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Active substance(s): CARVEDILOL / CARVEDILOL

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Package leaflet: Information for the patient

3.125 mg, 6.25 mg, 12.5 mg and 25 mg
Read all of this leaflet carefully before you start taking this medicine because it contains important
information for you.
• K
 eep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• T his 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.
1. 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 6)
• if you have asthma or breathing problems due to other lung problems
• 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 up
• 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:
• o
 ther 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, reserpine
• o
 ther medicine which can cause lowering of blood pressure as a side effect; as carvedilol may worsen this
effect e.g. barbiturates (for epilepsy)
• c arbamazepine, to treat epilepsy
• c inacalcet, to treat high blood levels of calcium
• b
 upropion, to treat nicotine addiction
• f luconazole, to treat fungal infections
• c lonidine, for high blood pressure or migraines; if stopping treatment, Carvedilol treatment should be
stopped a few days before slowly reducing the clonidine dose
• a ntibiotics such as rifampicin, erythromycin
• c imetidine, to treat stomach ulcers, heartburn
• c iclosporin, an immunosuppressant used after organ transplants
• a ntidepressants (to treat depression) such as monoamine oxidase inhibitors (MAOIs e.g. phenelzine),
paroxetine, fluoxetine, amitriptyline
• a ll 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 sweating)
• m
 edicines known as sympathomimetics such as pseudoephedrine (to treat colds), adrenaline (epinephrine) and
isoprenaline (heart stimulants), noradrenaline (norepinephrine)
• n
 euromuscular blocking medicine (to reduce muscle tension)
• m
 edicines 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
• 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 doses.
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):
• P
 roblems 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):
• S evere breathing difficulties, including when resting (pneumonia)
• S erious 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 1 in 100 people):
• Irregular or missed heart beats.
Very rare (may affect up to 1 in 10,000 people):
 llergic (hypersensitivity) reactions. The signs may include difficulty breathing or swallowing caused by
• A
sudden swelling of the throat, or face or swelling of your hands, feet and ankles
• S evere 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
• F eeling weak and tired
• L ow blood pressure. The signs include feeling dizzy or light-headed
• S welling 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
• P
 roblems in passing water
• L ow 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)
• L oss of control of blood sugar in people with diabetes
• Feeling depressed
• P
 roblems with your sight, sore or dry eyes due to fewer tears being made
• A
 slow heart beat
• F eeling dizzy or light-headed after standing up
• F luid 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 body
• P
 roblems 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 walk
• B
 reathing problems such as cough or wheezing
• F eeling sick or being sick
• Diarrhoea
• Stomach upset/indigestion
• Stomach pain
• P
 ain, possibly in your hands and feet
• P
 roblems with your kidneys, including changes to how often you pass urine.
Uncommon (may affect up to 1 in 100 people):
• Disturbed sleep
• Fainting
• T ingling or numbness of your hands or feet
• P
 roblems 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
• B
 eing unable to get an erection (erectile dysfunction)
• Constipation.
Rare (may affect up to 1 in 1,000 people):
• L ow 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):
• L ow numbers of all types of white blood cells. The signs include infections of the mouth, gums, throat
and lungs
• A
 dry mouth
• L iver problems which show up in a blood test
• S ome 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:
• T he active ingredient is carvedilol. Each film-coated tablet contains 3.125 mg, 6.25 mg, 12.5 mg or 25 mg carvedilol.
• T he 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 (E1200).
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
Mylan, Potters Bar, Hertfordshire, EN6 1TL, United Kingdom
Specifar S.A, 1, 28 Octovriou Str., Ag. Varvara, Athens 12351, Greece
Gerard Laboratories, 35/36 Baldoyle Industrial Estate, Grange Road, Dublin 13, Ireland
Dragenopharm Apotheker Püschl GmbH, Göllstraβe 1, 84529 Tittmoning, Germany
Generics [UK] Limited, Potters Bar, Herts EN6 1TL, UK
Mylan Hungary Kft., H-2900 Komárom, Mylan útca 1, Hungary
Mylan B.V., Dieselweg 25, 3752 LB, Bunschoten, The Netherlands
This leaflet was last revised in March 2017



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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.