{"id":36643,"date":"2022-01-27T12:22:16","date_gmt":"2022-01-27T12:22:16","guid":{"rendered":"https:\/\/dailycbd.com\/en\/?page_id=36643"},"modified":"2022-01-27T12:23:27","modified_gmt":"2022-01-27T12:23:27","slug":"carvedilol","status":"publish","type":"page","link":"https:\/\/dailycbd.com\/en\/drug-interactions\/carvedilol\/","title":{"rendered":"Does CBD Interact With Carvedilol (Coreg)?"},"content":{"rendered":"\n<p>CBD and carvedilol are unlikely to interact. However, because of the shared effects on blood pressure, this combination isn\u2019t recommended.&nbsp;<\/p>\n\n\n\n<p><a href=\"https:\/\/dailycbd.com\/en\/talk-to-your-doctor-cbd\/\">Speak to your doctor about using CBD<\/a> before combining it with any prescription medications.&nbsp;<\/p>\n\n\n\n<h2>Does CBD Interact With Carvedilol (Coreg)?<\/h2>\n\n\n\n<p><strong>Yes. CBD may interact with carvedilol.<\/strong>&nbsp;<\/p>\n\n\n\n<p>The chances of serious interaction with this combination are low but not impossible. The most concerning side effects revolve around both substances&#8217; ability to reduce blood pressure. Hypotension could result in lightheadedness, confusion, and fainting \u2014 all of which can become dangerous in certain situations.&nbsp;<\/p>\n\n\n\n<p><strong>CBD may interact with carvedilol in two ways:<\/strong><\/p>\n\n\n\n<h3>A) CBD Enhances the Effects of Carvedilol on the Body (Agonistic Interaction)&nbsp;<\/h3>\n\n\n\n<p>When two items exert the same kind of effect on the body, they become agonists to each other. This causes more potency in their effects. Sometimes more potency of a medication isn\u2019t a good thing.&nbsp;<\/p>\n\n\n\n<p>Carvedilol is used to reduce blood pressure by acting on the alpha-1adrenergic receptors, which relax the blood vessels and reduce peripheral vascular resistance.&nbsp;&nbsp;<\/p>\n\n\n\n<p>CBD, on the other hand, works on <a href=\"https:\/\/dailycbd.com\/en\/endocannabinoid-system\/\">the endocannabinoid receptors<\/a>, which is also involved with a reduction in blood pressure.<\/p>\n\n\n\n<p>Therefore, taking both compounds together could result in a <strong>rapid decrease in the blood pressure,<\/strong> causing the user to feel dizzy and faint.<\/p>\n\n\n\n<h3>B) CBD May Slow Down Carvedilol&#8217;s Metabolism (Metabolic Competition)<\/h3>\n\n\n\n<p>Metabolic competition occurs when two or more compounds require the same enzymes for metabolism. They will compete with each other, leading to a slower metabolic rate overall.<\/p>\n\n\n\n<p>Carvedilol gets metabolized by the <strong>CYP2D6 enzymes<\/strong>. <a href=\"https:\/\/dailycbd.com\/en\/cannabinoids\/metabolism\/\">CBD is metabolized by CYP2D6<\/a>, too. This means consuming them together could cause them to compete.<\/p>\n\n\n\n<p>The result could be the overaccumulation of one or both drugs in the body, delay in their removal, and increasing the risk of side effects or toxicity.&nbsp;<\/p>\n\n\n\n<p>This could be prevented or lessened to a certain degree by taking the two drugs at different times of the day with enough interval between the two (around 2 hours or more).&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><img width=\"612\" height=\"408\" src=\"http:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/10\/cbd-oil-drop-1.png\" alt=\"CBD oil drop containing a hemp leaf.\" class=\"wp-image-33824\" srcset=\"https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/10\/cbd-oil-drop-1.png 612w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/10\/cbd-oil-drop-1-300x200.png 300w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/10\/cbd-oil-drop-1-180x120.png 180w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/10\/cbd-oil-drop-1-283x189.png 283w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/10\/cbd-oil-drop-1-54x36.png 54w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/10\/cbd-oil-drop-1-330x220.png 330w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/10\/cbd-oil-drop-1-420x280.png 420w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/10\/cbd-oil-drop-1-74x49.png 74w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/10\/cbd-oil-drop-1-45x30.png 45w\" sizes=\"(max-width: 612px) 100vw, 612px\" \/><\/figure><\/div>\n\n\n\n<h2>Similar Medications: CBD &amp; Alpha Blockers&nbsp;<\/h2>\n\n\n\n<p>Carvedilol is classified as both an alpha-blocker as well as a beta-blocker. <a href=\"https:\/\/dailycbd.com\/en\/drug-interactions\/#h2-cbd-blood-pressure-medications-3\">CBD and alpha-blockers<\/a> all share similar risks for interaction and side effects.