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Hydrochlorothiazide vs. Coreg

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Hydrochlorothiazide (Microzide) and carvedilol (Coreg) are both used to treat high blood pressure, but they belong to different medication classes and work in different ways. Hydrochlorothiazide is a diuretic, also known as a water pill, that helps you urinate more to remove extra fluid and certain electrolytes from your body. This helps lower blood pressure and reduce swelling. Carvedilol, on the other hand, is a beta blocker that lowers blood pressure by relaxing your blood vessels and slowing down your heart rate. You typically take hydrochlorothiazide once daily, while carvedilol is taken twice daily in its immediate-release form or once daily in its extended-release form. Common side effects of hydrochlorothiazide include dizziness and frequent urination, whereas carvedilol can cause dizziness, tiredness, and diarrhea. Both medications are available as lower-cost generics.

Hydrochlorothiazide

 

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Carvedilol

(Coreg)

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Summary for Hydrochlorothiazide

Prescription only

Hydrochlorothiazide is a diuretic or water pill. It helps lower blood pressure. It also helps with swelling from fluid buildup (edema) caused by some health conditions, like heart failure and kidney problems. People of all ages can take hydrochlorothiazide tablets and capsules. But children typically take much smaller, weight-based doses. You typically take your dose by mouth once (sometimes twice) daily, but avoid nighttime dosing so you won't wake up to urinate. Some common side effects are dizziness and urinating more often.

Indications for Hydrochlorothiazide

Pros and Cons for Hydrochlorothiazide

Pros

  • Helps getting rid of extra fluid in your body
  • A first-choice treatment option if you have high blood pressure or heart failure
  • Dose can be adjusted based on how well it's working for you

Cons

  • Can make you urinate more often
  • Can cause electrolytes and fluid levels to be out of balance, which can be dangerous
  • Might not be a good option for people with a sulfa allergy

Common Side Effects for Hydrochlorothiazide

  • Dizziness
  • Weakness
  • Headache
  • Blurry vision
  • Low blood pressure
  • Change in electrolyte levels

Warnings for Hydrochlorothiazide

  • Low fluid and electrolyte levels in the body
  • Possibly higher calcium levels
  • Higher blood sugar
  • Risk of gout
  • Risk of vision problems and glaucoma
  • Use with caution in people with kidney problems

Summary for Coreg

Prescription only

Carvedilol (Coreg) is used to treat high blood pressure, manage heart failure, and help with heart problems after a heart attack. It belongs to the beta blocker drug class. This medication comes as a tablet that's taken by mouth twice daily, and as an oral extended-release (ER) capsule (brand name Coreg CR) that's taken once daily. Common side effects include dizziness, feeling tired, and diarrhea.

Indications for Coreg

  • High blood pressure
  • Heart failure
  • Lower the risk of death from heart-related problems after a heart attack

Pros and Cons for Coreg

Pros

  • Taken by mouth
  • Comes as a once-daily extended-release formulation
  • Dose can be adjusted based on your response
  • Available as a lower-cost generic

Cons

  • Need to take with food
  • Can cause you to feel more tired
  • Can cause dry eyes if you wear contact lenses
  • Shouldn't be taken if you have asthma or an asthma-related condition

Common Side Effects for Coreg

  • Dizziness (6%)

Please note: These side effects were reported by people who took carvedilol (Coreg) in clinical studies for high blood pressure.

Warnings for Coreg

  • Worsening chest pain and heart attacks
  • Slow heart rate and low blood pressure
  • Heart failure
  • Hiding symptoms of low blood sugar
  • Risk of difficulty breathing
  • Hiding symptoms of high thyroid hormone
  • Risk of kidney problems
  • Severe allergic reactions
  • Greater risk during surgery
  • Risk of eye problems during surgery

Prices with our coupons for Hydrochlorothiazide vs. Coreg

Price Card Drug Icon
Hydrochlorothiazide30 tablets / 25mg
$4.00$4.00
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Carvedilol180 tablets / 25mg
$18.37$430.88
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