On-X Aortic Heart Valves: Safer with Less Warfarin On-X Aortic Heart Valves: Safer with Less Warfarin

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  • Carvedilol

    Anyone else on Carvedilol I have been feeling a little more tired than usual I'm thinking I may be dehydrated but was wondering if anyone has any thoughts about the med in general.
    Valve sparing aortic root replacement
    Northwestern Hospital Chicago
    Dr. Chris Malaisrie--May 22, 2009

  • #2
    One of Carvedilol's side effects is fatigue and low BP. I was put on it after my surgery from September to February to lower my heart rate. My doctor weaned me off of it slowly. Keep an eye on your BP while taking it if you have a machine at home.
    Eva

    Aortic & Mitral valves replaced with St. Jude Mechanical valves @ age 57 on 9/2/08

    INR home tester/Coagucheck

    Forum Rules: " .... medical opinions expressed in this forum are the personal opinions of individuals. No person should at any time
    act on the information contained herein without the express consent of your own physician."

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    • #3
      I was on Carvedilol post surgery and after 3 months and progressively feeling worse I asked the cardio to take me off of it.
      I was put back on Metoprol which I had been on the first few weeks after surgery before the failed change to Carvedilol.
      Carvedilol caused me to dream every night usually it was stressful and I would wake up exhausted. I also suffered a permanent low level headache for the 3 months I was on it. :mad:
      I was that fatigued all of the time I felt a danger driving a car and seldom drove. :mad:
      My judgement and reaction times were severely impeded; it felt like an ongoing hangover except without the good time that caused the hangover. :D
      OldManEmu

      "The only thing we have to fear is fear itself." FDR

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      • #4
        I take the stuff and it causes me to be very fatigued about 45 minutes after I take it. The fatigue lasts for about an hour. I have a little headache all the time also.

        The other side affect is less pleasant. Diarhea. But only sometimes. I'm not sure what sets it off. Some days it's not a problem, some days it is.


        Other than that the stuff works for me. My BP is under control and my heart doesnt get as twitchy as it used to.
        Mitral Valve Repair July 2004

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        • #5
          Originally posted by kschul View Post
          Anyone else on Carvedilol I have been feeling a little more tired than usual I'm thinking I may be dehydrated but was wondering if anyone has any thoughts about the med in general.
          That is the generic for Coreg. It is usually started as a low dose and increased with time. I was switched to it after using Metoprolol after surgery. It can do wonders for folks like me with heart failure. I have not had any side effects. It helps keep my a-fib under control. I am being considered by a specialist to stop cardizem and increase the Coreg again. I'm now at 25 mg twice a day.
          Lou

          Mitral valve repair 6/12/1997
          Mitral valve replacement ,,,St.Jude Regent mechanical,, 8/15/2008 both mini invasive procedure
          Dr. Donald Glower
          Duke Medical Center
          Rate controlled A-Fib
          Bi-Ventricular Medtronic ICD 4/21/2008

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          • #6
            Thanks for the replies everyone. Whenever you start feeling a new symptom you always have in the back of your head something more serious is going on. I actually have an echo/cardiologist appointment next week so I'll mention it. I'm on a lower dose 6.25mg twice a day. I'll keep an eye on my blood pressure. I have always had a tendency to be dehydrated due to some GI absorption problems so that might be the answer.
            Valve sparing aortic root replacement
            Northwestern Hospital Chicago
            Dr. Chris Malaisrie--May 22, 2009

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            • #7
              I have been on it for 1.5 years 25mg a 2x a day.It still makes me tired even after all this time. I also have alot of dreams and wake up many mornings like I was "busy" all night.
              Asending aorta replaced with dacron -aortic valve reimplanted by David procedure
              9.17.09 Baylor Heart Hosptal - Plano,Tx Dr. M. Mack
              1 asprin per day

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              • #8
                I was started on Carvedilol in May after my cath showed signs of myopathy. Like Lou said it is a wonder drug for some people. My cardiologist started me on 6.25, then basically had me double the dose every week (as long as I had no side effects which I didnt) until I reached 25mg x2 daily back in july. I've noticed a slight drop in energy but not that much, no other side effects that i've noticed. It did help with my condition though and my LV function and EF have improved to where my MV replacement has been put off for the time being. I've been on the Coreg/Carvedilol such a short time my surgeon is taking a wait and see approach, he's hoping my EF will continue to improve.

                EF in May 35% before Coreg/Carvedilol
                EF in August 45-50% after Coreg/Carvedilol
                1972 Diagnosed Aortic Stenosis (age 1)
                1973 Aortic Valvotomy - Santa Rosa Medical Center, San Antonio (age 2)
                1979 Aortic Valve Replacement - Brook Army Medical Center, San Antonio. Dr. James Peake, Bjork Shiley Valve (age 8) Started coumadin therapy
                1983 Aortic Valve Replacement - UAB. Dr. Albert Pacifico, St. Jude 25mm Valve by Konno Technique.
                2006 St. Jude Pacemaker Installed (age 35)
                20?? Mitral Valve Replacement - Eventually. (age ??)

