carvedilol vs nebivolol

Thus, nebivolol is, with regard to hemodynamic and metabolic properties, similar to carvedilol, although the two act slightly differently — carvedilol is a non-cardioselective beta 1, beta 2, and alpha-receptor blocker, whereas nebivolol is highly cardioselective (blocking beta 1 receptors only) and achieving vasodilatory properties by nitric-oxide release, he added." Apparently is was just officially appvoved for use in the United States by the FDA.

I got sick a few years ago and it wekened my heart. I take Coreg(Carvedilol) and Lisinopril. I still want children very badly and was told that basically, there were meds that I can take instead of Lisinopril, but I would have to stop taking Coreg. Of course, I would just have to see how I would do without Coreg... Are there any alternatives to Coreg?

I have recently been prescribed Amlodipine-Benaz 5/10 MG capsules for treatment of hypertension. However, my resting pulse rate has consistently been in the 90's and increasing into the 100's at time, so I have been prescribed Carvedilol to help control the heart rate. My question is, doesn't Carvedilol control hypertension as well...Why should I be taking carvedilol in addition to amliodipine?

Nebivolol does not increase BG, btw. But carvedilol does. Nebivolol though is quite expensive, and might not be on a formulary. Atenolol is inexpensive. There is also a new drug called ivabradine that gives pure control of heart rate without being a beta blocker. You also might think about changing the timing of your medication. The time to peak plasma concentration is probably in those 3-4 hours that you mention.

Another option is to try either a combined alpha and beta blocker to increase peripheral blood flow (like carvedilol or labetalol) or choosing a maximum selective beta blocker like nebivolol or bisoprolol.

there are alot of variables when it comes to medications vs. alcohol vs. a variety of diseases.....a simple call to the doc should clear it up for you because its always better to be safer than sorry......

My mother currently taking nebivolol 5mg in morning and amlodipine/perindopril 5/8mg in evening for hypertension. Her blood pressure has recently been improved and taking both pills cause low blood pressure, she is also suffering from cough as a side effect from perindopril. I am considering to shift her to nebivolol only but 5 mg once a day is not controlling the blood pressure well. My question is can nebivolol be taken twice a day in 2.

My dad was recently diagnosed with CHF and was given Carvedilol. He is taking 12.5 mg twice a day. His blood pressure is well controlled now that he is on the pill, but there have been 3 times when his blood pressure drops way too low and he feels like fainting. Is that normal?How long does it usually take to get used to the drug?

After my second ever episode of fast atrial fibrillation, resolved through electric shock, my cardiologist prescribed 100mg flecaine and 2.5mg nebivolol to be taken every day. This as a preventive measure. I have read on the medicine info notice that these two medicines should not be taken together. My cardiologist states that they are routinely prescribed together by cardiologists these days. I have never taken any heart drug, and feel a bit concerned. Can anyone shed some light on this?

Since both started getting bad about the same time and just shortly after starting Carvedilol I can easily make the connection. However, they could be unrelated to carvedilol and the timing could be a coincidence. Before I make an appointment to have a chat with my Dr. I'd like to hear from anyone that has had these symptom and that were known to be directly connected to carvedilol. Assuming there are none here, Does anyone have any info to share about these?

There are a few beta blockers with evidence in heart failure -- they are carvedilol, metoprolol XL, and bisoprolol (not really used in the US). Atenolol does not have any data to support its use in heart failure, so I would recommend a different agent (one of the above). Which one to choose depends on your blood pressure and ability to take twice daily dosing vs once daily. Chlorthalidone is a perfectly fine diuretic, if you have blood pressure room to tolerate it.

I am on 6.25 mg carvedilol twice a day. I am not physically restricted - I walk 1 mile or more day and do 10 minutes of other light exercises most days. My BP runs under 120/80 most of the time. I understand carvedilol helps prevent stiffening of the heart muscle and can help restore LV function to some degree. How specially, so it do this? What is the biochemical mechanism?

My cardiologist subbed 5 mg Nebivolol for the Amlodipine due to what he described as exercise-related hypertension. I took this medication for a week and experienced a range of unpleasant side effects, including exhaustion, significant depression and reduced heart rate (mid-60s, compared with my normal mid-80s). I've been off the Nebivolol for five days, but I'm still experiencing these side effects. My heart rate has only come back to about 67-68.

That said, carvedilol lowers blood pressure, sometimes to an extreme. Were you taking carvedilol when your heart rate went to 150? After being off carvedilol, what is your blood pressure, and did your heart rate change after being off the drug? I'd ask your doctor if you should have a nuclear stress test to look for a blockage in your heart arteries, and/or a heart echo to look at valves, etc.

hello Doctors/ Experts, may i ask what are the common side effects when taking beta blockers (carvedilol)? i am taking just 12.5mg daily and i feel some irregularities like palps, fatigue, headaches, dizzy. i am not sure if these are side effects. im 24yo and dont smoke or drink but having a bp of 140/100. then down to 120/80 when taking 12.5mg carv daily. thank you for the knowledge.

I am currently on Plavix, Aspirin, Simvastatin, Lisinopril and Carvedilol/Coreg/. Stopped Lisinopril for a little bit and felt much better- unfortunately my blood pressure went a little up. Then my PCP substitute it for Losartan- have been taking this drug/25 mg/ for a week and feel extremely dizzy and nauseated. The cardiologist suggested to cut Carvbedilol in half/so now I am taking 3.125 twice a day instead of 6.25 and my chest pain almost disapear.

I was put on carvedilol, after covid, when I developed heart palpitations. After all the tests were done, they didn't find anything wrong. My doctor told me to stop carvedilol. So I did what he told me. And it has been an awful 3 weeks. I asked if I was having withdrawals from this medicine, He didn't think so or if I was it wouldn't last long. I know that the medicine is out of my system but has my body had time to readjust from it? I was taking 12.5 2X a day for 5 weeks.

Post MI we have great data for both beta blockers and statins. For carvedilol post MI with an abnormal left ventricular ejection fraction the benefits are both for mortality and to help the heart remodel to a more normal shape and function. The minimum dose shown to be of true benefit is the 6.25 mg, and I would even suggest increasing your dose instead of decreasing it. For statins, they too decrease mortality and need for a repeat stenting in the post MI period.

The doc allowed me to cut the 20mg tablet in half until our next apt at which time he prescribed Carvedilol 25 mg twice a day. Anyone have any insight as to why he might have done that? Particularly since the 10mg Bystolic tablets seemed to be the “sweet spot” in terms of tolerability. And the Bystolic worked very well for my BP. I am a 41 year old male.

Cardiologist understandably wants me on the highest dose of carvedilol for maximum benefit but I just cannot take the doses he wants due to extremely low blood pressure 80s/50s, dizziness, weakness. I've been on 6.25 in am and 12.5 in pm and doing just ok physically on these doses. Well last night I couldn't get my BP up so I only took 6.25 in the pm. I feel so much better today-bp is up and I've got more energy and am much less foggy.

Carvedilol vs nebivolol

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