INPUT ARTICLE: Article: People that are prescribed carvedilol fall into three main groups. They include people that have high blood pressure, a condition called congestive heart failure, or have had a heart attack in the past that left them with problems with the way the left ventricle of their heart functions. Carvedilol is a nonselective beta-blocker that also has alpha-adrenergic blocking activity. That means that carvedilol helps to reduce the work that your heart needs to do. In general, carvedilol relaxes the blood vessels and slows down the rhythmic beats of your heart. This allows for your blood to carry enough oxygen to and from your heart to allow it function and continue to provide enough blood flow to keep your other organs healthy, even if your heart has problems. By relaxing the blood vessels and slowing down your heart rate, your blood flow improves and your blood pressure is reduced. Beta-blockers as a class are used in the treatment of other conditions. Some of these include angina, arrhythmias, helping your heart to beat when the walls of the heart muscle are too thick (hypertrophic cardiomyopathy), other heart conditions that prevent the heart from either filling or emptying efficiently, migraine headaches, glaucoma, tremors, and even some types of anxiety. When nonselective beta-blockers, including carvedilol, are prescribed for specific medical conditions, it is not possible to tell the drug which receptors to block and which ones to ignore. This means that you get the benefit of the drug, but you also get some side effects based on how the drug does its job. Naturally occurring chemicals called catecholamines are found everywhere in your body, including the tissues of your heart muscle. When catecholamines bind to their receptors normally, they cause natural increases in heart rate, contractions of the heart muscle, increases in blood pressure, and relaxation of areas in your lungs and airways that help your lungs to expand when you are exercising. Beta-blockers work by preventing the catecholamines from binding to their receptors. This is why your heart rate is slowed, the beating of your heart can be managed, and your blood pressure can be dropped. Because of the way beta-blockers do their job, sometimes unwanted effects come along with the benefits. Since the receptors that are acted on by beta-blockers are located throughout your body, the list of possible serious side effects is quite lengthy. Any reaction that you feel is a sudden and serious change warrants medical attention, even if it is not found in this list. Some of the most serious side effects that require prompt or emergency medical attention include the following: Sudden weight gain, swelling, numbness, and tingling in the hands, feet, legs, or ankles, or a weakness or heaviness in the legs Pain, stiffness, or swelling in your joints, including pain in your great toe, and body pain in your arm, back, jaw, side, or stomach, muscle pain or cramping, and a sudden or severe headache Changes in your kidney and bowel function that include bloody, black, or tarry stools, cloudy or dark urine, blood in your urine, increased urination, or a decrease in the frequency or amount of urine Confusion, loss of consciousness, depression, loss of the ability to speak, slurred speech, loss of vision, nervousness, shakiness, seizures, or changes in sleep patterns including nightmares Cool or cold skin, sweats, flushed or dry skin, sudden weakness of the body on only one side, unusual bleeding or bruising, yellow tint to the eyes or skin, or dizziness or faintness when getting up suddenly Flu-like symptoms, chills, fever, cough, loss or change in appetite, noisy breathing, fruit-like odor to the breath, trouble breathing even at rest, pounding sound in the ears, a pounding and slowed heart rate, a sudden change in pulse or blood pressure, and rapid breathing Any time you develop symptoms that are consistent with those of an allergic reaction, seek immediate medical attention. Watch for signs of an allergic reaction if you are just beginning carvedilol, have recently switched brands, or have recently changed from the regular tablets to an extended release product. Symptoms of an allergic reaction include difficulty breathing, shortness of breath, swelling of your facial area including your lips and tongue, difficulty swallowing or a feeling that your throat is swollen or closing, feeling dizzy or faint, a new rash or hives anywhere on your body, slowing of your heart rate to less than 50 beats per minute, swelling in your legs, ankles, or feet, and a feeling of coldness in your hands or feet. Some side effects occur that do not need immediate medical attention and may improve as your body adjusts to the medication or to a recent change in dose. Any side effect that is persistent or disruptive to your daily routines warrants medical attention. Some side effects that occur more commonly include the following: Unusual fatigue or weakness, joint and muscle pain, loss of strength, poor energy levels, sleepiness or unusual drowsiness, or a general feeling of discomfort or illness Diarrhea, abdominal discomfort, nausea, vomiting, or stomach pain Back pain, difficulty moving, joint pain, or muscle pain Decreased interest in sexual activity and difficulty having or keeping an erection Feeling dizzy, a sensation of spinning, or a feeling of constant movement of your body or the surroundings Changes in vision, blurred vision, headache, persistent breath odor or bad taste in your mouth, changes in your gum tissue, sore throat, or stuffy or runny nose Carvedilol may not be the only medication you are taking that is causing you to feel tired. Try to limit your daytime use of medications that you take for pain that are prescribed "as needed." Take the medication when you need it of course, but realize that prescription strength pain medications can also cause fatigue. Prescription strength pain medications that are prescribed on a scheduled basis can possibly be dose adjusted to still provide for your pain management needs, but at a lower daytime dose. Work with your doctor to reach a dose that is high enough to provide the relief you need, but lower than what you currently take since you are having trouble with feeling tired during the day. Medications other than pain medications also cause fatigue and tiredness. Review all your medications with your doctor, or a trained pharmacologist, to look at the way your meds are influencing your functioning and how they may be influencing each other. There are usually options in adjusting prescribed medication regimens to reduce problems with fatigue and other persistent side effects.

SUMMARY: Identify why you have been prescribed carvedilol. Discover how carvedilol is helping you. Recognize the serious side effects. Call 911 or emergency services if you have signs of an allergic reaction. Recognize the common side effects. Consider your other medications.

INPUT ARTICLE: Article: When the photo looks right, choose "Print" from the File menu. You can choose both 3x5 and 4x6 in addition to other sizes. You can choose a standard border or you can add matting.

SUMMARY:
Place the inks and photo paper recommended by your printer manufacturer into your printer. Open iPhoto and open the photo that you want to print. Edit the photo as needed. Click on "Print Size" in the Printer window to choose a size for your photo. Choose your layout on the left side of the Print menu. Click "Print" to print your photo.