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                • #9
                  Originally posted by Matski View Post
                  I was started on Carvedilol in May after my cath showed signs of myopathy. Like Lou said it is a wonder drug for some people. My cardiologist started me on 6.25, then basically had me double the dose every week (as long as I had no side effects which I didnt) until I reached 25mg x2 daily back in july. I've noticed a slight drop in energy but not that much, no other side effects that i've noticed. It did help with my condition though and my LV function and EF have improved to where my MV replacement has been put off for the time being. I've been on the Coreg/Carvedilol such a short time my surgeon is taking a wait and see approach, he's hoping my EF will continue to improve.

                  EF in May 35% before Coreg/Carvedilol
                  EF in August 45-50% after Coreg/Carvedilol
                  I am happy for your EF improvement. It is very interesting to read that Coreg/Carvedilol helped with your EF!! Excuse me for asking: did your doctor confirm that your EF improved due to Coreg?! If so, I am willing to go back on it if it will help mine which is 50% since surgery (strangely it was 65% before surgery).
                  Eva

                  Aortic & Mitral valves replaced with St. Jude Mechanical valves @ age 57 on 9/2/08

                  INR home tester/Coagucheck

                  Forum Rules: " .... medical opinions expressed in this forum are the personal opinions of individuals. No person should at any time
                  act on the information contained herein without the express consent of your own physician."

                  Comment


                  • #10
                    Originally posted by Eva View Post
                    I am happy for your EF improvement. It is very interesting to read that Coreg/Carvedilol helped with your EF!! Excuse me for asking: did your doctor confirm that your EF improved due to Coreg?! If so, I am willing to go back on it if it will help mine which is 50% since surgery (strangely it was 65% before surgery).
                    I asked if it was specifically the coreg and you know Dr's they wont commit to anything but his words were "for some people it is a miracle drug". He added Aldactone (diuretic) to the regiment a few weeks ago which he said could help as well. The way I'm looking at it is, my EF had dropped again (its been on a downward trend the last few years but considerably worse this year), I started Coreg and now my EF is up without any other treatment. Could be something else but with the minimal side effects its had on me I have no problem taking it. I fingers crossed my EF is at 50% or better when my next echo comes around in february.
                    1972 Diagnosed Aortic Stenosis (age 1)
                    1973 Aortic Valvotomy - Santa Rosa Medical Center, San Antonio (age 2)
                    1979 Aortic Valve Replacement - Brook Army Medical Center, San Antonio. Dr. James Peake, Bjork Shiley Valve (age 8) Started coumadin therapy
                    1983 Aortic Valve Replacement - UAB. Dr. Albert Pacifico, St. Jude 25mm Valve by Konno Technique.
                    2006 St. Jude Pacemaker Installed (age 35)
                    20?? Mitral Valve Replacement - Eventually. (age ??)

                    Comment


                    • #11
                      Originally posted by Matski View Post
                      I asked if it was specifically the coreg and you know Dr's they wont commit to anything but his words were "for some people it is a miracle drug". He added Aldactone (diuretic) to the regiment a few weeks ago which he said could help as well. The way I'm looking at it is, my EF had dropped again (its been on a downward trend the last few years but considerably worse this year), I started Coreg and now my EF is up without any other treatment. Could be something else but with the minimal side effects its had on me I have no problem taking it. I fingers crossed my EF is at 50% or better when my next echo comes around in february.
                      Thanks, Mat, for answering my question. I wish your EF continues to improve. I had to stop Coreg in my case because it lowered my BP to 70/50 and I was feeling dizzy. I am going to check with my surgeon next week and give myself another chance to try it. who knows, I may tolerate it more now especially that I am not restricted from salt as before.
                      Eva

                      Aortic & Mitral valves replaced with St. Jude Mechanical valves @ age 57 on 9/2/08

                      INR home tester/Coagucheck

                      Forum Rules: " .... medical opinions expressed in this forum are the personal opinions of individuals. No person should at any time
                      act on the information contained herein without the express consent of your own physician."

                      Comment


                      • #12
                        I followed up with my cardiologist with an echo tdoay. My EF went from around a 35-40% one month ago to 60% after being switched to the Coreg/Carvedilol. Good news.

                        Kris
                        Valve sparing aortic root replacement
                        Northwestern Hospital Chicago
                        Dr. Chris Malaisrie--May 22, 2009

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                        • #13
                          Kris,

                          Great news. I am happy for you. When did your doctor switch you to Coreg/carvedilor? When was you previous echo?
                          Eva

                          Aortic & Mitral valves replaced with St. Jude Mechanical valves @ age 57 on 9/2/08

                          INR home tester/Coagucheck

                          Forum Rules: " .... medical opinions expressed in this forum are the personal opinions of individuals. No person should at any time
                          act on the information contained herein without the express consent of your own physician."

                          Comment


                          • #14
                            My previous echo/switch to Coreg was in mid-July so I haven't been on it long at all. He does foresee this being a lifelong medication though.
                            Valve sparing aortic root replacement
                            Northwestern Hospital Chicago
                            Dr. Chris Malaisrie--May 22, 2009

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                            • #15
                              Thanks...May you continue to feel better and better for many years to come
                              Eva

                              Aortic & Mitral valves replaced with St. Jude Mechanical valves @ age 57 on 9/2/08

                              INR home tester/Coagucheck

                              Forum Rules: " .... medical opinions expressed in this forum are the personal opinions of individuals. No person should at any time
                              act on the information contained herein without the express consent of your own physician."

                              Comment

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