Qulipta, amlodipine, lisinopril, aspirin, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide, propranolol. These side effects may go away during treatment as your body adjusts to the medicine. Some tablet strengths may not be used in place of others. The drug form used depends on the condition it is treating. Using digoxin with nifedipine can increase or decrease the amount of digoxin in your body. You may need to show airport staff the pharmacy label for your medication. the unsubscribe link in the e-mail. Review/update the Nifedipine (Procardia XL) tablets have extended-release properties, so they absorb in the body slowly over time and can take up to 6 hours to reach its "peak" effect. This is not a complete list of possible side effects. Dont worry about airport X-ray machines. What to do if you miss a dose: Take your dose as soon as you remember. It lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard. Do not take extra medicine to make up the missed dose. include protected health information. Your doctor may occasionally change your dose to make sure you get the best results. These include liver problems and severe skin rash and allergic reactions. prevention of anginal chest pain associated with coronary artery disease, prevention of anginal pain associated with vasospastic angina, Raynaud's phenomenon, a condition where blood vessels constrict too much with coldness or stress, pre-existing hypertension during pregnancy. If you have liver disease, your body may have trouble clearing nifedipine from your blood. High blood pressure is a common condition and when not treated, can cause damage to the . If your medication wears off before your next dose is due, your blood pressure may be elevated for several hours while you sleep. We comply with the HONcode standard for trustworthy health information. Mayo Clinic does not endorse companies or products. These drugs include: Digoxin is used to treat heart rhythm problems. All rights reserved. Take exactly as directed by your doctor. All rights reserved. information and will only use or disclose that information as set forth in our notice of Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. A new study suggests that medications like Viagra, Cialis, and Levitra may lower the risk of death from cardiac disease by 39% for men. Calcium channel blockers help lower blood pressure by relaxing the blood vessels throughout your body. Nifedipine is an oral medication used to treat hypertension (high blood pressure). Swallow the capsules or tablets whole with a drink of water. It controls chest pain by increasing the supply of blood and oxygen to the heart. While there have been no reports of harm to nursing infants, consult your doctor before breast-feeding. Things to remember when you fill your prescription. Nifedipine is also used to alleviate angina-caused chest pain. Animal studies report that nifedipine causes birth defects in rats and rabbits. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using. A class of drugs is a group of medications that work in a similar way. Your doctor will tell you which of these are most important for you. Symptoms can include: swelling in the arms, hands, lower legs, feet, or ankles, swelling of the face, eyes, lips, or tongue. You may report side effects to Health Canada at 1-866-234-2345. Follow the directions on your medicine label about taking this medication with or without food. Selected from data included with permission and copyrighted by First Databank, Inc. Your doctor may increase your dose as needed. Nifedipine Revised 06/2021. Timing of . Our website services, content, and products are for informational purposes only. Dr. Kim Williams, the head of the division of cardiology at Rush University Medical Center and past president of the American College of Cardiology, says he feels its too soon to begin recommending that all patients take their medications at bedtime. If you eat any of these on a regular basis, check with your doctor. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. It is primarily used as an antihypertensive and as an anti-anginal medication. Your doctor will tell you what dosage is right for you. Do not double the dose to catch up. Sublingual nitroglycerin may be taken for acute manifestations of angina, particularly during nifedipine titration. Healthline Media does not provide medical advice, diagnosis, or treatment. Do not change tablet strengths or use a different number of tablets for your dose without consulting your doctor or pharmacist. Our website services, content, and products are for informational purposes only. These include high blood pressure, migraines, or heart failure. Your doctor will check your blood pressure and perform blood tests from time to time. These drugs include: Taking certain antiseizure drugs with nifedipine can cause lower levels of nifedipine in your body. Available for Android and iOS devices. This medication is used alone or in combination with other drugs to treat high blood pressure (hypertension). Take nifedipine exactly as prescribed by your doctor. Research published in the October 22, 2019, issue of the European Heart Journal suggests that maybe you should. