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Carvedilol 1.25 mg/mL Oral Suspension

FDA-approved generic
Dose form
Suspension
Active ingredients
Carvedilol

Carvedilol 1.25 mg/mL Oral Suspension is a liquid dosage form in which carvedilol is uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for administration. This formulation is specifically designed to treat conditions such as hypertension and heart failure.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Carvedilol
Suspension

Formula Information

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Carvedilol 1.25 mg/mL Oral Suspension is a compounded medication designed to provide a liquid form of carvedilol for patients who may have difficulty swallowing tablets or require precise dosing adjustments. Carvedilol is a non-selective beta-adrenergic blocking agent with alpha-1 blocking activity, commonly prescribed for the management of hypertension, heart failure, and left ventricular dysfunction following a myocardial infarction. This oral suspension allows for individualized dosing, which can be particularly beneficial for pediatric patients, elderly patients, or those with swallowing difficulties.

The liquid dosage form ensures that one or more active ingredients are dispersed uniformly throughout a liquid medium, providing a homogeneous mixture for administration. This uniform dispersion is crucial for ensuring consistent therapeutic effects with each dose. The suspension is carefully compounded to maintain stability and efficacy, allowing patients to receive the full therapeutic benefits of carvedilol in a form that is easier to ingest.

For patients, it is important to take this medication exactly as prescribed by your healthcare provider. Before each use, shake the bottle well to ensure the medication is evenly distributed. Use a proper measuring device, such as an oral syringe or medicine cup, to accurately measure each dose. Do not use household teaspoons, as they may not provide an accurate measurement.

Prescribers may find this formulation advantageous when treating patients who require flexible dosing or have difficulties with standard tablet forms. The 1.25 mg/mL concentration allows for easy titration and individualized therapy, potentially improving patient adherence and therapeutic outcomes. As with all beta-blockers, careful monitoring is advised when initiating or adjusting dosages, particularly in patients with comorbid conditions such as diabetes or respiratory illnesses.

Proper storage of the oral suspension is important to maintain its effectiveness. Patients should store the medication at room temperature, away from light and moisture, and keep it out of reach of children. Do not freeze the suspension. If there are any changes in the appearance of the medication or if it has passed its beyond-use date, consult your pharmacist before continuing use.

If you have any questions about Carvedilol 1.25 mg/mL Oral Suspension or how to use it, please reach out to us. Our team at Bayview Pharmacy is here to support both patients and healthcare providers with their compounding needs.

Drug Interactions

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Carvedilol is a non-selective beta-blocker with alpha-blocking activity, commonly used in the management of heart failure, hypertension, and left ventricular dysfunction following myocardial infarction. When considering the use of Carvedilol 1.25 mg/mL Oral Suspension, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of the treatment. This liquid dosage form ensures a uniform dispersion of the active ingredient, providing a consistent and reliable administration for patients who may have difficulty swallowing tablets or require precise dosing adjustments.

Carvedilol is metabolized primarily by the liver enzymes CYP2D6 and CYP2C9. Therefore, drugs that inhibit or induce these enzymes can significantly alter carvedilol plasma concentrations. Inhibitors of CYP2D6, such as fluoxetine, paroxetine, and quinidine, may increase carvedilol levels, potentially enhancing its effects and side effects, such as bradycardia, hypotension, and dizziness. Conversely, inducers like rifampin may decrease carvedilol levels, reducing its therapeutic efficacy.

Concomitant use of carvedilol with other antihypertensive agents, such as calcium channel blockers (e.g., verapamil, diltiazem) or other beta-blockers, can lead to additive effects, increasing the risk of hypotension and bradycardia. It is essential to monitor blood pressure and heart rate closely when these medications are used together. Additionally, carvedilol may enhance the hypoglycemic effects of insulin and oral hypoglycemic agents, necessitating careful monitoring of blood glucose levels in diabetic patients.

Carvedilol may also interact with drugs that affect cardiac conduction, such as digoxin, leading to an increased risk of bradycardia and heart block. Patients on digoxin should have their digoxin levels and cardiac function monitored regularly. Furthermore, the use of carvedilol with nonsteroidal anti-inflammatory drugs (NSAIDs) may reduce its antihypertensive effect due to NSAID-induced sodium and fluid retention.

Alcohol consumption should be approached with caution, as it can potentiate the hypotensive effects of carvedilol, leading to increased dizziness or fainting. Patients should be advised to limit alcohol intake and be aware of the signs of low blood pressure.

For both patients and prescribers, it is vital to review all current medications, including over-the-counter drugs and supplements, to identify potential interactions before starting carvedilol therapy. Regular follow-up and monitoring can help manage and mitigate any adverse effects or interactions. If you have any questions or concerns regarding the use of Carvedilol 1.25 mg/mL Oral Suspension, please reach out to us for further assistance and guidance.

How Does it Work

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Carvedilol 1.25 mg/mL Oral Suspension is a liquid dosage form designed to provide a precise and uniform delivery of the active ingredient, carvedilol, which is a non-selective beta-blocker with alpha-blocking activity. This formulation is particularly beneficial for patients who have difficulty swallowing tablets or require flexible dosing adjustments. The suspension ensures that carvedilol is evenly dispersed throughout the liquid medium, allowing for consistent dosing and absorption when administered orally.