<\/p>\n\n\n\n<p><strong>Here&#8217;s a list of similar medications that share a similar level of risk when combined with CBD:<\/strong><\/p>\n\n\n\n<ul><li><strong>Doxazosin Mesylate<\/strong> (Cardura)<\/li><li><strong>Prazosin Hydrochloride<\/strong> (Minipress)<\/li><li><strong>Terazosin Hydrochloride<\/strong> (Hytrin)<\/li><\/ul>\n\n\n\n<h2>Is It Safe to Take CBD &amp; Carvedilol (Coreg) Together?<\/h2>\n\n\n\n<p>A minimum dose of both drugs, taken for a short duration, is less likely to cause many side effects. But the same cannot be said for large doses or for even minimum doses taken for a longer time.&nbsp;<\/p>\n\n\n\n<p>Over long-term use, both drugs could accumulate more than normal in the body \u2014&nbsp;leading to side effects. Some of these side effects can be severe and are worth trying to avoid.&nbsp;<\/p>\n\n\n\n<p>You can minimize the risk further by taking CBD and carvedilol at least 2-hours apart and speaking to your prescribing physician before you begin.&nbsp;<\/p>\n\n\n\n<p>No matter the dosage, you must always <strong>consult your medical practitioner before starting these two drugs together<\/strong>. Always be wary of any abnormal side effects, and if you encounter any health issues or side effects while taking these drugs, get medical help immediately.&nbsp;&nbsp;<\/p>\n\n\n\n<h2>Is CBD A Viable Alternative to Carvedilol (Coreg)?<\/h2>\n\n\n\n<p><a href=\"https:\/\/dailycbd.com\/en\/best-cbd\/hypertension\/\">CBD has a blood pressure-lowering ability<\/a>. However, this differs from the mechanism of action of carvedilol and may not be enough for severe cases.&nbsp;<\/p>\n\n\n\n<p>CBD works on the CB1 receptors of the endothelium by releasing nitric oxide that can dilate blood vessels, lowering blood pressure [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4540144\/\" target=\"_blank\" rel=\"noreferrer noopener\">1<\/a>].&nbsp;&nbsp;<\/p>\n\n\n\n<p>CBD has been shown to reduce blood pressure in users who also have increased heart rates [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5470879\/\" target=\"_blank\" rel=\"noreferrer noopener\">2<\/a>].&nbsp;<\/p>\n\n\n\n<p>CBD has <a href=\"https:\/\/dailycbd.com\/en\/best-cbd\/inflammation\/\">antioxidative and anti-inflammatory properties<\/a> as well [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7023045\/\" target=\"_blank\" rel=\"noreferrer noopener\">3<\/a>], which offers <em>some<\/em> indirect hypotensive effects by combating inflammation in the arterial system.&nbsp;<\/p>\n\n\n\n<p>CBD may be a good alternative for reducing blood pressure in mild cases, such as prehypertension. However, it may not be sufficient for people diagnosed with high blood pressure.&nbsp;<\/p>\n\n\n\n<h2>What is Carvedilol (Coreg)?&nbsp;<\/h2>\n\n\n\n<p>Carvedilol is an antihypertensive belonging to the alpha-blockers class. It has properties of both alpha-1 adrenoreceptor blocker and beta-adrenoceptor blocker. Coreg is one of its most commonly used brands.&nbsp;<\/p>\n\n\n\n<p>Carvedilol is used in the treatment of hypertension, mild to severe chronic heart failure, hypertension, and left ventricular dysfunction.&nbsp;<\/p>\n\n\n\n<p>It\u2019s an FDA-approved drug and sold as a prescription-only drug in most countries.<\/p>\n\n\n\n<h3>Carvedilol (Coreg) Specs:<\/h3>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-medium\"><img width=\"300\" height=\"300\" src=\"https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-300x300.png\" alt=\"\" class=\"wp-image-36570\" srcset=\"https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-300x300.png 300w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-150x150.png 150w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-768x768.png 768w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-180x180.png 180w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-158x158.png 158w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-80x80.png 80w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-120x120.png 120w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-70x70.png 70w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-40x40.png 40w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-283x283.png 283w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-54x54.png 54w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-330x330.png 