.
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby,
ask your doctor or pharmacist for advice before taking this medicine.
Driving and using machines
Carvedilol does not usually affect your ability to drive or use machines. However, some people
may suffer side effects such as dizziness or feeling less alert, often at the start of treatment or if the
dose is changed. If you suffer from side effects do not drive or use machines and tell your doctor.
Carvedilol contains lactose
If you have been told by your doctor that you have an intolerance to some sugars, such as lactose,
contact your doctor before taking this medicine.
3. How to take Carvedilol
Always take this medicine exactly as your doctor has told you. Check with your doctor or
pharmacist if you are not sure.
 Swallow the tablets with at least half a glass of water

 You can take with or without food, however patients with heart failure should take the tablets
with food to reduce the risk of dizziness when suddenly standing up when suddenly standing
 If you feel the effects are too strong or weak, talk to your doctor.
Carvedilol Film-coated Tablets are available in different strengths. Your doctor will give you the
most suitable strength for your treatment. The 6.25 mg, 12.5 mg and 25 mg tablets can be divided
into two equal doses.
Adults (including the elderly)
To treat high blood pressure
The recommended starting dose is 12.5 mg taken once a day for the first 2 days, then 25 mg once a
day. If necessary the dose may be increased to a maximum of 50 mg daily, in either one or two
If you are elderly, your doctor may increase the dose more slowly.
The recommended starting dose is 12.5 mg taken twice a day for the first 2 days, then 25 mg twice
a day. If needed your doctor may decide to slowly increase the dose further, to the maximum of
100 mg. The recommended maximum dose for elderly patients is 25 mg twice a day.
Heart failure
The recommended starting dose is 3.125 mg twice a day for two weeks. Your doctor may decide
to increase your dose in stages every 2 weeks until the dose is right for you. The maximum
recommended dose is between 25 mg and 50 mg twice a day, depending on your weight. The
maximum recommended dose in severe heart failure is 25 mg twice a day.
If Carvedilol treatment is stopped for more than two weeks, the dose should be restarted at 3.125
mg twice daily and slowly increased as above.
If you have liver problems your doctor may give you a lower dose than those stated above.
Use in children and adolescents
Carvedilol should not be given to children or adolescents under 18 years of age.
If you take more Carvedilol than you should
If you take more Carvedilol than you should, contact your doctor or casualty department
immediately. Signs of overdose include feeling faint due to very low blood pressure, a slow heart
beat, and in some cases missed heart beats, breathing problems, feeling generally unwell, losing
consciousness and fits.
If you forget to take Carvedilol
If you forget to take a dose of Carvedilol take it as soon as you remember unless it is nearly time
for your next dose. Do not take a double dose to make up for a forgotten dose.
If you stop taking Carvedilol
If you suddenly stop taking Carvedilol you are likely to suffer from side effects. If needed your
doctor will reduce your treatment slowly.

If you have any further questions on the use of this product, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If you think you may have any of the following side effects contact your doctor or go to your
nearest hospital emergency room immediately:
Very common (may affect more than 1 in 10 people):
• Problems with your heart. The signs include chest pains, tiredness, shortness of breath and
swelling of your arms and legs (heart failure or angina).
Common (may affect up to 1 in 10 people):
• Severe breathing difficulties, including when resting (pneumonia)
• Serious problems with your kidneys that may cause you to urinate less, feel drowsy or sick,
breathless or weak or lose your appetite
Uncommon (may affect up to in in 100 people):
• Irregular or missed heart beats
Very rare (may affect up to 1 in 10,000 people):
• Allergic (hypersensitivity) reactions. The signs may include difficulty breathing or swallowing
caused by sudden swelling of the throat, or face or swelling of your hands, feet and ankles
• Severe skin reactions, including blistering, red or purple marks or peeling of the skin. It can
also affect the mouth, eyes, nose and genitals (Stevens-Johnson syndrome, toxic epidermal
necrolysis or erythema multiforme).
Other possible side effects:
Very common (may affect more than 1 in 10 people):
• Feeling dizzy.
• Headache.
• Feeling weak and tired.
• Low blood pressure. The signs include feeling dizzy or light-headed.
• Swelling and pain in the genitals.

