Carvedilol an 3.125, 6.25, 12.5 & 25 Mg Tablets
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Carvedilol AN 3.125, 6.25, 12.5 & 25 mg tablets Carvedilol AN Consumer Medicine Information What is in this leaflet Heart Failure: Carvedilol AN helps to lower your Heart failure occurs when the heart blood pressure. can no longer pump blood strongly This leaflet answers some of the Your doctor may have prescribed enough for the body's needs. Often common questions about Carvedilol Carvedilol AN for another reason. AN. It does not contain all the the heart grows in size to try to available information. It does not improve the blood flow but this can Ask your doctor if you have any take the place of talking to your make the heart failure worse. questions about why Carvedilol AN has been prescribed for you. doctor or pharmacist. Symptoms of heart failure include All medicines have risks and shortness of breath and swelling of benefits. Your doctor has weighed the feet or legs due to fluid build-up. the possible risks of Carvedilol AN Carvedilol AN reduces the pressure Before you take against the expected benefits. that the heart has to pump against as Carvedilol AN If you have any concerns about this well as controlling your heart rate. medicine talk to your doctor or Over 6 months or more this will pharmacist. reduce the size of an oversized heart When you must not take and increase its efficiency. Keep this leaflet until you have Cervedilol AN Carvedilol AN reduces the chances finished treatment with the You must not take Carvedilol AN medicine. of you being admitted to hospital if: You may need to read it again. and/ or dying from this condition. 1. you have had an allergic Carvedilol AN is often used with reaction to carvedilol or any of other medicines to treat heart failure. the other ingredients contained Hypertension: in this medicine. What Carvedilol AN is Symptoms of an allergic reaction used for All people have blood pressure. This pressure helps to push blood all may include: around your body. Your blood - shortness of breath, wheezing or Carvedilol AN contains carvedilol as pressure changes during the day, difficulty breathing, the active ingredient. depending on how busy you are or - swelling of the face, lips, tongue Carvedilol AN belongs to a group of how you are feeling. or other part of the body, medicines called beta-blockers. - rash, itching or hives of the skin. You have hypertension (high blood These medicines work by relaxing pressure) when your blood pressure 2. you have asthma or other tightened blood vessels and slowing stays higher than is needed, even conditions which make you the heart rate. Carvedilol AN has the when you are calm and relaxed. short of breath from time to additional effect of being an time. Regular blood pressure checks are antioxidant. 3. you have a history of allergic the only way of knowing that you Carvedilol AN is used to treat problems, including hayfever. have hypertension. There are usually patients with heart failure and high Symptoms of an allergy may no symptoms of hypertension and blood pressure, which is called include: rash, itching, watery you may feel fine. If hypertension is hypertension. eyes or sneezing. not treated, serious health problems 4. you have a history of a very such as stroke, heart disease and slow heart rate or uneven heart kidney failure may occur. beating. Carvedilol AN 3.125, 6.25, 12.5 & 25 mg tablets Published by MIMS November 2014 1 5. you have certain other heart • You have any other health • Rifampicin, a medicine used to conditions. problems, especially the treat tuberculosis (e.g. Rimycin®, 6. you have liver problems following: Rifadin®) including liver failure. - Angina or chest pain/tightness • Cimetidine, a medicine used to 7. you have very low blood which occurs even when you are treat stomach ulcers or reflux (e.g pressure. at rest (also called unstable Tagamet®, Magicul®) angina) 8. the packaging is torn or shows • Digoxin, a medicine used to treat - Low blood pressure signs of tampering. heart failure (e.g. Lanoxin®) - High blood pressure which • Mono-amine oxidase inhibitors 9. the expiry (EXP) printed on the varies widely pack has passed of if the tablets (MAOI's) such as phenelzine - Very poor circulation to your (Nardil®) and tranylcypromine appear damaged in any way. fingers and/or toes (also called (Parnate®), medicines used to If you take this medicine after the peripheral vascular disease) expiry date has passed, it may not treat depression - A history of poor kidney • work as well. function Clonidine, a medicine used to If you are not sure if you should be - Chronic bronchitis or treat high blood pressure, migraine or menopausal taking Carvedilol AN, talk to your emphysema causing breathing doctor. difficulties symptoms (e.g. Catapres®) • Diltiazem, a medicine used to Do not give Carvedilol AN to - Diabetes treat high blood pressure or people under 18 years of age. - Sudden