Carvedilol works by blocking beta-adrenergic receptors in the heart and blood vessels, which leads to a decrease in heart rate, blood pressure, and myocardial contractility. Additionally, its alpha-blocking properties help to dilate blood vessels, further reducing blood pressure and improving blood flow. By reducing the workload on the heart and improving circulation, carvedilol helps to alleviate symptoms associated with these cardiovascular conditions and can improve overall heart function.

The oral suspension form of carvedilol is particularly advantageous for pediatric patients, elderly patients, or those with dysphagia, as it allows for easy administration and precise dose titration. The liquid form also facilitates rapid absorption and onset of action, which can be crucial in managing acute symptoms or adjusting therapy in response to changing clinical conditions. For prescribers, this formulation offers the flexibility to tailor the dosage to the individual needs of the patient, ensuring optimal therapeutic outcomes while minimizing potential side effects.

Patients using carvedilol oral suspension should be aware of the importance of adhering to their prescribed dosing schedule and should be instructed on how to properly measure and administer the suspension to ensure accurate dosing. It is also important to monitor for any side effects, such as dizziness, fatigue, or hypotension, and to report these to their healthcare provider. As with any medication, carvedilol should be used under the guidance of a healthcare professional, and any questions or concerns regarding its use should be directed to a pharmacist or prescriber.

If you have any questions about Carvedilol 1.25 mg/mL Oral Suspension or its use in treating cardiovascular conditions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries or support you may need.

Other Uses

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Carvedilol 1.25 mg/mL Oral Suspension is primarily used for the management of heart failure, hypertension, and left ventricular dysfunction following myocardial infarction. However, this formulation may have other potential uses that could be beneficial for both patients and prescribers. One such use is in the management of certain types of arrhythmias, where carvedilol's beta-blocking properties can help stabilize heart rhythms. Additionally, carvedilol may be considered for off-label use in patients with portal hypertension, a condition often associated with liver cirrhosis, where it can help reduce portal pressure and the risk of variceal bleeding.

For patients with chronic obstructive pulmonary disease (COPD) who also have cardiovascular conditions, carvedilol may be a preferred option due to its vasodilatory effects, which can potentially minimize respiratory side effects compared to non-selective beta-blockers. Furthermore, carvedilol's antioxidant properties may offer additional benefits in conditions characterized by oxidative stress, although more research is needed to fully understand these effects.

In pediatric populations, where traditional tablet forms may not be suitable, the oral suspension provides a viable alternative for precise dosing and ease of administration. This is particularly important for children with heart conditions who require tailored dosing regimens. The liquid form also allows for flexibility in adjusting doses based on the patient's response and tolerance, which is crucial in managing chronic conditions.

Prescribers should consider the patient's overall health status, potential drug interactions, and specific clinical needs when contemplating the use of carvedilol for these alternative indications. As always, the decision to use carvedilol for any off-label purposes should be based on a thorough evaluation of the risks and benefits, and in consultation with a healthcare professional experienced in the management of the condition in question.

If you have any questions or need further information about the use of Carvedilol 1.25 mg/mL Oral Suspension, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Frequently Asked Questions

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What is Carvedilol 1.25 mg/mL Oral Suspension?

Carvedilol 1.25 mg/mL Oral Suspension is a liquid dosage form where Carvedilol is uniformly dispersed in a liquid medium, creating a homogeneous mixture for easy administration.

What is the purpose of using Carvedilol in an oral suspension form?

The oral suspension form of Carvedilol is used to provide a precise and easily adjustable dosage, especially for patients who have difficulty swallowing tablets or require specific dosing adjustments.

How should Carvedilol 1.25 mg/mL Oral Suspension be stored?

Carvedilol 1.25 mg/mL Oral Suspension should be stored at room temperature, away from direct sunlight and moisture. Always check the label for specific storage instructions.

How do I measure the correct dose of Carvedilol Oral Suspension?

Use a calibrated oral syringe or dosing cup to measure the exact dose of Carvedilol Oral Suspension as prescribed by your healthcare provider. Do not use household spoons as they may not provide an accurate measurement.

Can Carvedilol Oral Suspension be mixed with food or drinks?

It is generally recommended to administer Carvedilol Oral Suspension directly without mixing it with food or drinks to ensure the full dose is consumed. Consult your healthcare provider for specific instructions.

What should I do if I miss a dose of Carvedilol Oral Suspension?

If you miss a dose of Carvedilol Oral Suspension, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Carvedilol Oral Suspension?

Common side effects of Carvedilol may include dizziness, fatigue, and low blood pressure. If you experience severe side effects or signs of an allergic reaction, contact your healthcare provider immediately.

Can children use Carvedilol 1.25 mg/mL Oral Suspension?

Carvedilol Oral Suspension may be prescribed for children if deemed appropriate by a healthcare provider. The dosage will be carefully adjusted based on the child's specific needs and medical condition.

How often should Carvedilol Oral Suspension be taken?

The frequency of Carvedilol Oral Suspension administration will depend on the individual treatment plan prescribed by your healthcare provider. Follow their instructions carefully for optimal results.

Is it safe to use Carvedilol Oral Suspension during pregnancy or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before using Carvedilol Oral Suspension. They will weigh the potential benefits and risks to determine if it is safe for you and your baby.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Carvedilol 1.25 mg/mL Oral Suspension
Suspension
30 mL
controlled

Take orally