Feeling dizzy, having a headache and feeling weak and tired are usually mild and more likely to
happen at the beginning of your treatment.
Common (may affect up to 1 in 10 people):
• Infections of the airway (bronchitis),nose and throat (upper respiratory tract). The signs include
wheezing, shortness of breath, chest tightness and sore throat
• Problems in passing water.
• Low numbers of red blood cells (anaemia). The signs include feeling tired, pale skin, a fluttering
sensation in your heart (palpitations) and being short of breath.

• Increase in weight.
• Increase in cholesterol levels (shown by a blood test).
• Loss of control of blood sugar in people with diabetes.
• Feeling depressed.
• Problems with your sight, sore or dry eyes due to fewer tears being made.
• A slow heart beat.
• Feeling dizzy or light-headed after standing up.
• Fluid retention. The signs include: overall swelling of your body, swelling of parts of your body
for example your hands, feet, ankles and legs and an increase in how much blood you have in your
• Problems with blood circulation in your arms and legs. The signs include cold hands and feet,
whiteness, tingling and pain in your fingers and a pain in your leg which gets worse when you
• Breathing problems such as cough or wheezing.
• Feeling sick or being sick.
• Diarrhoea.
• Stomach upset / indigestion.
• Stomach pain.
• Pain, possibly in your hands and feet.
• Problems with your kidneys, including changes to how often you pass urine.
Uncommon (may affect up to 1 in 100 people):
• Disturbed sleep.
• Fainting.
• Tingling or numbness of your hands or feet.
• Problems with your skin, including skin rashes which may cover a lot of your body, a lumpy rash
(hives), feeling itchy and dry skin patches.
• Hair loss.
• Being unable to get an erection (erectile dysfunction).
• Constipation.
Rare (may affect up to 1 in 1,000 people):
• Low numbers of platelets in your blood. The signs include bruising easily and nose bleeds.
• A stuffy nose.
Very rare (may affect up to 1 in 10,000 people):
• Low numbers of all types of white blood cells. The signs include infections of the mouth, gums,
throat and lungs.
• A dry mouth.
• Liver problems which show up in a blood test
• Some women may have difficulty with bladder control when they pass water (urinary
incontinence). This normally will get better when treatment is stopped.
Carvedilol can also cause development of the signs of diabetes in people who have a very mild
form of diabetes called “latent diabetes”.

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side
effects not listed in this leaflet.
You can also report side effects directly via the Yellow Card Scheme at: By reporting side effects you can help provide more information
on the safety of this medicine
5. How to store Carvedilol
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the pack. The expiry date refers
to the last day of that month.
Do not store above 30ºC.
Store in the original package in order to protect from light.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how
to throw away medicines you no longer use. These measures will help protect the environment.

6. Contents of the pack and other information
What Carvedilol contains
- The active ingredient is carvedilol. Each film-coated tablet contains 3.125 mg, 6.25 mg, 12.5
mg or 25 mg carvedilol.
- The other ingredients are microcrystalline cellulose, lactose monohydrate (see section 2,
‘Carvedilol contains lactose’), crospovidone, povidone, colloidal anhydrous silica, magnesium
stearate, hypromellose, titanium dioxide (E171), triethyl citrate, macrogol and polydextrose
What Carvedilol looks like and contents of the pack
3.125 mg film-coated tablets: white, oval, and smooth on both sides
6.25 mg film-coated tablets: white, oval, scored on both sides and marked ‘6.25’ on one side
12.5 mg film-coated tablets: white, oval, scored on both sides and marked ’12.5’ on one side
25 mg film-coated tablets: white, oval, scored on both sides and marked ‘25’ on one side.
Carvedilol are available in plastic bottles or blister packs containing 10, 14, 28, 30, 50, 56, 98, 100
or 250 (plastic bottle only) tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder
Potters Bar
Hertfordshire, EN6 1TL
United Kingdom

Specifar S.A
1, 28 Octovriou Str.
Ag. Varvara
12351 Greece
Gerard Laboratories
35/36 Baldoyle Industrial Estate
Grange Road
Dublin 13
Dragenopharm Apotheker Püschl GmbH
Göllstrae 1
84529 Tittmoning
Generics [UK] Limited
Station Close
Potters Bar
Herts EN6 1TL
Mylan Hungary Kft.
H-2900 Komárom
Mylan útca 1

This leaflet was last revised in January 2014

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.