mild-to-moderate hypertension, angina, and congestive heart failure
藥理
Antihypertensive; Beta-Blocker With Alpha-Blocking Activity
藥動學
The drug is extensively metabolized in the liver and primarily excreted via the feces; the elimination half-life of carvedilol is 6 to 8 hours.
禁忌症
Bronchial asthma or chronic obstructive pulmonary disease, cardiogenic shock, hypersensitivity, overt cardiac failure, second and third degree AV block, severe sinus bradycardia, sick sinus syndrome, and severe liver failure
懷孕分類
C. Carvedilol may be considered for use in pregnant patients with heart failure. If maternal use of a beta-blocker is needed, fetal growth should be monitored during pregnancy and the newborn should be monitored for 48 hours after delivery for bradycardia, hypoglycemia, and respiratory depression.
哺乳分類
Carvedilol is highly lipophilic with a large volume of distribution, and therefore may accumulate in human breast milk.
副作用
dizziness; other adverse effects include fatigue, hypotension, bradycardia, headache, bronchospasm, skin rash
劑量和給藥方法
Hypertension: 6.25 mg PO BID, may be increase to 12.5-25 mg BID CHF: 3.125 mg PO BID, may be doubled every 2 weeks up to a maximum dose of 25-50 mg BID
小兒調整劑量
Not recommended for children, limited data available.<20220620>
腎功能調整劑量
No dosage adjustment necessary; Unlikely to be dialyzed
肝功能調整劑量
Mild to moderate impairment: There are no dosage adjustments provided in the manufacturer’s labeling. Severe impairment: Use is contraindicated.