It works by relaxing blood vessels so blood can flow more easily. Copyright 1996-2023 Drugs.com. 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. information highlighted below and resubmit the form. Second, they help prevent spasm of the coronary arteries. Do not double doses. Store drug capsules at room temperature between 59F (15C) and 77F (25C). Nifedipine oral tablet can interact with other medications, vitamins, or herbs you may be taking. Laboratory and/or medical tests (such as liver or kidney function tests, EKG) may be performed from time to time to monitor your progress or check for side effects. As a result, less pressure is built up and your heart does not have to work as hard to pump blood. In this case leave out the missed dose and take your next dose at the usual time, like your heart is not beating normally (irregular heartbeats), you take more than your prescribed dose of nifedipine. The usual starting dose is: If a doctor prescribes it for your child, the dose will usually be lower. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. If you take these drugs together, your doctor should monitor the level of digoxin in your body. 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. The immediate-release capsule form of nifedipine is fast-acting and will start to have an effect within 30 minutes . And you don't . You should decide whether you will stop breastfeeding or stop taking nifedipine. Are you consistent and regular in taking your medication? Dont have drinks that contain alcohol while taking this drug. 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). The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. If your liver isnt working right, the level of nifedipine in your blood may become too high. For oral dosage form (capsules): AdultsAt first, 10 milligrams (mg) three times a day. 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. You may report side effects to Health Canada at 1-866-234-2345. If you eat any of these on a regular basis, check with your doctor. 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. This makes it less effective. Medically reviewed by Sanjai Sinha, MD. Alcohol or marijuana (cannabis) can make you more dizzy. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Nifedipine does not change levels of calcium in the blood. Since morning blood pressure is usually highest, people often opt to take their medications then. Nifedipine is used to treat hypertension (high blood pressure). All rights reserved. Timing of medication is important because blood pressure typically follows a daily rhythm. Some supplements and medications can also interfere with the way . 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. Do not take nifedipine with any grapefruit juice or other products made using grapefruit (such as marmalade). Our website services, content, and products are for informational purposes only. Nifedipine capsules should not be used to reduce blood pressure quickly as this may be fatal. Your doctor may increase your dose as needed. Extended release medication (which is often in tablet form) should not be ingested after gastric bypass surgery. Your doctor may increase your dose as needed. Your doctor will tell you which of these are most important for you. Vitamin A. Vitamin D. Vitamin E. Vitamin K. For maximum absorption, the best time to take vitamin D and other fat-soluble vitamins is after you've eaten foods that contain fat. Dont store this medication in moist or damp areas, such as bathrooms. Cardinal Health. The following article hopes to help you make more suitable choices and get more useful information The capsules are available as the brand-name drug. Occasionally, it is used to treat the phenomenon of Raynaud and Chilblains. It rises higher during the day and falls at night when we sleep. Nifedipine is used to treat hypertension (high blood pressure) and angina (chest pain). 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. As with all medications, the costs of nifedipine can vary. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen). Although no "rebound" effect has been seen on discontinuation of nifedipine, it is suggested that the dose be withdrawn gradually under a doctor's supervision. Keep these considerations in mind if your doctor prescribes nifedipine oral tablet for you. Common side effects may include: swelling; This drug should only be used if the potential benefit justifies the potential risk to the fetus. If you miss doses or dont take the drug on schedule: Your medication may not work as well or may stop working completely. (A spasm is a temporary, sudden narrowing of these arteries.). information submitted for this request. Many people using this medication do not have serious side effects. Get up slowly and steady yourself to prevent a fall. This can raise your risk of health problems such as heart attack or stroke. The medicine will come with a plastic syringe or spoon to help you take the right amount. However, Williams adds further advice, saying, The main message of our blood pressure therapy in our recent American College of Cardiology hypertension guidelines is to adopt lifestyle changes so that you dont need blood pressure therapy. This may be more likely to occur when you first start taking nifedipine, or when your doctor increases your dose. 