Last reviewed · How we verify
Coreg (CARVEDILOL)
Coreg works by blocking the effects of the hormone epinephrine on the heart, reducing its workload and improving its function.
Coreg (Carvedilol) is a small molecule alpha-adrenergic blocker developed by SmithKline Beecham and currently owned by Wyeth (now part of Pfizer). It targets the beta-2 adrenergic receptor and is used to treat chronic heart failure, hypertensive disorder, and left ventricular cardiac dysfunction. Coreg is off-patent and has multiple generic manufacturers. The drug has a half-life of 2.4 hours and bioavailability of 25%. Key safety considerations include its potential to cause bradycardia and hypotension.
At a glance
| Generic name | CARVEDILOL |
|---|---|
| Sponsor | Waylis |
| Drug class | alpha-Adrenergic Blocker [EPC] |
| Target | Beta-2 adrenergic receptor |
| Modality | Small molecule |
| Therapeutic area | Cardiovascular |
| Phase | FDA-approved |
| First approval | 1995 |
Mechanism of action
Carvedilol is racemic mixture in which nonselective -adrenoreceptor blocking activity is present in the S(-) enantiomer and 1-adrenergic blocking activity is present in both R(+) and S(-) enantiomers at equal potency. Carvedilol has no intrinsic sympathomimetic activity.
Approved indications
- Chronic heart failure
- Hypertensive disorder
- Left ventricular cardiac dysfunction
Common side effects
- Bradycardia
- Postural hypotension
- Peripheral edema
- Dizziness
- Insomnia
- Diarrhea
- Thrombocytopenia
- Hypertriglyceridemia
- Peripheral ischemia
- Tachycardia
- Hypokinesia
- Bilirubinemia
Drug interactions
- P-glycoprotein Substrates
- disopyramide
Key clinical trials
- Carvedilol and Midodrine Versus Carvedilol Alone in Preventing Early Rebleed in Patients With Cirrhosis. (NA)
- KF2022#4-trial: Effects of a Beta Blocker and NSAID on CYP Mediated Drug Metabolism (NA)
- HER2HEART-US: Prevention of Cardiotoxicity in Breast Cancer Patients Receiving HER2-directed Therapy (PHASE2)
- Catheter Ablation Versus Anti-arrhythmic Drugs for Premature Ventricular Complexes (NA)
- Cardiac Changes in Early Parkinson's Disease: A Follow up Study (PHASE2)
- Adrenergic Blockers for Cardiac Changes in Early Parkinson's Disease (Protocol 53136) (PHASE2)
- Deprescribing Beta-Blockers in Elders With Heart Failure With Preserved Ejection Fraction (DEPRESCRIBE-HFpEF) (PHASE4)
- Clinical Application of Simcyp-Guided Doses of Antihypertensive Drugs in Cirrhotic Patients (PHASE4)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| FDA label | Mechanism, indications, dosing, boxed warnings, drug interactions |
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Coreg CI brief — competitive landscape report
- Coreg updates RSS · CI watch RSS
- Waylis portfolio CI