Do not keep outdated medicine or medicine no longer needed. This may be more likely to occur when you first start taking nifedipine, or when your doctor increases your dose. 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. You may need to stop using the medicine for a short time. Nifedipine is quickly absorbed when taken orally and peak blood levels occur in approximately 30 minutes. These often have letters (XL, LA, SR, MR) or "Retard" after the brand name. stomach discomfort, upset, or pain. allergic reaction (rash; hives; swelling of the face, lips, tongue, or throat; difficulty breathing) signs of bleeding in the stomach (e.g., bloody, black, or tarry stools; spitting up of blood; vomiting blood or material that looks like coffee grounds) Some people may experience side effects other than those listed. This survey is being conducted by the WebMD marketing sciences department. Your dose, drug form, and how often you take the drug will depend on: The starting dose is 30 mg or 60 mg by mouth once per day. As a result, more of a drug stays in your body for a longer time. You will need to buy a home blood pressure monitor to do this. All rights reserved. Remember that this medicine will not cure your high blood pressure, but it does help control it. the unsubscribe link in the e-mail. health information, we will treat all of that information as protected health warfarin and other coumarin anticoagulants. etravirine (Intelence) Take with or after food (within two hours after a main meal or within half an hour after a snack). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Nifedipine is given to treat high blood pressure (hypertension), or to help prevent angina chest pain.It is also prescribed in the treatment of Raynaud's phenomenon, which is a condition caused by poor circulation to the hands and feet.You will have been prescribed it for one of these reasons. Tips. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. While there have been no reports of harm to nursing infants, consult your doctor before breast-feeding. Obstetrics and Gynecology 24 years experience. There is a problem with Taking your medication at bedtime may help prevent this issue. The researchers found that bedtime medication seemed to make a difference for patients as they had better nighttime blood pressure. A new program developed by a research team focuses on diet, exercise, and sleep as the keys to lowering your blood pressure without using drugs. information highlighted below and resubmit the form. Dr. Satjit Bhusri, assistant professor of cardiology at Zucker School of Medicine at Hofstra/Northwell, also felt that it should not be a blanket recommendation for all patients. Follow his/her advice. Asthma symptoms of cough and wheeze can sometimes be due to acid leaking up (reflux). trouble concentrating. This raises your risk of side effects from nifedipine. Talk with your doctor if you have frequent episodes of low blood pressure. Heres, New research suggests that eating five eggs a week may help lower blood sugar and blood pressure, as well as reduce your risk of developing type 2. Nifedipine tablets are an extended-release form of the drug. What are the new treatment options for migraines? Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Follow the directions on your medicine label about taking this medication with or without food. 2005-2023 Healthline Media a Red Ventures Company. Alcohol or marijuana (cannabis) can make you more dizzy. Mayo Clinic does not endorse companies or products. This can help keep levels of this drug from building up too much in your body. To provide you with the most relevant and helpful information, and understand which Your doctor can help you decide how to manage it. For instance, if you are taking medications for diabetes and your blood sugar remains normal, there is a good . A third common symptom is abdominal pain caused by a combination of motor nerve and sensory nerve dysfunction. There are many factors to consider, he says, such as: Your medication regimen should be personalized for you based upon a discussion with your physician, says Bhusri. Your doctor can tell you more. To find out how this drug might interact with something else youre taking, talk with your doctor or pharmacist. 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. Last updated on Nov 28, 2022. If you are a Mayo Clinic patient, this could Dont take this drug again if you have ever had an allergic reaction to it before. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine. Taking certain antifungal drugs with nifedipine can cause higher levels of nifedipine in your body. Last medically reviewed on September 7, 2021. This drug may make you dizzy. Calcium channel blockers help to prevent angina in two ways. 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. Get up slowly and steady yourself to prevent a fall. Do not suddenly stop taking this medication without consulting your doctor. You can learn more about how we ensure our content is accurate and current by reading our. The starting dose is 30 mg or 60 mg by mouth once per day. First, they lower pressure in the coronary arteries (the arteries that supply blood to your heart). The immediate-release capsule form of nifedipine is fast-acting and will start to have an effect within 30 minutes . Talk with your doctor about which foods are good for your heart and blood pressure, and which ones you should avoid. It rises higher during the day and falls at night when we sleep. Call 911 if your symptoms feel life-threatening or if you think youre having a medical emergency. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. The use of these agents may worsen the symptoms of gastroparesis. . Taking medicines on an empty stomach means that you should take your pills 2 hours before you eat or 2 hours after you eat. Nifedipine may be used as part of a combination therapy. Follow your doctor's orders or the directions on the label. For children: This medication has not been studied in children. Walnuts, grapefruit juice, and dietary fiber can also make Synthroid less effective. For people with heart failure: You may develop edema (swelling of your legs or feet) that is caused by the drug and not your condition. In the US - Call your doctor for medical advice about side effects. What should I know regarding pregnancy, nursing and administering Nifedipine ER oral to children or the elderly? This can raise your risk of health problems such as heart attack or stroke. This is not a complete list of side effects and others may occur. An extended-release drug is slowly released into your bloodstream over time. Do not stop taking nifedipine without first talking to your doctor, even if you feel fine. Your doctor may gradually increase your dose. Swallow the capsules or tablets whole with a drink of water. Extended-release products work like a little pump as they pass through the GI tract, slowly releasing the medication contained inside the tablet shell over a certain time period. Do not share this medication with others. 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. Answer (1 of 13): Your questions answered A. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Your doctor will write the number of refills authorized on your prescription. Usually responds to diuretic therapy but concomitant heart failure should also be ruled out. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use nifedipine only for the indication prescribed. These are all extended-release tablets. It works by relaxing the muscles of your heart and blood vessels. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. You take medication hoping it will make you feel better. information submitted for this request. Healthline Media does not provide medical advice, diagnosis, or treatment. This is normal and nothing to worry about. The dose of this medicine will be different for different patients. Common nifedipine side effects may include: flushing (warmth, redness, or tingly feeling); cough, wheezing, sore throat, stuffy nose. Nifedipine oral tablet is a prescription drug thats available as the brand-name drugs Adalat CC, Afeditab CR, and Procardia XL. Your blood pressure may need to be carefully monitored during the initial administration and titration of nifedipine. If your liver isnt working right, the level of nifedipine in your blood may become too high. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. May be taken with or without food. Lifestyle changes such as stress reduction programs, exercise, and dietary changes may increase the effectiveness of this medicine. They also had less risk of illness or death due to heart and blood vessel disease. Occasionally, it is used to treat the phenomenon of Raynaud and Chilblains. 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. 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. include protected health information. 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. Examples include apalutamide, cimetidine, enzalutamide, mitotane, quinupristin/dalfopristin, St. John's wort, rifamycins (such as rifabutin, rifampin), drugs used to treat seizures (such as carbamazepine, phenytoin), among others. Researchers say certain high intensity treatments for high blood pressure can help clear pathways in the brain. Peripheral edema (fluid retention in the lower limbs) occurs in one in ten people prescribed nifedipine. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. You should check with your doctor before changing your diet. Stopping may cause your blood pressure to go up, and this may increase your risk of heart attack and stroke. Research in animals has shown adverse effects to the fetus when the mother takes the drug. That means two things: Talk with your doctor if youre pregnant or planning to become pregnant. Make sure you stick to the same brand if possible and follow the directions on how to take it carefully. It works by relaxing blood vessels so blood can flow more easily. The dosage can be increased every 7 to 14 days until the maximum dosage of 90120 mg per day is reached. Edema (fluid retention). Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. In the study, the researchers followed 19,084 patients with high blood pressure for a median of 6 years. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. You may report side effects to FDA at 1-800-FDA-1088. 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. Does Nifedipine ER oral interact with other medications? These include liver problems and severe skin rash and allergic reactions. Stopping it suddenly could cause increased chest pains. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Usually, treatment with nifedipine is long term, even for the rest of your life. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. 3- Anti-ischemic (treatment of angina and myocardial infarction or heart attacks). Nifedipine does not change levels of calcium in the blood. Two examples: Eat first and take the pills 2 hours later. May not be suitable for some people including those with preexisting low blood pressure, dehydration, those experiencing angina as a result of beta-blocker withdrawal, or with heart failure. a light-headed feeling, like you might pass out; pounding heartbeats or fluttering in your chest; chest pain or heavy feeling, pain spreading to the jaw or shoulder, nausea, sweating, general ill feeling; upper stomach pain, jaundice (yellowing of the skin or eyes). Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 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. information and will only use or disclose that information as set forth in our notice of As we age, however, we may develop a blood pressure pattern called non-dipping. Your doctor will tell you which of these are most important for you. In fact, many may feel normal. Some hypertension drugs . It works by relaxing blood vessels so blood can flow more easily. You can take this drug with or without food. These side effects may go away during treatment as your body adjusts to the medicine. However, current knowledge on pharmacodynamic and pharmacokinetic properties of penicillins does not support this recommendation. The outer shell is then . Drug class: Calcium channel blocking agents. Non-dipping blood pressure is a problem because it is a major risk factor for several conditions, including heart attack, stroke, and kidney disease. Note that this list is not all-inclusive and includes only common medications that may interact with nifedipine. 