330w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-420x420.png 420w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-74x74.png 74w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule-30x30.png 30w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/carvedilol-molecule.png 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure><\/div>\n\n\n\n<div class=\"t-old\"><figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Drug Name&nbsp;<\/strong><\/td><td>Carvedilol<\/td><\/tr><tr><td><strong>Trade Name<\/strong><\/td><td>Coreg, Caditone, Cadmos, Carca, Carca-CR, Cardivas, Cardivas, Carelol, Carloc, Carzec, Caslot<\/td><\/tr><tr><td><strong>Classification&nbsp;<\/strong><\/td><td>Alpha-Blockers, Beta-adrenoceptor blocker<\/td><\/tr><tr><td><strong>CYP Metabolism&nbsp;<\/strong><\/td><td>CYP2D6<\/td><\/tr><tr><td><strong>Interaction With CBD<\/strong><\/td><td>Agonistic, Metabolic competition<\/td><\/tr><tr><td><strong>Risk of Interaction&nbsp;&nbsp;<\/strong><\/td><td>Moderate<\/td><\/tr><\/tbody><\/table><\/figure><\/div>\n\n\n\n<h3>Other Names For Carvedilol (Coreg)<\/h3>\n\n\n\n<p>Carvedilol is sold under many different names. All share the same risk and potential interactions.<\/p>\n\n\n\n<p><strong>Other names for Carvedilol include:<\/strong><\/p>\n\n\n\n<ul><li>Caditone<\/li><li>Cadmos<\/li><li>Carca<\/li><li>Carca-CR<\/li><li>Cardivas<\/li><li>Carelol<\/li><li>Carloc<\/li><li>Carzec<\/li><li>Caslot<\/li><\/ul>\n\n\n\n<h3>What Does Carvedilol (Coreg) Do?<\/h3>\n\n\n\n<p>Carvedilol is used in the treatment of<strong> <\/strong>coronary heart failure, left ventricular dysfunction following myocardial infarction, and hypertension.<\/p>\n\n\n\n<p>It&#8217;s an alpha-1 adrenoceptor blocker that also possesses the properties of a beta-adrenoceptor blocker. This is attributed to its two forms, the S(-) enantiomer and the R(+) enantiomer. Its S(-) enantiomer is a beta-adrenoceptor blocker, and the R(+) enantiomer has both forms of beta and alpha-1 adrenoceptor blocker.<\/p>\n\n\n\n<p>&nbsp;The double ability of carvedilol can decrease side effects while using low-dose combination drugs in comparison to a single heavy dose of one drug.&nbsp;<\/p>\n\n\n\n<p>Carvedilol can decrease rapid or increased heart rate through beta-adrenergic antagonism, and it can lower blood pressure through alpha-1 adrenergic antagonism. Carvedilol can act on alpha-1 adrenergic receptors and relax the smooth muscle in the vasculature. This causes a reduction in peripheral vascular resistance, which leads to an overall reduction in blood pressure.&nbsp;<\/p>\n\n\n\n<p>It has a long duration of action and should not be stopped abruptly as it may exacerbate coronary artery disease.&nbsp;<\/p>\n\n\n\n<p>At high doses, it may even be able to block calcium channels. It also has antioxidant properties, which can prevent oxidation of low-density lipoprotein and its uptake into coronary circulation.&nbsp;<\/p>\n\n\n\n<p>Carvedilol has a half-life of 4 to 7 hours, and it reaches peak concentration at 4 to 7 hours. Carvedilol can cause defects in the newborn if used during pregnancy, and there is no information about its effects on lactation.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full is-resized\"><img src=\"https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol.png\" alt=\"\" class=\"wp-image-36645\" width=\"600\" height=\"600\" srcset=\"https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol.png 800w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-300x300.png 300w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-150x150.png 150w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-768x768.png 768w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-180x180.png 180w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-158x158.png 158w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-80x80.png 80w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-120x120.png 120w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-70x70.png 70w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-40x40.png 40w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-283x283.png 283w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-54x54.png 54w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-330x330.png 330w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-420x420.png 420w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-74x74.png 