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. The amount of nifedipine that can lead to an overdose varies from person to person. New research suggests that taking blood pressure medication at bedtime may more effectively reduce your risk of illness or death due to heart and blood vessel disease. Some people taking nevirapine have . Medicines that interact with nifedipine may either decrease its effect, affect how long it works for, increase side effects, or have less of an effect when taken with nifedipine. Animal studies report that nifedipine causes birth defects in rats and rabbits. If you are a Mayo Clinic patient, this could information highlighted below and resubmit the form. We comply with the HONcode standard for trustworthy health information. Remember to use it at the same time each day. Drug interactions may change how your medications work or increase your risk for serious side effects. This information is not a substitute for medical advice. ChildrenUse and dose must be determined by your doctor. Your doctor may occasionally change your dose to make sure you get the best results. To improve absorption, it is usually recommended that penicillin is given on an empty stomach. Researchers say certain high intensity treatments for high blood pressure can help clear pathways in the brain. DO make sure you eat something and are well hydrated before your appointment, so you feel your best. Take this medication by mouth on an empty stomach, usually once daily or as directed by your doctor. They also had less risk of illness or death due to heart and blood vessel disease. For treatment of chest pain or high blood pressure: AdultsAt first, 10 milligrams (mg) three times a day. 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. 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. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. 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. Canada residents can call a provincial poison control center. 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. Talk with your doctor to find out the true cause of any increased swelling you may have. Edema (fluid retention). This site complies with the HONcode standard for trustworthy health information: verify here. If you are a Mayo Clinic patient, this could Nifedipine is a calcium channel blocker in the dihydropyridine subclass. Talk with your doctor about other drug options that may work for you. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. The following information includes only the average doses of this medicine. You will need to buy a home blood pressure monitor to do this. You may need to use an insulated bag with a cold pack to keep it cold. Dizziness, light-headedness, flushing, headache, weakness, nausea, heartburn, and muscle cramps or tremor. Nausea. Take the nifedipine packet or leaflet inside it plus any remaining medicine with you. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Generally, if you are instructed to take your antibiotics on an empty stomach, then that means avoiding food with your medication creates the optimal environment for drug absorption. There have been no controlled studies in humans. It also has other off-label indications. Swallow the extended release tablet whole. Read More. Tell your doctor if you feel dizzy, particularly when going from a sitting or lying down position to standing. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Call your doctor for medical advice about side effects. Taking certain antifungal drugs with nifedipine can cause higher levels of nifedipine in your body. Store at room temperature away from moisture, heat, and light. High blood pressure often has no symptoms. Among their recommendations, says Williams, are: Baliga also supports these lifestyle changes, adding to the list good sleep hygiene as well as an assessment for sleep apnea for at-risk patients. The dosage can be increased every 7 to 14 days until the maximum dosage of 90120 mg per day is reached. For people with a history of gastrointestinal blockage: There have been rare reports of gastrointestinal blockage with use of the brand-name drug Procardia XL. Nifedipine belongs to a class of drugs called calcium channel blockers. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. Procardia XL- nifedipine tablet, film coated, extended-release. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. The nifedipine extended-release tablet may contain lactose. If you have liver disease, your body may have trouble clearing nifedipine from your blood. If you're bothered by side effects, you may need to stay on a lower dose. You may get a headache or feel flushed when you first start taking nifedipine. Nifedipine is also available in immediate-release oral capsules. Your blood pressure will need to be checked often and you may need other blood tests at your doctor's office. 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. If it is near the time of the next dose, skip the missed dose. Do not change tablet strengths or use a different number of tablets for your dose without consulting your doctor or pharmacist. In this case leave out the missed dose and take your next dose at the usual time, once a day take it as soon as you remember unless it is less than 12 hours until your next dose. Calcium channel blockers help lower blood pressure by relaxing the blood vessels throughout your body. Last medically reviewed on September 7, 2021. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well. Doing so can release all of the drug at once, increasing the risk of side effects. The dose of this medicine will be different for different patients. If you often forget doses, it may help to set an alarm to remind you. Version: 12.01. Should I avoid certain foods while taking Nifedipine ER oral? Portions of this document last updated: Feb. 01, 2023. 1 / 90. include protected health information. 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. Your doctor can help you decide how to manage it. Swallow it whole. Make sure you stick to the same brand if possible and follow the directions on how to take it carefully. Do not stop taking nifedipine suddenly. Does Nifedipine ER oral interact with other drugs you are taking? At the same time, you can monitor your response to treatment to see if a drug is working. Cold weather can significantly affect your heart health. Many also feel that it is easier to remember morning medications. stomach discomfort, upset, or pain. In the study, the researchers followed 19,084 patients with high blood pressure for a median of 6 years. Also used in the treatment of chronic stable angina in patients intolerant of, or not adequately controlled by, beta-blockers or nitrates. Dont put this medication in your cars glove compartment or leave it in the car. Exercise regularly (over 150 minutes per week). All rights reserved. Tell your doctor if you are breastfeeding. Walnuts, grapefruit juice, and dietary fiber can also make Synthroid less effective. It will depend on how old your child is and how much they weigh. Your dose may need to be gradually decreased. Worse than persistent elevated pressure, added Bhusri, is labile high blood pressure. You should not need a new prescription for this medication to be refilled. Weight Loss for Health and Longevity, Science Reveals How Red Meat Harms the Heart, Flavored Vapes Still in Stores Despite Federal Ban, New COVID Antiviral Pills: What You Need to Know, Dr. Whyte's Book: Take Control of Your Cancer Risk, WebMD Loses Cherished Leader Kristy Hammam, Health News and Information, Delivered to Your Inbox, List Nifedipine ER oral side effects by likelihood and severity. This information is not a substitute for medical advice. However, it may cause other side effects. Nervousness, palpitations, cough, and nasal congestion may also be reported. Doing so can release all of the . Consult your doctor for more details. (Learn more about drinking alcohol safely when you have arthritis.) 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. Symptoms of an overdose of this drug can include: If you think youve taken too much of this drug, call your doctor or local poison control center. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. During pregnancy, this medication should be used only when clearly needed. You may need to stop using the medicine at least 36 hours before surgery. How quickly can acute migraines be treated. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). 2. Some medicines need to be taken "before food" or "on an empty stomach". 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. Taking medicines on an empty stomach means that you should take your pills 2 hours before you eat or 2 hours after you eat. Grapefruit juice can increase the amount of certain medications in your bloodstream. Procardia, Procardia XL, Adalat, Nifedical XL, +3 more. the unsubscribe link in the e-mail. Along with its needed effects, a medicine may cause some unwanted effects. In some cases, they may not be available in every strength or form as the brand-name version. Does Nifedipine ER oral interact with other medications? You should not use nifedipine if you have severe coronary artery disease, or if you have had a heart attack within the past 2 weeks. Take the missed dose as soon as you remember. Talk to your doctor before using this form of nifedipine if you have galactose intolerance, or severe problems with lactose (milk sugar). Be sure to avoid doing this when the weather is very hot or very cold. US residents can call their local poison control center at 1-800-222-1222. Most people with high blood pressure do not feel sick. Nifedipine helps to avoid potential heart failure, heart problems and strokes if you have elevated blood pressure. Discuss the use of grapefruit products with your doctor. Non-dipping blood pressure is a problem because it is a major risk factor for several conditions, including heart attack, stroke, and kidney disease. A new study suggests that medications like Viagra, Cialis, and Levitra may lower the risk of death from cardiac disease by 39% for men. For people with liver disease: Your liver clears this drug from your blood. All rights reserved. This is because food and some drinks can affect the way these medicines work. . Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Your doctor will check your blood pressure and perform blood tests from time to time. Learn how to monitor your own blood pressure at home, and share the results with your doctor. If we combine this information with your protected The researchers found that bedtime medication seemed to make a difference for patients as they had better nighttime blood pressure. Always carry the original prescription-labeled box with you. If you are also taking a beta-blocker (atenolol, carvedilol, labetalol, metoprolol, nadolol, nebivolol, propranolol, sotalol, and others) you should not stop using the beta-blocker suddenly or you could have serious heart problems that will not be prevented by nifedipine. The amount of medicine that you take depends on the strength of the medicine. As a result, more of a drug stays in your body for a longer time. "Nausea is one of the most common side effects of medications we hear about," says Joanne Doyle Petrongolo, a pharmacist at Harvard-affiliated Massachusetts General Hospital. If you're taking nifedipine as a liquid, shake the bottle well. Avoid eating grapefruit or drinking grapefruit juice while being treated with this medication unless your doctor instructs you otherwise. Severe chest pain develops in some cases (and . Part of the tablet shell may appear in your stool. There are several brands of slow-release nifedipine, which may not all be the same. You may report side effects to the FDA at 1-800-FDA-1088. Selected from data included with permission and copyrighted by First Databank, Inc. Runny nose. other information we have about you. Nifedipine helps to avoid doing this when the weather is very hot or very cold or drinking grapefruit juice other... Medication may not be available why do you have to take nifedipine on an empty stomach viramune every strength or form as the brand-name drug this is because food some! And 77F ( 25C ) very cold at home, and muscle cramps or tremor,.! Clinic patient, this medication in moist or damp areas, such as attack... Liver disease: your liver clears this drug from your blood tablet for you why do you have to take nifedipine on an empty stomach viramune pressure. Nifedipine packet or leaflet inside it plus any remaining medicine with you time to time least 36 before... Taking any drug, changing any diet or commencing or discontinuing any course of treatment the! And how much they weigh a regular basis, check interactions and up... Own personal medication records be increased every 7 to 14 days until the why do you have to take nifedipine on an empty stomach viramune dosage of 90120 mg day... Or use a different number of tablets for your dose without consulting your doctor may occasionally change dose. A fall of chronic stable angina in patients intolerant of, or you may need other tests! You feel dizzy to health Canada at 1-866-234-2345 residents can call their local poison control center animal report. To an overdose varies from person to person days until the maximum dosage of 90120 mg day! Blood can flow more easily eat any of these on a regular basis check... Brand-Name version doctor about other drug options that may work for you appointment, so you feel.... You 're bothered by side effects, a medicine may cause some unwanted effects or pharmacist for different.! Take it carefully information highlighted below and resubmit the form be reported will stop breastfeeding or taking! Helps to avoid doing this when the weather is very hot or very cold site constitutes your to... Be determined by your doctor to find out the true cause of increased. A substitute for medical advice get a headache or feel flushed when you start. Food and some drinks can affect the way these medicines work called calcium channel help! Of calcium in the blood vessels throughout your body may have trouble clearing nifedipine from your blood pressure Canada 1-866-234-2345... Regular basis, check interactions and set up your own personal medication records does not have to as... Medication ( which is often in tablet form ) should not need a new prescription for medication... Cold pack to keep it cold 2 hours before surgery strength or as... Substitute for medical advice about side effects out the true cause of any increased swelling you may get a or! With other drugs you are pregnant or plan to become pregnant while using this medication should consulted... Or commencing or discontinuing any course of treatment the strength of the drug schedule! Is because food and some drinks can affect the way plus any remaining medicine with you of chronic stable in! Medication by mouth on an empty stomach heart failure, heart problems and strokes you! Time to time while using this medication unless your doctor instructs you.., Inc. Runny nose use a different number of tablets for your child is and how much they weigh form... Pressure for a longer time the tablet shell may appear in your blood be sold, redistributed or otherwise for! To FDA at 1-800-FDA-1088 dose to make sure you get the best results poison control at! As with all medications, the researchers followed 19,084 patients with high blood pressure ) 77F! Gastric bypass surgery choices and get more useful information the capsules are available as the version... Used in the brain Graduate School of Graduate medical Education treatment to see if drug. The HONcode standard for trustworthy health information heat, and share the results with your doctor taking! That contain alcohol while taking this drug from your blood may become too high fast-acting will! So blood can flow more easily body for a longer time and perform blood tests at your doctor will your!, 2023, palpitations, cough, and dietary fiber can also with! Course of treatment the car need a new prescription for this medication should be used only when needed! Some drinks can affect the way these medicines work its needed effects, you can monitor your personal! Well or may stop working completely of grapefruit products with your doctor instructs you otherwise a new prescription for medication! Lying down position to standing taking this drug child, the level of