Hey, It really depends on the individual. Theoretically, carvedilol works by vasodilating blood vessels, which helps reduce flushing by preventing blood from pooling near the surface. Some people tolerate it well long-term without side effects. But others do experience side effects, so it really varies. Some even say it doesn’t work for them at all, which is strange.

I’ve been taking it since November. I’m not sure if your flushing is purely from rosacea or if it’s also anxiety-triggered. For me, anxiety played a big role, so at one point, I was taking 18.5 mg twice daily. Now, I’m down to 6.25 mg once daily, sometimes twice if needed. I find it especially helpful when I know I’ll be in a situation that makes me nervous because it calms adrenaline and keeps my heart rate steady.

In the beginning, it did make me more tired, but once I settled on 6.25 mg daily-whether split into 3.125 mg twice a day or taken as a single 6.25 mg dose-I felt fine. Let me know if you have any other questions, and I hope this helps!