Carvedilol

Heart failure, high blood pressure and angina.

Carvedilol blocks both beta and alpha adrenergic receptors. The beta-blocking action slows the heart and reduces workload. The alpha-blocking action relaxes blood vessels. The combination is particularly beneficial in heart failure.

Adults with heart failure, hypertension or angina. Not suitable for severe asthma, decompensated heart failure, or severe liver disease.

Order online and we review your request. A prescriber checks your consultation form for clinical appropriateness and contacts you if anything else is needed. Once approved, your medication is dispensed and delivered to your door.

Tracked: Tracked delivery, arrives in two working days - Free

When it arrives: Every order is sent tracked. Where this page says in post today, it goes out today. Where it says in post tomorrow, it goes out the next working day. On the rare occasions a medicine is unavailable, we will contact you to talk about timing and alternatives.

We dispense clinically equivalent generic medications where available. Prices shown are for the generic version. If you prefer the branded version, let us know in your order form and we will confirm any price difference.

Carvedilol from £20.99 per pack.

Common: fatigue, cold hands and feet, dizziness, bradycardia (slow heart rate), nausea, diarrhoea. Uncommon: sleep disturbances, nightmares (especially propranolol). Rare: bronchospasm, worsening of psoriasis, sexual dysfunction.

Do not use in uncontrolled heart failure, severe bradycardia, sick sinus syndrome, 2nd/3rd degree heart block, severe hypotension, untreated phaeochromocytoma. Use with extreme caution in asthma (beta-blockers can trigger bronchospasm).

Risk of severe bradycardia or heart block with verapamil or diltiazem. Insulin and oral hypoglycaemics: may mask symptoms of hypoglycaemia. Clonidine: do not stop beta-blocker suddenly if also taking clonidine.

Use only if the benefit outweighs the risk. May cause low blood sugar, low heart rate, and low blood pressure in the newborn. Labetalol is generally preferred for hypertension in pregnancy. Present in breast milk - monitor infant for bradycardia.

Take with food to slow absorption and reduce dizziness. Dose is increased gradually over weeks. May cause dizziness, fatigue and low blood pressure, especially initially.