low blood sugar levels (also called hypoglycaemia) angina (e.g. Carizem®, Coras®, Safety and effectiveness in children - Thyroid disorders Diltahexal®, Dilzem®, has not been established. - Severe allergic reactions Vasocardol®) causing swelling and/or difficulty • Verapamil, a medicine used to Before you are given it breathing treat high blood pressure, angina - A rare cancer of the adrenal or fast heart rate (e.g. Isoptin®, Before you receive Carvedilol AN gland called phaeochromocytoma Cordilox®, Anpec®) tell your doctor if: which is not being treated with • Drugs for when your heart doesn't • You are pregnant or plan to other medicines beat smoothly, includuing become pregnant - Skin disease such as psoriasis disopyramide (Rythmodan®), It is not known whether • You are allergic to any other mexiletine (Mexitil®), Carvedilol AN is harmful to an medicines, foods, dyes or lignocaine, flecainide unborn baby when taken by preservatives (Tambocor®), and amiodarone pregnant women. Your doctor • (Cordarone®, Aratac®) will discuss the risks and benefits You plan to have surgery Your surgeon and anaesthetist • Drugs for diabetes, including of using Carvedilol AN during should know well ahead of the insulin injections, glibenclamide your pregnancy. date of your surgery so they can (Daonil®, Glimel®), metformin • You are breastfeeding or plan allow for your condition and (Diabex®, Diaformin®, to breastfeed medications. Glucohexal®, Glucomet®, Carvedilol AN passes into Glucophage®), gliclazide breastmilk. Your doctor will Tell your doctor about any of the (Diamicron®), glipizide discuss the risks and benefits of above before you start taking (Minidiab®, Melzide®) taking Carvedilol AN if you are Carvedilol AN. • Cyclosporine, a medicine used to breastfeeding. Taking other medicines with treat certain problems with the immune system (e.g. Neoral®, Carvedilol AN Cicloral®, Sandimmun®) Tell your doctor if you are taking • Aspirin and other pain relievers any other medicines or have taken or non steroidal anti- other medicines until recently. This inflammatory medicines such as includes those medicines that you ibuprofen (Nurofen®), or buy without a prescription from a naproxen (Naprosyn®) pharmacy, supermarket or health • food shop. Medicines which may relieve asthma or help you breath better Some medicines may interfere with such as salbutamol (Ventolin®) Carvedilol AN. These include: and salmeterol (Serevent®/Seretide®) Carvedilol AN 3.125, 6.25, 12.5 & 25 mg tablets Published by MIMS November 2014 2 • Fluoxetine, a medicine used to Thereafter, the recommended dosage If you forget to take Carvedilol treat depression and other is 25 mg once a day. AN conditions (e.g. Prozac®) If necessary, the dosage may be • Other medicines that may help If it is almost time for your next increased every two weeks up to the dose, skip the dose and take our lower your blood pressure. recommended maximum daily dose next dose when you are meant to. These medicines may be affected by of 50 mg given once a day or in Carvedilol AN, or may affect how divided doses (twice daily). Otherwise, take it as soon as you remember then go back to taking well it works. You may need to use Elderly: your medicine as you would different amounts of your medicine, The recommended dose for initiation normally. or you may need to take different of therapy is 12.5 mg once daily, Do not take a double dose to make medicines. Your doctor will advise which has provided satisfactory up for that dose you missed. you. control in some patients. If the This may increase the chance of you Your doctor or pharmacist has more response is inadequate, the dose may getting an unwanted side effect. information on medicines to be be increased every two weeks up to careful with or avoid while taking the recommended maximum daily If you are not sure what to do, ask Carvedilol AN. dose. your doctor or pharmacist. Ask your doctor or pharmacist if Your doctor will monitor you If you have trouble remembering you are not sure about this list of carefully each time the dose is your dose, ask your pharmacist for medicines. increased. some hints. How to take Carvedilol AN In case of an overdose Swallow tablets whole or halved If you think you or anyone else How Carvedilol AN is may have taken too much given with a glass of water. Do not crush or chew the tablets. Carvedilol AN, immediately telephone your doctor or Poisons Follow all directions given to you Information Center (telephone by your doctor or pharmacist When to take Carvedilol AN 13 11 26) or go to Accident and carefully. Emergency at your nearest Take Carvedilol AN during or They may differ from the hospital. Do this even if there are immediately after a meal, at about information contained in this leaflet. no signs of discomfort or the same times each day. poisoning. Taking your medicine at the same How much is given time each day will have the best Keep telephone numbers for these effect.