Carvedilol Hexal
Carvedilol Hexal is a beta-blocker medicine that relaxes and widens blood vessels and slows down a fast heart rate, used to treat high blood pressure, chest pain, and heart failure.
Form
tabletti
Strength
25 mg
Active Ingredient
Carvedilol
Manufacturer
Hexal A/S
How to Use
Dosage
The starting dose is usually 3.125 mg twice daily, but your doctor will adjust the dose based on your condition.
Method
Swallow the tablets whole with a glass of water, with food. Do not chew the tablets.
Important
The maximum daily dose can be up to 100 mg, depending on your condition and weight.
Possible Side Effects
COMMON
- •Dizziness
- •Headache
- •Worsening of heart failure, causing shortness of breath and swollen ankles
- •Low blood pressure
- •Fatigue
- •Respiratory infections (e.g., bronchitis, pneumonia)
- •Urinary tract infections (which may cause urination problems)
- •Anemia (low red blood cell count)
- •Weight gain
- •Increased cholesterol levels
- •Increased or decreased blood sugar levels (in diabetic patients)
- •Depression or low mood
- •Vision problems
- •Dry eyes or eye irritation
- •Slow heart rate
- •Fluid retention or swelling in tissues
- •Dizziness or fainting when standing up quickly (orthostatic hypotension)
- •Poor circulation in hands or feet (coldness, numbness, tingling, pain, or discoloration)
- •Difficulty breathing
- •Fluid accumulation in the lungs or worsening of asthma symptoms
- •Nausea or vomiting
- •Diarrhea
- •Heartburn or stomach pain
- •Limb pain or general pain
- •Kidney problems or abnormal kidney function
- •Urination disturbances
- •Fainting
- •High blood pressure
RARE
- •Sleep disturbances
- •Nightmares
- •Hallucinations or confusion
- •Unusual sensations such as tingling, prickling, or itching
- •Heart conduction problems (between upper and lower chambers)
- •Chest pain due to narrowed heart blood vessels
- •Skin reactions such as allergic rash, skin inflammation, hives, or itching
- •Psoriasis or psoriasis-like skin reactions
- •Erectile dysfunction
- •Constipation
- •Low platelet count (may cause easy bruising or nosebleeds)
- •Nasal congestion
- •Dry mouth
- •Low white blood cell count (may cause infection symptoms, unexplained fever, or sore throat)
- •Severe allergic reactions (such as sudden swelling of the throat, face, or hands/feet, or difficulty breathing/swallowing)
- •Liver problems (indicated by increased liver enzyme values)
- •Urinary incontinence in women
- •Certain mental disorders (e.g., psychoses)
- •Hair loss
- •Excessive sweating
Important Warnings
- Do not take if you are allergic to carvedilol or any other ingredients.
- Do not take if you have severe heart failure, cardiogenic shock, very slow heart rate (below 50 bpm), or very low blood pressure (below 85 mmHg systolic).
- Do not take if you have a history of narrowed airways or asthma.
- Do not take if you have severe liver problems.
- Do not stop taking Carvedilol Hexal suddenly, especially if you have coronary artery disease, as it can worsen your condition. Your doctor will gradually reduce your dose.
Show 5 more warnings
- If you have diabetes, monitor your blood sugar closely, as this medicine may hide symptoms of low blood sugar.
- Tell your doctor if you have poor circulation in your hands or feet, which may cause coldness, numbness, tingling, pain, or discoloration.
- Inform your doctor if you are going to have surgery or anesthesia, as this medicine can cause your blood pressure to drop too low.
- Seek immediate medical attention if you experience severe allergic reactions, such as sudden swelling of the throat, face, lips, mouth, or difficulty breathing or swallowing.
- Do not use this medicine if you are breastfeeding.
Use in Elderly Patients
Category A
Suitable for older adults. Significant adverse effects include bradycardia and orthostatic hypotension. Consider potential interactions, especially with drugs affecting the conduction system of the heart. (updated 20.1.2025)