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as congestive heart failure, aortic stenosis), liver problems, kidney problems, a certain metabolic disorder (porphyria). Check with your doctor immediately if any of the following side effects occur: Some side effects may occur that usually do not need medical attention. Take your next dose at the regular time. Do not break, crush, or chew it. May be taken with or without food. You can take nifedipine at any time of day, but try to make sure it's around the same time (or times) every day. This activity outlines the indications, mechanism of action, methods of . This is a normal side effect of nifedipine and will not make the medication less effective. Cold weather can significantly affect your heart health. Always speak with your doctor or pharmacist about dosages that are right for you. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Using these drugs with nifedipine has a low risk of causing heart failure, extremely low blood pressure, or a worsening of chest pain (angina). Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Taking your medication at bedtime may help prevent this issue. The bottom line. Swallow the extended release tablet whole. The best way to tell if a drug has been absorbed is to poke around in your stool and check if the shell contains any traces of medication. Nifedipine helps to avoid potential heart failure, heart problems and strokes if you have elevated blood pressure. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. All rights reserved. The list of medications is seemingly endless, so it's very . Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. To improve absorption, it is usually recommended that penicillin is given on an empty stomach. Uses. However, taking supplements on an empty stomach can be a big mistake, with consequences ranging from an upset stomach to limiting the supplement's effectiveness. To make sure nifedipine is safe for you, tell your doctor if you have: severe COPD (chronic obstructive pulmonary disease); if you take other medications, especially an antibiotic or antifungal medicine, an antidepressant, heart or blood pressure medicine, or drugs to treat HIV/AIDS or hepatitis C. It is not known whether nifedipine will harm an unborn baby. According to AARP, blood pressure follows a daily rhythm. Taking it with food may help to reduce upset stomach. And you don't . However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Take exactly as directed by your doctor. This can raise your risk of health problems such as heart attack or stroke. DO make sure you eat something and are well hydrated before your appointment, so you feel your best. Do not take nifedipine if you: are allergic to nifedipine or any of this medication's ingredients; have a specific form of high blood pressure called "essential hypertension." The cause of this type of high blood pressure is unknown. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Dizziness may increase your risk of falls. Dont have drinks that contain alcohol while taking this drug. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. The researchers found that bedtime medication seemed to make a difference for patients as they had better nighttime blood pressure. Swallow the tablets whole. Nifedipine oral tablet is a prescription drug thats available as the brand-name drugs Adalat CC, Afeditab CR, and Procardia XL. This usually means you do not need to take them as often. 2005 - 2023 WebMD LLC. Enter your medication into the WebMD interaction checker, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Fitness vs. It works by relaxing blood vessels so blood can flow more easily. This could result in dangerous side effects. Speak to your doctor if you are . For pregnant women: Nifedipine is a category C pregnancy drug. Do not take nifedipine with any grapefruit juice or other products made using grapefruit (such as marmalade). The dosage can be increased every 7 to 14 days until the maximum dosage of 180 mg per day is reached. If your routine helps you take your medications regularly and consistently, then they will be more effective in controlling your blood pressure. Nifedipine should not be used to rapidly drop blood pressure as this may be fatal and it should not be taken with grapefruit juice or grapefruit products. These often have letters (XL, LA, SR, MR) or "Retard" after the brand name. Other drugs may interact with nifedipine, including prescription and over-the-counter medicines, vitamins, and herbal products. If you miss a dose, take it as soon as you remember. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Nifedipine belongs to a class of drugs called calcium channel blockers. High blood pressure/heart disease meds and potassium-rich foods like bananas, potatoes and licorice. Weight gain. This document does not contain all possible drug interactions. The medicine will come with a plastic syringe or spoon to help you take the right amount. It should not be used in people younger than 18 years. Nausea and vomiting are two of the most common symptoms of gastroparesis, most likely stemming from the sluggish emptying of the stomach. Does Nifedipine ER oral interact with other medications? Always carry your medication with you or in your carry-on bag. ChildrenUse and dose must be determined by your doctor. This drug should only be used if the potential benefit justifies the potential risk to the fetus. They are meant to be absorbed by the body over the course of several hours, so they'll pass through the gastrointestinal tract before they can be fully absorbed. High blood pressure medications. Nifedipine works by inhibiting the influx of calcium ions across cardiac (heart) and smooth muscle causing relaxation of these muscles and dilation (widening). Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. This is due to the refluxed acid irritating the windpipe (trachea). To decide the correct dose for you, your doctor will check your blood pressure. If the starting dose is not working well enough (your blood pressure does not come down enough, or you are still getting symptoms), you may need to increase your dose. etravirine (Intelence) Take with or after food (within two hours after a main meal or within half an hour after a snack). However, it may cause other side effects. To provide you with the most relevant and helpful information, and understand which Nifedipine ER- nifedipine tablet, film coated, extended-release. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. It works by relaxing the muscles of your heart and blood vessels. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Discuss the use of grapefruit products with your doctor. It has a molecular weight of 346.3. Walnuts, grapefruit juice, and dietary fiber can also make Synthroid less effective. What you eat and drink can cause harmful effects when mixed with certain drugs. Medically reviewed by Sanjai Sinha, MD. Have your blood pressure checked regularly while taking this medication. warfarin and other coumarin anticoagulants. We clearly need more data.. Answer (1 of 13): Your questions answered A. These may include: Vomiting. Take this medication by mouth on an empty stomach, usually once daily or as directed by your doctor.Swallow the tablets whole. Heres how you can reduce your risk during the winter months. Note that this list is not all-inclusive and includes only common medications that may interact with nifedipine. Stopping may cause your blood pressure to go up, and this may increase your risk of heart attack and stroke. Your blood pressure will need to be checked often and you may need other blood tests at your doctor's office. privacy practices. Call your doctor for medical advice about side effects. Medically reviewed by Carmen Fookes, BPharm. If your symptoms are severe, call 911 or go to the nearest emergency room right away. Properly discard this product when it is expired or no longer needed. There havent been enough studies done in humans to be certain how the drug might affect the fetus. You can learn more about how we ensure our content is accurate and current by reading our. You should check with your doctor before changing your diet. Its also used to treat vasospastic angina (chest pain due to a spasm in arteries around the heart) or chronic stable angina (chest pain that occurs with activity or stress). Williams added, Speculation would hold that this is a good idea when the patient is known to have nocturnal hypertension but these authors suggest that it works for all comers. The risk is greater during initial therapy or upwards dose titration and may be more common in those already taking beta-blockers. Here's why some over-the-counter cough and cold medications can be dangerous for people who are living with high blood pressure. Page last reviewed: 18 February 2022 This is not a complete list of side effects and others may occur. This could make nifedipine less effective. Get medical help right away if you experience: worsening chest pain, symptoms of a heart attack (such as chest/jaw/left arm pain, shortness of breath, unusual sweating). Alcohol or marijuana (cannabis) can make you more dizzy. Stopping suddenly may make your condition worse. Follow your doctor's instructions carefully. Timing of medication is important because blood pressure typically follows a daily rhythm. The nifedipine extended-release tablet may contain lactose. You may have very low blood pressure while taking this medication. include protected health information. Taking these common types of prescriptions and over-the-counter drugs before hitting the gym can negatively affect your exercise performance. Using doxazosin with nifedipine can lower the amount of doxazosin in your body. Its also used to treat two types of angina (chest pain): vasospastic angina and chronic stable angina. Dont store this medication in moist or damp areas, such as bathrooms. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. Store at room temperature away from light and moisture. Do not crush, chew, or break a nifedipine . Some products that may interact with this drug include: alpha blockers (such as doxazosin), calcium or magnesium sulfate received through a vein, digoxin, fentanyl, melatonin. Taking too much nifedipine can make you feel: If you go to A&E, do not drive yourself. This content does not have an English version. High blood pressure often has no symptoms. Do not suddenly stop taking this medication without consulting your doctor. This information is not a substitute for medical advice. information highlighted below and resubmit the form. You should not stop using nifedipine suddenly. Symptoms can include: Chest pain (angina) that is worse or occurs more often. Taking them on an empty stomach can increase your risk of stomach problems. Canada residents can call a provincial poison control center. The capsules are used to treat angina (chest pain). WebMD does not provide medical advice, diagnosis or treatment. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Non-dipping blood pressure tends to remain high overnight. Taking certain antibiotics with nifedipine can cause higher levels of nifedipine in your body. Grapefruit juice can increase the amount of certain medications in your bloodstream. For people with low blood pressure: If you have episodes of low blood pressure, taking nifedipine may make these episodes worse. You should decide whether you will stop breastfeeding or stop taking nifedipine. That is, swings in blood pressure for not adhering to the regimen.. First, they lower pressure in the coronary arteries (the arteries that supply blood to your heart). Make sure you stick to the same brand if possible and follow the directions on how to take it carefully. In my opinion this is particularly true in those patients with high BMI (and consequently more likely to have obstructive sleep apnea), elderly (since they have more insomnia), diabetics, and those with chronic kidney disease, Baliga added. Dosages of greater than 120mg/day are rarely necessary and more than 180 mg/day is not recommended. Your doctor can tell you more. health information, we will treat all of that information as protected health Should I avoid certain foods while taking Nifedipine ER oral? Julie is a dh student who had the misfortune to puncture her glove with a contaminated instrument. Nifedipine oral tablet is used for long-term treatment. People ages 55 and older with high blood pressure are more prone to non-dipping. Do not stop taking nifedipine suddenly. Version: 12.01. You may need to stop using the medicine for a short time. Last medically reviewed on September 7, 2021. You should refer to the prescribing information for nifedipine for a complete list of interactions. What else can you do to better control your blood pressure? Severe chest pain develops in some cases (and . Copyright 1996-2023 Cerner Multum, Inc. Nifedipine extended release tablets contain either: 30, 60, or 90 mg of nifedipine for once-a-day oral administration. Other medications can affect the removal of nifedipine from your body, which may affect how nifedipine works. Generic drugs usually cost less. Although this medication is effective in preventing chest pain (angina), some people who already have severe heart disease may rarely develop worsening chest pain or a heart attack after starting this medication or increasing the dose. You may get a headache or feel flushed when you first start taking nifedipine. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Whether you want a vegetarian option, a meal with meat or salmon, or low sodium condiments to use with many dishes, there's something for everyone. This medication has not been studied in children. Asthma symptoms of cough and wheeze can sometimes be due to acid leaking up (reflux). You must continue to take it as directed if you expect to lower your blood pressure and keep it down. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Nifedipine is a drug for the treatment of high blood pressure. Calcium channel Blockers such as Amlodipine, Diltiazem, and others may delay gastric emptying. You may need to use blood pressure medication for the rest of your life. Tell your doctor if you are breastfeeding. Your doctor can help you decide how to manage it. Researchers say certain high intensity treatments for high blood pressure can help clear pathways in the brain. Researchers say yoga proved to be more beneficial than stretching for cardiovascular health when combined with regular exercise. This can increase your risk of side effects from nifedipine. Remember that this medicine will not cure your high blood pressure, but it does help control it. Dont take this drug again if you have ever had an allergic reaction to it before. You may also want to avoid food and drinks known to irritate the stomach, such as alcohol and spicy dishes. Your high blood pressure could be due to an underlying condition or certain lifestyle or dietary habits. However, when introducing a new drug to your system, there's always the chance of adverse effects. Nifedipine is used to lower blood pressure in people with hypertension. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. It works by relaxing blood vessels so blood can flow more easily. information submitted for this request. Don't take more than the recommended dosage There have been no controlled studies in humans. It comes with serious risks if you dont take it as prescribed. They also had less risk of illness or death due to heart and blood vessel disease. Nifedipine is in a class of medications called calcium-channel blockers. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Generic name: nifedipine [nye-FED-i-peen] How to tell if the drug is working: If youre taking this drug to treat high blood pressure, your blood pressure level should go down. Nifedipine oral tablet comes with several warnings. Speak to your doctor about how drug interactions should be managed. Get someone else to drive you or call for an ambulance. The dosage of nifedipine must be established by slow titration as excessive dosages can result in hypotension, preferably over a 7 to 14 day period. If you take too much: You could have dangerous levels of the drug in your body. There is a problem with It is well known that meds that are prescribed to take at night have a higher rate of consistency, said Bhusri. May be taken with or without food. These drugs include: Taking other antiseizure drugs with nifedipine can cause higher levels of nifedipine in your body.