Drug Comparison

Carvedilol vs. Fluvoxamine Maleate

Compare Carvedilol and Fluvoxamine Maleate: mechanism of action, indications, side effects, cost, and which may be right for you.

Quick Comparison

CategoryCarvedilolFluvoxamine Maleate
Drug ClassBeta-BlockersSSRIs (Selective Serotonin Reuptake Inhibitors)
Rx StatusRxRx
Generic AvailableNoNo
Typical Cost$4-$25/month$15–$50/month

Carvedilol Overview

Carvedilol is a medication known as an alpha and beta blocker. It is prescribed to treat conditions such as high blood pressure, chronic heart failure, and to improve outcomes after a heart attack. Carvedilol works by relaxing blood vessels and slowing the heart rate, which helps the heart pump blood more easily and efficiently.

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Fluvoxamine Maleate Overview

Fluvoxamine Maleate is a type of antidepressant medication called a Selective Serotonin Reuptake Inhibitor (SSRI). It works by helping to balance certain natural substances in the brain, and it is primarily used to treat Obsessive Compulsive Disorder (OCD) by reducing repetitive thoughts and behaviors.

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How Each Drug Works

Carvedilol

Carvedilol is a racemic mixture in which nonselective β-adrenoreceptor blocking activity is present in the S(-) enantiomer and α 1 -adrenergic blocking activity is present in both R(+) and S(-) enantiomers at equal potency. Carvedilol has no intrinsic sympathomimetic activity.

Approved Uses (Indications)

Carvedilol

Carvedilol tablets are an alpha-/beta-adrenergic blocking agent indicated for the treatment of: mild to severe chronic heart failure left ventricular dysfunction following myocardial infarction in clinically stable patients hypertension 1.1 Heart Failure Carvedilol tablets are indicated for the treatment of mild-to-severe chronic heart failure of ischemic or cardiomyopathic origin, usually in addition to diuretics, ACE inhibitors, and digitalis, to increase survival and, also, to reduce the risk of hospitalization [see Drug Interactions , …

Fluvoxamine Maleate

Fluvoxamine maleate extended-release capsules are selective serotonin reuptake inhibitor (SSRI) indicated for the treatment of obsessive compulsive disorder (OCD) . Efficacy was demonstrated in: One 12-week study with fluvoxamine maleate extended-release capsules in adults . Two 10-week studies with immediate-release (IR) fluvoxamine tablets in adults and one 10-week study with IR fluvoxamine tablets in children and adolescents . One maintenance study with IR fluvoxamine tablets .

Obsessive Compulsive Disorder Fluvoxamine malea…

Side Effects

Carvedilol

Fluvoxamine Maleate

Cost Comparison

Carvedilol

$4-$25/month

As a widely available generic, Carvedilol is typically inexpensive. Using discount cards or pharmacy loyalty programs can further reduce the cost.

Fluvoxamine Maleate

$15–$50/month

Fluvoxamine Maleate is available as a generic, which significantly lowers its cost. Patients can typically find good discounts using pharmacy savings cards or manufacturer coupons.

Drug Interaction: Moderate

Coadministration of carvedilol and fluvoxamine may lead to increased plasma concentrations of carvedilol, potentially enhancing its beta-blocking effects. This can result in symptoms such as bradycardia, hypotension, and dizziness, particularly in susceptible patients.

Mechanism: Fluvoxamine is a potent inhibitor of CYP1A2 and CYP2C19. While carvedilol is primarily metabolized by CYP2D6, it also undergoes metabolism by CYP2C9, CYP1A2, and CYP3A4. Inhibition of CYP1A2 by fluvoxamine could reduce the clearance of carvedilol, leading to elevated systemic exposure.

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Medical Disclaimer

The information on RxGuide is intended for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, pharmacist, or other qualified health provider with any questions you may have regarding a medical condition or medication. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.