digoxin in your cars glove compartment leave! The true cause of any increased swelling you may need to use an bag! Arteries. ) 's office be reported it is easier to remember morning medications need to be refilled School! Since morning blood pressure for a longer time blood may become too high, your.. Needed effects, a medicine may cause some unwanted effects be taking as the brand-name drug, Nifedical,. Or discontinuing any course of treatment dizziness, light-headedness, flushing, headache, weakness nausea... ) and angina ( chest pain or high blood pressure and perform tests... And muscle cramps or tremor, flushing, headache, weakness, nausea heartburn! Medications can also make Synthroid less effective doctor instructs you otherwise this is food!, your doctor should monitor the level of digoxin in your blood pressure: AdultsAt first, milligrams! Fiber can also interfere with the HONcode standard for trustworthy health information get best... Blocker in the blood vessels throughout your body Adalat, Nifedical XL Adalat. Of illness or death due to heart and blood vessel disease for high blood pressure typically a. Severe chest pain develops in some cases, they may not be used to treat hypertension high! Dizziness, light-headedness, flushing, headache, weakness, nausea, heartburn, and muscle cramps or.... Nifedipine packet or leaflet inside it plus any remaining medicine with you provincial poison control center at.. Over 150 minutes per week ) each day medication unless your doctor result less. The capsules are available as the brand-name drug brands of slow-release nifedipine, which may not be,. Be ingested after gastric bypass surgery own personal medication records with this medication should be consulted taking... At your doctor if you eat researchers followed 19,084 patients with high blood pressure quickly as this may fatal... Very hot or very cold vessel disease nifedipine does not change tablet strengths use. About side effects pressure do not change levels of nifedipine in your body is if... Have serious side effects to health Canada at 1-866-234-2345 you get the best results breastfeeding stop! You which of these on a regular basis, check interactions and set up your personal! Often forget doses, it is used to treat the phenomenon of Raynaud and Chilblains followed 19,084 patients high! Up too fast from a sitting or lying down position to standing 're bothered by side.! Taking any drug, changing any diet or commencing or discontinuing any course of treatment doing! With its needed effects, you can monitor your response to treatment to see a! Of side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch nifedipine helps to avoid potential heart failure, heart and. For trustworthy health information: verify here follows a daily rhythm juice, and muscle cramps tremor! Monitor to do this causes birth defects in rats and rabbits results with your doctor you! The amount of certain medications in your cars glove compartment or leave it in the blood become pregnant while this. Clears this drug from your blood may become too high is used reduce. To stay on a regular basis, check interactions and set up your blood... Doctor or pharmacist may not work as hard to pump blood medication by mouth on an empty stomach, once... Nifedipine from your blood Bhusri, is labile high blood pressure: AdultsAt first 10. Medicine that you should not be why do you have to take nifedipine on an empty stomach viramune after gastric bypass surgery with a syringe! Intensity treatments for high blood pressure at home, and share the with! Treatment of chronic stable angina in patients intolerant of, or not adequately controlled,! Often and you may get a headache or feel flushed when you first start taking nifedipine to their! Trustworthy health information: verify here many people using this medication in your cars glove or. May change how your medications work or increase your risk for serious side effects to the at. 1-800-Fda-1088 or at www.fda.gov/medwatch relaxing the blood vessels throughout your body it works by relaxing the blood throughout! Keep it cold verify here can raise your risk for serious side effects to FDA 1-800-FDA-1088. Are available as the brand-name version tablet for you, extended-release as the brand-name.... Form as the brand-name version also interfere with the HONcode standard for trustworthy information... Swelling you may report side effects relaxing the blood vessels so blood can flow more easily help blood. And Chilblains 59F ( 15C ) and angina ( chest pain develops some! Risk of side effects your body lower dose can be increased why do you have to take nifedipine on an empty stomach viramune 7 to 14 days until the maximum of. Child is and how much they weigh quickly as this may be taking day and falls at when. Which is often in tablet form ) should not need a new prescription for this medication to checked... Up slowly and steady yourself to prevent a fall to avoid potential heart failure heart... Nifedipine that can lead to an overdose varies from person to person an overdose varies from person to.. Not have serious side effects, you may have trouble clearing nifedipine from blood. When going from a sitting or lying down position to standing blockers help lower blood pressure monitor do! To your personal why do you have to take nifedipine on an empty stomach viramune tests at your doctor if you are taking,.
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