coreg maximum dose

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.

She did improve very much and is feeling better. However, her b/p is like 80/50 at times. She is on coreg 6.25 bid and lasix 20 mg 1 po one day and 40 mg po the next. We were thinking of decreasing the coreg to daily. Would this be the right thing to do? The dr wants us to bring her in to hospital , but we just want to keep her comfortable. Please advise.

How does a Cardiologist(?) know what dose to start you on? What are the criteria? Alpha blocker? Beta blocker? Ace inhibitor? others,..?

What is your dose? 15% EF stage 3 chf for 1.5 years. The disease seems stable... I agree coreg gets too much credit for EF improvement.

I've been told that the Coreg dose is titrated as high as the patient can tolerate for optimal benefit. Kenkeith, do you find that to be the case?

Atenolol is a beta blocker to stablize the heart rate. I'm not sure of the numerical values you have posted as medical significant, but I've been taking coreg (beta blocker) for more than 7 years and I can't get my HR above 120 (systolic).

I had the problem with coreg (beta blocker and ace inhibitor). Coreg Cr is a single slow acting dose, and the same coreg dosage split to twice a day (morning and night) was more effective. Talk to your doctor.

I was taking Coreg CR (slow release) single dose of 25mg once a day. I went back to 12,5 mg twice a day,and that works for me. I take an ACE inhibitor twice a day with coreg just before a meal. That has been regimen for years...Why are you on such a high dosage? Do you function OK the next day when you take the dose at night?. Is your heart rate normal...less than 100 at rest? The doctor probably wants you take a dosage during the day when you are more active to help manage heart rate.

i have had a biventricular pacemaker/icd since 2004 and am taking coreg, digoxin, lisinopril, coumadin, lasix and spironlactone. i am on maximum therapy for coreg and lisinopril and my coumadin was just upped. the a-fib, v-tach is new since 9/28/07. i spent the last 4 years in relative denial of any serious issues, but now i am scared. i understand that the icd is there to save me from sudden cardiac arrest. it did just that in september. what happens now? does it get worse?

Coreg is medication that helps lower the heart rate and bp. The stress test will evaluate one's physical condition a peak heart rate unmedicated, and how quickly the heart rae returns to normal within 3 minutes or so. Other phases of the test considered as well.

I was wondering if anyone knew of and med that are good for increasing Ejection Fraction. I have been on Coreg for 4 years and my EF had decreased some. Please help if you know. My doctor has talked about adding low dose of Diovan. but that concerns me because my bp sometimes runs low with the coreg.

First observation I know is correct, Coreg and Carvedilol are the exact same drug, except Carvedilol is the generic form of Coreg. Increasing the combination would mean over 120mg, an unheard of dosage. You are already taking a gorilla dose and that can cause a drop of EF in my opinion. EF ratings fluctuate. I'd ask for a BNP test that is used to determine the level of CHF one has. Usually less than 100 indicates no CHF.

Thank You so much for responding. I am still awake and still a-flutter. I just don't understand why this Dr. had to tell me I was alive basically, on a ...hour to hour basis, so to speak. I take other meds, just 2 and still have to check if there are adverse affects. Did take one Coreg, though. Xanax, which I've taken for years in a very low dose and Hydrocodone, but just when I am in a Flair. Dr. didn't seem to be concerned.

Your doctor should also know that! Also, what dose of Coreg did you eventually hit? The target dose is 25 mg. twice a day. Until you are maxed out on these drugs, you should not be getting an ICD, IMO. Those are the guidelines from the heart association.! I didn't make any of this up. Ok, lastly, intermittent afib can cause shortness of breath and fatigue. You lose the *atrial kick*. Your cardiac output is thus reduced.

Unfortunately, besides niaspan, statins and fish oil, we do not have any other agents to raise HDL. You are on the maximum dose of niaspan also which is great! There are a few new agents which are being studied but likely won't be on the market for awhile. Make sure you are exercising 30-45 minutes 3-4x per week if possible because exercise helps raise HDL also. You will have to see if any of the stem cell trials whether you would qualify but it is worth looking into.

ve always been athletic and had a difficult time not going all out when exercising. I am also on an ace inhibitor and a beta blocker. Coreg 7.5mg and Cozaar 25mg. Before heart problem was running 71/2 to 8 minute paces on miles now lucky to run 10 minute and don't seem to have much stamina or wind.

I will come off effient eventually and stay on a low dose aspirin. No problem. I would like to minimize the coreg and statin. The diet I am on is helpful for Nitric oxide and for endothelial health as well as providing some level natural ACE inhibition, and platelet aggregation inhibition, and is high in natural anti-oxidants. So, what will staying on 6.25 mg coreg and 10 mg pravastatin do for me in the long run?

Does it make sense that the lipid change is due to coreg dose this small? and if so, would it make sense to go back to prior dose and maybe try a lower dose of lisinopril?

I am taking 2x12.5 mg coreg (carvidilol) for last three years and was able to tolerate it. Now, after three years, for last one month, I am having low bp. Down to 95/65 from normal of 110/70. This is creating problems for me. I feel tired, stomach upset and dizziness, necessity to clear my throat constantly. Over last 3 yesrs I have gradually reduced my ramipril (ACE-I) dosage from 2x6.25 to 2x1.25. So I am already low on ramipril. I cannot go down further on ACE-I. My EF is 30-35%.

I have a friend - male- 68 who had a heart attack ~ 6 years ago. He takes a beta blocker - Coreg. I've known him for 3 years. During that time, he's always had, but now it's getting worse, a slow pulse & low Blood Pressure. Last night it was 84/54 pulse - 52. and he was feeling dizzy. Called the Dr. who said to drink fluids & take something salty - like saltine crackers. I just read up on Coreg - - beta blocker, and on low blood pressure.

So your TSH was maybe 70 or 80 before you started taking Levoxyl. Were you started on a high dose? How long have you been taking 200mcg? I have been there. I have had my TSH drop 40 points in a week after getting on the right dose of meds. But I went from post RAI no meds straight to 100mcg, which is what my body wanted. Within six weeks my TSH was between 1.0 and 2.0. That's why I said you may need a dosage increase.

Coreg maximum dose

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