Carvedilol starts lowering blood pressure within 30 minutes to 1 hour of the first dose. It lowers your blood pressure the most about 4 to 5 hours after taking it. Then your blood pressure may start to go up again.

There are two different types of carvedilol. One is an immediate-release tablet. The other is an extended-release capsule. The immediate-release tablet is taken twice a day. It reaches its peak effect quickly. It leaves your system more quickly, too. It is gone about 7 to 10 hours after you take it. The extended-release capsule is taken once a day. It reaches its peak effect in 5 hours. It works for the entire day. 

Each person is different. Your doctor will work with you to find the best medicine and the lowest dose that helps you meet your blood pressure goals. Sometimes it takes more than one medicine to reach your goal. Carvedilol can be one of your blood pressure medicines to take long-term. So, stick with the plan and take your medicine every day.

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