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. It is primarily used as an antihypertensive and as an anti-anginal medication. Nifedipine extended release tablets contain either: 30, 60, or 90 mg of nifedipine for once-a-day oral administration. information is beneficial, we may combine your email and website usage information with Nifedipine oral tablet comes with several warnings. Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to other calcium channel blockers (such as felodipine, amlodipine); or if you have any other allergies. 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. 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). Tell your doctor if you feel dizzy, particularly when going from a sitting or lying down position to standing. 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. Get someone else to drive you or call for an ambulance. There are other drugs available to treat your condition. 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. 4- Anti-failure (treatment of heart failure). This content does not have an Arabic version. Calcium channel bloc: Nifedipine is a common calcium channel blocker that is used commonly as an antihypertensvie. If you experience any of these symptoms, call your doctor as soon as you can. This dosage information is for nifedipine oral tablet. It should not be used in people younger than 18 years. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. information submitted for this request. A new study suggests that medications like Viagra, Cialis, and Levitra may lower the risk of death from cardiac disease by 39% for men. If you remember just a few hours before your next scheduled dose, take only one dose. Worse than persistent elevated pressure, added Bhusri, is labile high blood pressure. Nifedipine ER- nifedipine tablet, film coated, extended-release. Do not take nifedipine with any grapefruit juice or other products made using grapefruit (such as marmalade). If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Calcium channel blockers such as nifedipine (Procardia) and beta blockers such as propranolol (Inderal) can also cause heartburn. If you need surgery, tell the surgeon ahead of time that you are using nifedipine. Select a condition to view a list of medication options. Take exactly as directed by your doctor. Part of the tablet shell may appear in your stool. Does not always mean that you must stop taking nifedipine, or treatment cause higher of..., MR ) or `` Retard '' after the brand name, if you think youre having medical. You need surgery, tell the surgeon ahead of time that you are using nifedipine night we! An interaction between two medications does not provide medical advice, diagnosis, or when your doctor as soon you! A drain unless instructed to do so strokes, heart attacks ) it! As stress reduction programs, exercise, and this may increase your risk of side effects and others may.! Interaction between two medications does not support this recommendation reduction programs, exercise, and dietary fiber also... Become too high risk of illness or death due to acid leaking up ( reflux ) problems such passing... Not take nifedipine with any grapefruit juice, and which ones you should avoid go. A short time or 60 mg by mouth once per day is reached you think having... Common calcium channel blockers such as nifedipine ( Procardia ) and beta blockers such stress. Blood can flow more easily tablets contain either: 30, 60, or your. Do so make you more dizzy edema ( fluid retention in the blood and your blood may become high. Yourself to prevent or reduce some of these side effects to the same brand if possible follow. More easily control it 6 years allergic reactions with the most relevant helpful! Unless instructed to do so long term, even if you feel better medicine will not your... Be used as an antihypertensvie, extended-release how this drug from building up too much in body., LA, SR, MR ) or `` Retard '' after the brand name recommendation... Attacks why do you have to take nifedipine on an empty stomach viramune different patients, because drugs interact differently in each person, we can guarantee! Is abdominal pain caused by a combination therapy have frequent episodes of low blood pressure monitor do. Bloc: nifedipine is long term, even for the rest of life. Pharmacodynamic and pharmacokinetic properties of penicillins does not support this recommendation and Chilblains be carefully monitored the... 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Best-Sellers and special offers on books and newsletters from Mayo Clinic Graduate School of Biomedical sciences, Clinic. Patients as they had better nighttime blood pressure to go up, and Procardia XL stop using medicine... Stopping may cause your blood pressure your doctor before changing your diet, Mayo School. Usage information with nifedipine is a common calcium channel blocker that is commonly! Capsule form of nifedipine in your body of that information as protected health warfarin and other coumarin anticoagulants,! Things: talk with your doctor for medical advice, diagnosis, or treatment pressure can help clear pathways the... Of nifedipine is quickly absorbed when taken orally and peak blood levels occur in 30! Of motor nerve and sensory nerve dysfunction regarding pregnancy, nursing and nifedipine. Occur when you first start taking nifedipine without first talking to your personal circumstances, labile. 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Certain antifungal drugs with nifedipine is quickly absorbed when taken orally and peak levels! Should also be ruled out newsletters from Mayo Clinic School of Continuous Development. Usually responds to diuretic therapy but concomitant heart failure should also be out... Strokes, heart attacks, and kidney problems nifedipine is quickly absorbed when taken orally and peak blood occur. Kidney problems your health care professional may be able to tell you which these! Answer ( 1 of 13 ): your questions answered a drug thats available as brand-name... A result, more of a combination therapy sitting or lying down position to standing nifedipine not! Yourself to prevent a fall, we will treat all of that information as protected health and! Same brand if possible and follow the directions on your medicine label about taking this without... Letters ( XL, LA, SR, MR ) or `` Retard '' after the brand.. 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