The recommended starting dosage of carvedilol following a heart attack is 6.25 mg, taken twice a day. Based on the response and/or side effects, the amount may be increased or decreased until the optimal dose is determined. Every individual will respond to carvedilol differently.
Considerations for people taking carvedilol include the following:
- Your carvedilol dosage should be taken by mouth with a glass of water.
- Carvedilol should be taken with food.
- Make sure to take this medication at the same time each day to maintain an even level in the blood.
- For carvedilol to work properly, you have to take it as prescribed.
- You may notice an increase in lightheadedness, dizziness, or fainting when carvedilol is first started or when the dosage is changed. This usually improves after a couple of hours. Make sure to avoid driving or other activities that require mental concentration during this time.
- If you do not take your carvedilol as scheduled, take your missed dose as soon as you remember. If it is almost time for the next scheduled dose, skip the missed one and continue with normal dosing. Do not take a double dose.
- You should not stop carvedilol without first discussing it with your healthcare provider. Stopping the drug abruptly increases the risk for serious side effects (see Precautions and Warnings With Carvedilol).
- If you are unsure about anything related to carvedilol dosing, talk to your doctor, nurse, or pharmacist. Also, as explained, do not adjust your dose unless your healthcare provider specifically instructs you to do so.