74w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2022\/01\/coreg-carvedilol-30x30.png 30w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/figure><\/div>\n\n\n\n<h3>Side Effects of Carvedilol (Coreg)&nbsp;<\/h3>\n\n\n\n<ul><li>Atrioventricular block<\/li><li>Bronchospasm<\/li><li>Chest pain<\/li><li>Cough<\/li><li>Decrease in heart rate<\/li><li>Depression<\/li><li>Diarrhea<\/li><li>Dizziness<\/li><li>Dyspnea<\/li><li>edema<\/li><li>Fatigue<\/li><li>Headache<\/li><li>Hepatotoxicity<\/li><li>Hypercholesterolemia<\/li><li>Hyperglycemia<\/li><li>Hypersensitivity<\/li><li>Hypertriglyceridemia<\/li><li>Hypotension<\/li><li>Impotence<\/li><li>Insomnia<\/li><li>Nausea<\/li><li>Palpitations<\/li><li>Raynaud phenomenon<\/li><li>Rhinitis<\/li><li>Skin rash<\/li><li>Increased sleepiness<\/li><li>Syncope<\/li><li>Vomiting<\/li><li>Weight gain<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img width=\"1024\" height=\"589\" src=\"http:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-1024x589.jpeg\" alt=\"Green hemp, ganja leaf on white isolated background. Cannabis leaves, marijuana. Top view, photo wallpaper close up\" class=\"wp-image-33249\" srcset=\"https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-1024x589.jpeg 1024w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-300x173.jpeg 300w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-768x442.jpeg 768w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-1536x884.jpeg 1536w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-2048x1178.jpeg 2048w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-1920x1105.jpeg 1920w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-180x104.jpeg 180w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-283x163.jpeg 283w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-54x31.jpeg 54w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-330x190.jpeg 330w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-420x242.jpeg 420w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-74x43.jpeg 74w, https:\/\/dailycbd.com\/en\/wp-content\/uploads\/sites\/7\/2021\/09\/hemp-leaves-52x30.jpeg 52w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2>Key Takeaways: Is it Safe to Take Carvedilol (Coreg) With CBD?<\/h2>\n\n\n\n<p>CBD and carvedilol carry a mild to moderate risk of interaction with each other. The main concern is that CBD may cause blood pressure to drop <em>too low<\/em> when used in combination with prescription antihypertensives like carvedilol. Side effects of this would involve dizziness, confusion, and fainting. These side effects can be dangerous while driving, operating heavy machinery, or moving up or down stairs.<\/p>\n\n\n\n<p>It\u2019s always wise to speak with your doctor before taking supplements alongside prescription medications.&nbsp;<\/p>\n\n\n\n<p>You can also further minimize the risk of side effects by separating the dose of carvedilol and CBD by 2 hours.<\/p>\n\n\n\n<hr class=\"wp-block-separator\" \/>\n\n\n\n<h2>References<\/h2>\n\n\n\n<ol><li>Stanley, C. P., Hind, W. H., Tufarelli, C., &amp; O&#8217;Sullivan, S. E. (2015). Cannabidiol causes endothelium-dependent vasorelaxation of human mesenteric arteries via CB1 activation. <em>Cardiovascular Research<\/em>, <em>107<\/em>(4), 568-578.&nbsp;<\/li><li>Jadoon, K. A., Tan, G. D., &amp; O\u2019Sullivan, S. E. (2017). A single dose of cannabidiol reduces blood pressure in healthy volunteers in a randomized crossover study. <em>JCI insight<\/em>, <em>2<\/em>(12).&nbsp;<\/li><li>&nbsp;Atalay, S., Jarocka-Karpowicz, I., &amp; Skrzydlewska, E. (2020). Antioxidative and anti-inflammatory properties of cannabidiol. <em>Antioxidants<\/em>, <em>9<\/em>(1), 21.&nbsp;<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Cannabidiol (CBD) may potentiate the hypotensive effects of carvedilol \u2014 leading to side effects including lightheadedness or confusion. Caution is advised.<\/p>\n","protected":false},"author":1,"featured_media":36422,"parent":27451,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"categories":[3589],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Does CBD Interact With Carvedilol (Coreg)?<\/title>\n<meta name=\"description\" content=\"Cannabidiol (CBD) may potentiate the hypotensive effects of carvedilol \u2014 leading to side effects including lightheadedness or confusion. 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