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Two medicines, side by side

Carvedilol vs losartan

Carvedilol and losartan are both labeled for high blood pressure. Drugs@FDA records approvals of carvedilol since 1995 and of losartan since 1995. Pharmacies paid $0.0179 per carvedilol 6.25 mg tablet and $0.0327 per losartan potassium 50 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, carvedilol is an alpha-adrenergic blocker and losartan an angiotensin 2 receptor blocker.

Check it at the source: the carvedilol FDA label on DailyMed (effective July 31, 2026); the losartan FDA label on DailyMed (effective January 20, 2026).

Highlights of the carvedilol record

Carvedilol (Coreg) · label of July 31, 2026

Used for

From the label: indications

INDICATIONS AND USAGE COREG is an alpha-/beta-adrenergic blocking agent indicated for the treatment of: mild to severe chronic heart failure ( 1.1 ) left ventricular dysfunction following myocardial infarction in clinically stable patients ( 1.2 ) hypertension ( 1.3 ) 1.1 Heart Failure COREG is indicated for the treatment of mild-to-severe chronic heart failure of ischemic or cardiomyopathic origin, usually in […]

On the market

Earliest approval on file
September 14, 1995
Generic labelers
41 labelers
Pharmacy cost
$0.0179 per tablet

Supply and safety

Shortage
No current entry
Recalls
22

Highlights of the losartan record

Losartan (Cozaar) · label of January 20, 2026

Boxed warning

FETAL TOXICITY When pregnancy is detected, discontinue COZAAR as soon as possible. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus [see Warnings and Precautions (5.1) ]. WARNING: FETAL TOXICITY See full prescribing information for complete boxed warning. When pregnancy is detected, discontinue COZAAR as soon as possible. Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus.

Used for

From the label: indications

COZAAR is an angiotensin II receptor blocker (ARB) indicated for: Treatment of hypertension, to lower blood pressure in adults and children greater than 6 years old. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. ( 1.1 ) Reduction of the risk of stroke in patients with hypertension and left ventricular hypertrophy. […]

On the market

Earliest approval on file
April 14, 1995
Generic labelers
43 labelers
Pharmacy cost
$0.0327 per tablet

Supply and safety

Shortage
No current entry
Recalls
77

Source: FDA drug labels via openFDA (Carvedilol label of July 31, 2026, Losartan label of January 20, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do carvedilol and losartan differ on the record?

In FDA's classes, carvedilol is an alpha-adrenergic blocker and losartan an angiotensin 2 receptor blocker.

How each works, in its label's words: Carvedilol, “COREG is a racemic mixture in which nonselective β-adrenoreceptor blocking activity is present in the S(-) enantiomer and α1-adrenergic blocking activity is present in both R(+) and S(-) enantiomers …”; Losartan, “Angiotensin II [formed from angiotensin I in a reaction catalyzed by angiotensin converting enzyme (ACE, kininase II)] is a potent vasoconstrictor, the primary vasoactive hormone of the …”

Half-life, in each label's words: Carvedilol, “Following oral administration, the apparent mean terminal elimination half-life of carvedilol generally ranges from 7 …”; Losartan, “The terminal half-life of losartan is about 2 hours and of the metabolite is about 6-9 hours.”

Only the losartan label carries a boxed warning.

Generics: carvedilol since 2007; losartan since 2010 (Drugs@FDA).

CarvedilolLosartan
Labeled forHeart failure, High blood pressureHigh blood pressure, Chronic kidney disease, Stroke prevention
Pharmacologic classalpha-Adrenergic Blocker, beta-Adrenergic BlockerAngiotensin 2 Receptor Blocker
How it works (label)COREG is a racemic mixture in which nonselective β-adrenoreceptor blocking activity is present in the S(-) enantiomer and α1-adrenergic blocking activity is present in both R(+) and S(-) enantiomers at equal potency.Angiotensin II [formed from angiotensin I in a reaction catalyzed by angiotensin converting enzyme (ACE, kininase II)] is a potent vasoconstrictor, the primary vasoactive hormone of the renin-angiotensin system, and an important component …
Half-life (label)Following oral administration, the apparent mean terminal elimination half-life of carvedilol generally ranges from 7 to 10 hours.The terminal half-life of losartan is about 2 hours and of the metabolite is about 6-9 hours.
Earliest approval on file (Drugs@FDA)September 14, 1995April 14, 1995
First generic approvedSeptember 5, 2007April 6, 2010
Generic labelers (NDC)41 labelers43 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0179 per tablet (Carvedilol 6.25 mg tablet)$0.0327 per tablet (Losartan potassium 50 mg tablet)
12-month price change-4%+2%
Boxed warningNoYes
Shortage nowNo current entryNo current entry
Recalls recorded2277
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)137,029200,566
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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