Medication info
Carvedilol Sustained Release Capsule 64 mg (Carvedilol)

Carvedilol Sustained Release Capsule 64 mg (Carvedilol)

Prescription medicationHard capsuleOral
Ingredient · strength
Carvedilol›64mg / 1 capsule
Manufacturer / importer
Hanmi Pharmaceutical Co., Ltd.
Appearance
A hard capsule with a soft yellow color that contains immediate-release and sustained-release granules, ranging from white to light yellow.
Packaging
30 capsules/bottle
Approval status
Active

MFDS item code 201404423 · Approved 2014.09.26 · Insurance code 643506970

Summary

Main use
Essential hypertension; adjunctive treatment of congestive heart failure; treatment of chronic stable angina
Who takes it
Adults
Adult dose
Administer this medicine orally with food. Do not increase the dose or discontinue treatment without a physician's instructions. Because this medicine is an extended-release formulation, do not break, crush, or chew it; swallow the capsule whole. For reference, the daily doses of this medicine (extended-release formulation) corresponding to those of conventional carvedilol formulations are as follows: Daily dose of conventional formulation: 3.125 mg twice daily / Daily dose of extended-release formulation: 8 mg once daily Daily dose of conventional formulation: 6.25 mg twice daily / Daily dose of extended-release formulation: 16 mg once daily Daily dose of conventional formulation: 12.5 mg twice daily / Daily dose of extended-release formulation: 32 mg once daily Daily dose of conventional formulation: 25 mg twice daily / Daily dose of extended-release formulation: 64 mg once daily Daily dose of conventional formulation: 50 mg twice daily / Daily dose of extended-release formulation: 128 mg once daily Essential hypertension - Adults: Administer 16 mg once daily for 2 days, then increase to 32mg once daily. Usually, after administering 32 mg once daily for 2 weeks, if the effect is insufficient, the dose may be increased to 64mg once daily. The maximum daily dose of this medicine is 64mg. Essential hypertension - Elderly patients: Administration of 16 mg of this medicine once daily may provide a sufficient therapeutic effect. If the effect is insufficient after 2 weeks of treatment, the dose may be increased. Administer cautiously while monitoring the patient's condition. Chronic stable angina: For the first 2 days, administer 32 mg of carvedilol once daily, followed by 64 mg once daily. Chronic stable angina: Usually, administer 64 mg once daily for 2 weeks. If an increase is needed (excluding elderly patients), administer 128 mg once daily. Congestive heart failure: For initial treatment, generally administer 8 mg of carvedilol once daily for 2 weeks. If the patient tolerates this treatment well, increase the dose to 16 mg once daily for 2 weeks, then to 32 mg once daily for 2 weeks, and then to 64 mg once daily. Congestive heart failure: After taking each dose for at least 2 weeks, gradually increase the dose to the maximum dose tolerated by the patient. Congestive heart failure: The minimum effective dose of this medicine is 16 mg once daily. The maximum dose is 64 mg once daily for patients weighing 85 kg or less, and 128 mg once daily for patients weighing 85 kg or more.

Ingredients

Manufacturer
Hanmi Pharmaceutical Co., Ltd.

Efficacy & effects

Essential hypertension; adjunctive treatment of congestive heart failure; treatment of chronic stable angina

  • Essential hypertension
  • chronic stable angina
  • congestive heart failure
View approved original text

This medication is used to treat essential hypertension, chronic stable angina, and congestive heart failure. It plays an adjunctive role particularly when used in combination with diuretics, digitalis preparations, ACE inhibitors, and other vasodilators. By managing blood pressure and heart function effectively, it helps to improve the patient's health.

How to take

Adult dose

Administer this medicine orally with food. Do not increase the dose or discontinue treatment without a physician's instructions. Because this medicine is an extended-release formulation, do not break, crush, or chew it; swallow the capsule whole. For reference, the daily doses of this medicine (extended-release formulation) corresponding to those of conventional carvedilol formulations are as follows: Daily dose of conventional formulation: 3.125 mg twice daily / Daily dose of extended-release formulation: 8 mg once daily Daily dose of conventional formulation: 6.25 mg twice daily / Daily dose of extended-release formulation: 16 mg once daily Daily dose of conventional formulation: 12.5 mg twice daily / Daily dose of extended-release formulation: 32 mg once daily Daily dose of conventional formulation: 25 mg twice daily / Daily dose of extended-release formulation: 64 mg once daily Daily dose of conventional formulation: 50 mg twice daily / Daily dose of extended-release formulation: 128 mg once daily Essential hypertension - Adults: Administer 16 mg once daily for 2 days, then increase to 32mg once daily. Usually, after administering 32 mg once daily for 2 weeks, if the effect is insufficient, the dose may be increased to 64mg once daily. The maximum daily dose of this medicine is 64mg. Essential hypertension - Elderly patients: Administration of 16 mg of this medicine once daily may provide a sufficient therapeutic effect. If the effect is insufficient after 2 weeks of treatment, the dose may be increased. Administer cautiously while monitoring the patient's condition. Chronic stable angina: For the first 2 days, administer 32 mg of carvedilol once daily, followed by 64 mg once daily. Chronic stable angina: Usually, administer 64 mg once daily for 2 weeks. If an increase is needed (excluding elderly patients), administer 128 mg once daily. Congestive heart failure: For initial treatment, generally administer 8 mg of carvedilol once daily for 2 weeks. If the patient tolerates this treatment well, increase the dose to 16 mg once daily for 2 weeks, then to 32 mg once daily for 2 weeks, and then to 64 mg once daily. Congestive heart failure: After taking each dose for at least 2 weeks, gradually increase the dose to the maximum dose tolerated by the patient. Congestive heart failure: The minimum effective dose of this medicine is 16 mg once daily. The maximum dose is 64 mg once daily for patients weighing 85 kg or less, and 128 mg once daily for patients weighing 85 kg or more.

