Prescription requiredCardiovascular (Antianginal/Heart failure therapy)

Carivalan 12.5/5 Tab — Side Effects & Warnings

Known side effects of Carivalan 12.5/5 Tab include Dizziness, fatigue, low blood pressure, slow heart rate (bradycardia), headache, nausea, visual brightness/photopsia, shortness of breath, swelling (edema). Not everyone experiences these side effects.

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated June 2026

Common Side Effects

Dizziness
fatigue
low blood pressure
slow heart rate (bradycardia)
headache
nausea
visual brightness/photopsia
shortness of breath
swelling (edema)

This is not an exhaustive list. Consult your doctor if you notice any unusual symptoms.

Important Warnings

Prescription-only. Can cause excessive slowing of heart rate, low blood pressure, worsening heart failure during initiation/titration, and dizziness/fainting—monitor BP and pulse. Not recommended in severe bradycardia, sick sinus syndrome/AV block without pacemaker, acute decompensated heart failure, severe hypotension, severe hepatic impairment, or cardiogenic shock. Use caution in asthma/COPD, diabetes (may mask hypoglycemia), peripheral vascular disease, thyroid disorders, and in elderly. Do not stop abruptly (risk of angina/arrhythmia). Seek urgent care for fainting, very slow pulse, severe breathlessness, or chest pain.

Drug Interactions

Carivalan 12.5/5 Tab may interact with the following:

Strong CYP3A4 inhibitors (e.g.
ketoconazole
itraconazole
clarithromycin
telithromycin
ritonavir) and non-dihydropyridine calcium channel blockers (verapamil
diltiazem) increase ivabradine levels and bradycardia risk; other heart-rate-lowering drugs (digoxin
amiodarone
beta-blockers) increase bradycardia/AV block risk; antihypertensives and nitrates increase hypotension risk; CYP3A4 inducers (rifampicin
phenytoin
carbamazepine
St John’s wort) may reduce ivabradine effect; insulin/oral antidiabetics—monitor glucose; clonidine—withdrawal interactions; NSAIDs may reduce antihypertensive effect.

Always tell your doctor about all medicines you are taking, including over-the-counter drugs and supplements.

Pregnancy Safety

Consult doctor (generally not recommended unless clearly needed)

Alcohol Interaction

Use with caution (may increase dizziness and low blood pressure)

Habit Forming

Storage

Store below 25°C in a dry place, protected from light and moisture. Keep in original blister pack and out of reach of children.

Carivalan 12.5/5 Tab — Safety Summary

Composition: Carvedilol 12.5 mg + Ivabradine 5 mg (tablet)
Prescription: Required (Rx)
Pregnancy: Consult doctor (generally not recommended unless clearly needed)
Alcohol: Use with caution (may increase dizziness and low blood pressure)
Habit forming: No

Carivalan 12.5/5 Tab — Safety FAQs

What should I do if I experience side effects?

Mild side effects often resolve on their own. If side effects are severe or persistent, stop the medicine and consult your doctor immediately.

Are all listed side effects common?

No. Some side effects are common while others are rare. Not everyone experiences side effects. Consult your doctor if you are concerned.

Can I take this medicine with other drugs?

Some medicines interact with each other. Always inform your doctor about all medicines you are currently taking.

When should I seek emergency help?

Seek immediate medical attention if you experience severe allergic reactions (difficulty breathing, swelling of face/throat), chest pain, or any life-threatening symptoms.

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Safety disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice. If you experience severe side effects, seek medical attention immediately.

Carivalan 12.5/5 Tab — Side Effects & Warnings

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated June 2026