Carvedilol and Metolazone interaction

Carvedilol and Metolazone: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Metolazone label · effective 2026-01-15

Major

Other Antihypertensive Drugs When metolazone tablets, USP, are used with other antihypertensive drugs, particular care must be taken to avoid excessive reduction of blood pressure, especially during initial therapy.

Warningsby drug classView label on DailyMed
Moderate

Dosage adjustments of other antihypertensives may be necessary.

Drug interactionsby drug classView label on DailyMed
Minor

Other Antihypertensives When metolazone tablets, USP, are used with other antihypertensive drugs, care must be taken, especially during initial therapy.

Drug interactionsby drug classView label on DailyMed

From the Carvedilol (Coreg) label · effective 2026-07-31

Moderate

If such symptoms occur, diuretics should be increased and the carvedilol dose should not be advanced until clinical stability resumes [see Dosage and Administration (2) ] .

Warnings and precautionsby drug classView label on DailyMed
Moderate

COREG may be used with caution, however, in patients who do not respond to, or cannot tolerate, other antihypertensive agents.

Warnings and precautionsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.