Precautions

This medication should not be used in certain patients. For example, it is contraindicated in cases of allergy to this medication or its components, severely impaired cardiac function, very slow heart rate, pulmonary diseases, metabolic abnormalities due to diabetes, pregnant or breastfeeding women, and so on. Special caution should be exercised when using this medication in diabetic patients, individuals with a history of allergies, and patients with heart disease. Additionally, elderly patients and those with reduced kidney or liver function, low blood pressure, or those taking certain medications should also be administered cautiously. This medication may cause central nervous system symptoms such as dizziness, headache, and fatigue, and it may slow down heart rate or lower blood pressure. Symptoms of heart failure may worsen, or swelling may develop, so regular checks of heart function are necessary. Various side effects, such as liver dysfunction, skin rashes, and blood disorders, may occur, so immediate consultation with a doctor is necessary if abnormal symptoms appear. When taking this medication for a long time, regular monitoring of heart function, blood pressure, ECG, etc. is essential, and sudden cessation can worsen heart symptoms, so it should be tapered off according to a physician's instructions. This medication may interact with several other drugs; therefore, if other medications are being taken, it is important to inform the doctor or pharmacist. Women who are pregnant or breastfeeding should not take this medication, and the safety for children or adolescents under the age of 18 has not been established. Elderly patients may experience increased drug concentration due to reduced liver function, so it should be started at a low dose and administered carefully. In case of overdose, severe symptoms such as low blood pressure, decreased heart rate, and difficulty breathing may occur, so immediate medical assistance should be sought, and since this medication is not removed by hemodialysis, specialized treatment is required. This medication should be stored in a lightproof container to avoid light exposure and kept out of reach of children, while transferring to other containers should be avoided.

Side effects

  • Dizziness
  • headache
  • fatigue
  • weakness
  • hallucination
  • confusion
  • depression
  • sleep disturbances
  • nightmares
  • psychosis
Show 67 more
  • severe bradycardia
  • shock
  • complete atrioventricular block
  • heart failure
  • cardiac arrest
  • significant drop in blood pressure
  • loss of consciousness
  • decreased pulse rate
  • cold extremities
  • edema
  • worsening heart failure
  • worsening renal function
  • renal failure
  • increased airway resistance
  • nausea
  • diarrhea
  • abdominal pain
  • vomiting
  • constipation
  • hives
  • itching
  • lichenoid reaction
  • allergic rash
  • serum aminotransferase changes
  • thrombocytopenia
  • leukopenia
  • onset and worsening of diabetes
  • hypoglycemia
  • masking of hyperthyroid function
  • bradycardia
  • hypotension
  • shortness of breath
  • hypertension in angina patients
  • liver dysfunction
  • jaundice
  • limb pain
  • decreased tear production
  • sensory disturbance
  • visual impairment
  • eye irritation
  • dry mouth
  • urinary disorders
  • sexual dysfunction
  • allergic reactions
  • increased triglycerides
  • increased blood sugar
  • chest discomfort
  • leg edema
  • chest pain
  • back pain
  • ankle edema
  • fever
  • pain
  • limb swelling
  • cold
  • dry cough
  • cough
  • gastroesophageal reflux
  • acute gastritis
  • gastritis
  • gastroenteritis
  • epigastric pain related to food
  • migraine
  • blood pressure fluctuations
  • blood pressure control failure
  • sting
  • lipoma

Not everyone experiences these, and they can vary from person to person.

Storage

This medication may be sensitive to light, so it should be stored in a tightly sealed container that blocks light. Additionally, it is important to maintain a temperature of 1 to 30 degrees Celsius while storing the medication. Doing so helps to preserve the medication's efficacy over time.

Appearance and packaging

Appearance

A hard capsule with a soft yellow color that contains immediate-release and sustained-release granules, ranging from white to light yellow.

Package unit

30 capsules/bottle

Same-ingredient medicines

Even with the same ingredient, strength, dosage form and how it is taken can differ.

Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.

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This drug information is based on data provided by the Korea Ministry of Food and Drug Safety.
Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.