Carca CR 40mg Tablet 10'S

Talk to your doctor before taking CARCA CR 40MG if you: Are allergic to carvedilol or any of its ingredients Have asthma or breathing problems due to other lung problems Have unstable heart failure or a conduction defect of the heart Have a very slow heart beat (less than 50 beats per minute) or very low blood pressure Have liver disease or kidney problems Have diabetes Have Raynaud’s phenomenon (cold hands and feet) or other peripheral vascular disease Have an overactive thyroid gland or adrenal glands Have psoriasis Are suffering from a serious disturbance in the body´s acid-balance a condition Have a very low pulse Suffer from a form of angina pectoris called Prinzmetal’s variant angina caused by cramping of coronary arteries Have labile or secondary hypertension or orthostatic hypotension Suffer from, a sudden fall of blood pressure when you stand up Have acute inflammatory heart disease Have obstruction of heart valves Are an alcoholic

Always take this medicine exactly as your doctor has told you Swallow the medicine with at least half a glass of water You can take with or without food. However, patients with heart failure should take the medicine with food to reduce the risk of dizziness when suddenly standing up If you feel the effects are too strong or weak, talk to your doctor To treat high blood pressure The recommended starting dose is 12.5 mg taken once a day for the first 2 days, then 25 mg once a day If necessary the dose may be increased to a maximum of 50 mg daily, in either one or two doses If you are elderly, your doctor may increase the dose more slowly Angina The recommended starting dose is 12.5 mg taken twice a day for the first 2 days, then 25 mg twice a day If needed your doctor may decide to slowly increase the dose further, to the maximum of 100 mg The recommended maximum dose for elderly patients is 25 mg twice a day Heart failure The recommended starting dose is 3.125 mg twice a day for two weeks Your doctor may decide to increase your dose in stages every 2 weeks until the dose is right for you The maximum recommended dose is between 25 mg and 50 mg twice a day, depending on your weight The maximum recommended dose in severe heart failure is 25 mg twice a day If CARCA CR 40MG treatment is stopped for more than two weeks, the dose should be restarted at 3.125 mg twice daily and slowly increased as above If you have liver problems your doctor may give you a lower dose than those stated above If you take more CARCA CR 40MG If you take more CARCA CR 40MG than you should, contact your doctor or casualty department immediately If you forget to take CARCA CR 40MG If you forget to take a dose of CARCA CR 40MG take it as soon as you remember unless it is nearly time for your next dose Do not take a double dose to make up for a forgotten dose If you stop taking CARCA CR 40MG If you suddenly stop taking CARCA CR 40MG you are likely to suffer from side effects. If needed your doctor will reduce your treatment slowly

Like all medicine, this medicine can cause side effects although not everybody gets them. Chest pain, shortness of breath and swelling of your arms and legs (heart failure or angina) Pneumonia Feeling dizzy, weak and tired Headache Swelling and pain in the genitals Infections in respiratory tract Problems in passing water Anaemia Increase in weight Increase in cholesterol levels (shown by a blood test) Loss of control of blood sugar in people with diabetes Problems with your sight, sore or dry eyes due to fewer tears being made A slow heartbeat Feeling depression Problems with blood circulation Stomach upsets, stomach pain Pain, possibly in your hands and feet

Tell your doctor if you are taking, have recently taken or might take any other medicines including medicines obtained without a prescription, herbal medicines, especially any of the following: Other medicines for your heart or blood pressure including alpha blockers (e.g. doxazosin), calcium channel blockers (e.g. verapamil, diltiazem), medicine for an irregular heart rhythm (e.g. quinidine, flecainide, amiodarone), nitrates (e.g. isosorbide mononitrate), digoxin, reserpine Barbiturates, carbamazepine are the medicines to treat epilepsy and these will reduce the BP lowering effect of carvedilol Cinacalcet, to treat high blood levels of calcium Bupropion, to treat nicotine addiction Fluconazole, to treat fungal infections Clonidine, for high blood pressure or migraines; if stopping treatment, Carvedilol treatment should be stopped a few days before slowly reducing the clonidine dose Antibiotics such as rifampicin, erythromycin Cimetidine, to treat stomach ulcers, heartburn Ciclosporin, an immunosuppressant used after organ transplants Antidepressants (to treat depression) such as monoamine oxidase inhibitors (MAOIs e.g. phenelzine), paroxetine, fluoxetine, amitriptyline Antidiabetic medicine, including insulin, as carvedilol can increase the effect of medicines as well as hide the symptoms of low blood sugar (feeling sick, weak and sweating) Sympathomimetics such as pseudoephedrine (to treat colds), adrenaline (epinephrine) and isoprenaline (heart stimulants), noradrenaline (norepinephrine) Neuromuscular blocking medicine (to reduce muscle tension) Medicines for breathing problems (e.g. salbutamol, formoterol) Ergotamine, for migraine Certain painkillers (NSAIDs) e.g. ibuprofen Oestrogens (hormones) Corticosteroids e.g. prednisolone

Storage Keep this medicine out of reach of children Do not use this medicine after the expiry date Store at room temperature (15-25°C) Store in the original package to protect from light