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Carvedilol: Uses, Side Effects, and How to Take It

Published: July 22, 2026Updated: July 22, 2026

Carvedilol is a beta blocker that helps the heart beat more slowly and with less force. It is used to treat high blood pressure, heart failure, and reduced left-heart function after a heart attack.

Quick summary

Carvedilol can help protect the heart and lower blood pressure, but it may cause dizziness, fatigue, or a slow pulse. Take it exactly as prescribed and do not stop it suddenly without medical advice.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 22, 2026Editorial policy

Key facts at a glance

ATC
C07AG02
Generic
Carvedilol
Class
beta-blocker
Brands
Coreg
Availability
rx
Pregnancy
C
Lactation
unsafe
Half-life (h)
7
Onset (min)
30
Duration (h)
12
Routes
oral
Forms
tablet
Regions
CN, US, EU, JP
Monitoring
blood-pressure, heart-rate

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
12.5mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
0.2mg/kg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
3.125mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity
Chronic overdose: Cumulative daily doses exceeding 50-100 mg can lead to toxicity in sensitive individuals
Immediate actions
Gastric lavage within 1-2 hours, activated charcoal, intravenous fluids, vasopressors
Antidote
Glucagon(Effective for reversing severe beta-blocker toxicity by increasing cardiac contractility)
Poison Control: 1-800-222-1222

Special Populations

7 groups
✗

pregnancy

general
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks to the mother

Monitor

regular fetal monitoring including heart rate and growth

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
C
Dose Adjustment

discontinue breastfeeding or avoid drug

Key Recommendations

carvedilol passes into breast milk; breastfeeding mothers should either discontinue the drug or stop breastfeeding

Monitor

monitor infant for signs of bradycardia, hypotension, and hypoglycemia

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

start at lower dose (6.25mg once daily)

Key Recommendations

initiate therapy at lowest dose and titrate slowly; increased sensitivity to beta-blockade in elderly

Monitor

monitor blood pressure, heart rate, and renal function regularly

Use with caution and monitor for adverse effects.

✗

pediatric_age

children under 18
unsafe
FDA Category
B
Dose Adjustment

not recommended

Key Recommendations

carvedilol is not approved for use in pediatric patients; safety and efficacy not established

Monitor

not applicable as use is not recommended

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

renal_impairment

moderate to severe
caution
FDA Category
C
Dose Adjustment

reduce dose in severe renal impairment

Key Recommendations

use with caution in patients with renal impairment; dose reduction may be required

Monitor

monitor renal function and electrolytes regularly

Use with caution and monitor for adverse effects.

✗

hepatic_impairment

severe
contraindicated
FDA Category
C
Dose Adjustment

contraindicated

Key Recommendations

contraindicated in patients with severe hepatic impairment due to metabolism requirements

Monitor

liver function tests should be monitored periodically

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

alcohol_users

chronic alcohol use
caution
FDA Category
C
Dose Adjustment

avoid excessive alcohol

Key Recommendations

alcohol may enhance the blood pressure lowering effect; avoid excessive alcohol consumption

Monitor

monitor blood pressure and liver function

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:1995

FDA approval for Carvedilol (Coreg)

drug_classWHO
2023

Drug class

Value:Beta-blocker with alpha-1 blocking activity

ATC code C07AG01

usageMedical guidelines
2023

Common uses

Value:Hypertension, heart failure, left ventricular dysfunction

Indications for Carvedilol

mechanismFDA
2023

Mechanism of action

Value:Non-selective beta-blocker and alpha-1 adrenergic antagonist

Pharmacological mechanism

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 22, 2026. · Read our editorial policy