Carvedilol with Patiromer Interaction Details


Brand Names Associated with Carvedilol

  • Carvedilol
  • Coreg®
  • Coreg® CR

Brand Names Associated with Patiromer

  • Patiromer
  • Veltassa®

Medical Content Editor
Last updated Nov 11, 2023


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Interaction Effect

Reduced carvedilol exposure and reduced efficacy of carvedilol


Interaction Summary

Concomitant administration of patiromer with oral carvedilol (a beta blocker) may decrease the gastrointestinal absorption of carvedilol which may reduce the systemic exposure and decrease the clinical efficacy of carvedilol resulting in inadequate control of hypertension. If concomitant use of oral carvedilol with patiromer is necessary, administer oral carvedilol at least 3 hours before or 3 hours after patiromer.


Severity

Moderate


Onset

Rapid


Evidence

Theoretical


How To Manage Interaction

Concomitant administration of patiromer with oral carvedilol (a beta blocker) may decrease the gastrointestinal absorption of carvedilol which may reduce the systemic exposure and decrease the clinical efficacy of carvedilol resulting in inadequate control of hypertension. If concomitant use of oral carvedilol with patiromer is necessary, administer oral carvedilol at least 3 hours before or 3 hours after patiromer.


Mechanism Of Interaction

Reduced gastrointestinal absorption of carvedilol

Carvedilol Overview

  • Carvedilol is used to treat heart failure (condition in which the heart cannot pump enough blood to all parts of the body) and high blood pressure. It also is used to treat people who have had a heart attack. Carvedilol is often used in combination with other medications. Carvedilol is in a class of medications called beta-blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure

  • High blood pressure is a common condition and when not treated, can cause damage to the brain, heart, blood vessels, kidneys and other parts of the body. Damage to these organs may cause heart disease, a heart attack, heart failure, stroke, kidney failure, loss of vision, and other problems. In addition to taking medication, making lifestyle changes will also help to control your blood pressure. These changes include eating a diet that is low in fat and salt, maintaining a healthy weight, exercising at least 30 minutes most days, not smoking, and using alcohol in moderation.

See More information Regarding Carvedilol

Patiromer Overview

  • Patiromer is used to treat hyperkalemia (high levels of potassium in the blood). Patiromer is in a class of medications called potassium removing agents. It works by removing excess potassium from the body. Patiromer is not used for emergency treatment of life-threatening hyperkalemia because it takes some time to work.

See More information Regarding Patiromer

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Definitions

Severity Categories

Contraindicated

These drugs, generally, should not be used together simultaneously due to the high risk of severe adverse effects. Combining these medications can lead to dangerous health outcomes and should be strictly avoided unless otherwise instructed by your provider.


Major

This interaction could result in very serious and potentially life-threatening consequences. If you are taking this drug combination, it is very important to be under close medical supervision to minimize severe side effects and ensure your safety. It may be necessary to change a medication or dosage to prevent harm.


Moderate

This interaction has the potential to worsen your medical condition or alter the effectiveness of your treatment. It's important that you are monitored closely and you potentially may need to make adjustments in your treatment plan or drug dosage to maintain optimal health.


Minor

While this interaction is unlikely to cause significant problems, it could intensify side effects or reduce the effectiveness of one or both medications. Monitoring for changes in symptoms and your condition is recommended, and adjustments may be made if needed to manage any increased or more pronounced side effects.


Onset

Rapid: Onset of drug interaction typically occurs within 24 hours of co-administration.

Delayed: Onset of drug interaction typically occurs more than 24 hours after co-administration.


Evidence

Level of documentation of the interaction.

Established: The interaction is documented and substantiated in peer-reviewed medical literature.

Theoretical: This interaction is not fully supported by current medical evidence or well-documented sources, but it is based on known drug mechanisms, drug effects, and other relevant information.


How To Manage The Interaction

Provides a detailed discussion on how patients and clinicians can approach the identified drug interaction as well as offers guidance on what to expect and strategies to potentially mitigate the effects of the interaction. This may include recommendations on adjusting medication dosages, altering the timing of drug administration, or closely monitoring for specific symptoms.

It's important to note that all medical situations are unique, and management approaches should be tailored to individual circumstances. Patients should always consult their healthcare provider for personalized advice and guidance on managing drug interactions effectively.


Mechanism Of Interaction

The theorized or clinically determined reason (i.e., mechanism) why the drug-drug interaction occurs.


Disclaimer: The information provided on this page is for informational purposes only and should not be considered medical advice. Always consult with a qualified healthcare professional regarding your specific circumstances and medical conditions.

Where Does Our Information Come From?

Information for our drug interactions is compiled from several drug compendia, including:

The prescribing information for each drug, as published on DailyMED, is also used. 

Individual drug-drug interaction detail pages contain references specific to that interaction. You can click on the reference number within brackets '[]' to see what reference was utilized.

The information posted is fact-checked by HelloPharmacist clinicians and reviewed quarterly.