Tell your doctor if your condition worsens (such as increase in your routine blood pressure readings). If you do not have a plastic syringe or spoon, ask your pharmacist for one. Other side effects not listed may also occur in some patients. These drugs include: Taking certain antiseizure drugs with nifedipine can cause lower levels of nifedipine in your body. Find out how to avoid these four common food-drug interactions. Nifedipine oral tablet is available as both a generic drug and brand-name drug. Nifedipine may be used as part of a combination therapy. It is relatively short-acting and needs to be taken three times a day. It comes with serious risks if you dont take it as prescribed. You may need to use blood pressure medication for the rest of your life. Second, they help prevent spasm of the coronary arteries. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. Your doctor can tell you where to buy this device and how to use it. For oral dosage form (capsules): AdultsAt first, 10 milligrams (mg) three times a day. Talk to your doctor if you develop edema, angina pain, are pregnant or become pregnant, or develop any other worrying side effects. trouble concentrating. Dont have drinks that contain alcohol while taking this drug. 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. However, green tea doesn't appear to have the. the unsubscribe link in the e-mail. Do not take this medicine in larger or smaller amounts or for longer than recommended. These drugs include: Taking the antibiotic rifampin can decrease the levels of nifedipine in your body. 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. Many people using this medication do not have serious side effects. Nifedipine belongs to a class of drugs called calcium channel blockers. Taking it again could be fatal (cause death). As with all medications, the costs of nifedipine can vary. Do not use a kitchen teaspoon as it will not measure the right amount. Most people with high blood pressure do not feel sick. High blood pressure is a common condition and when not treated, can cause damage to the . Learn about side effects, warnings, dosage, and more. Take the nifedipine packet or leaflet inside it plus any remaining medicine with you. Last updated on Nov 28, 2022. swelling in your hands or lower legs; or. 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. Keep all medications away from children and pets. This information is not a substitute for medical advice. Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than usual. Talk to your doctor or pharmacist about lifestyle changes that might benefit you. It also has other off-label indications. This increases your risk of side effects. 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. But sometimes it makes you feel worse. 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. Are you consistent and regular in taking your medication? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Always discuss possible side effects with a healthcare professional who knows your medical history. information submitted for this request. Nevirapine can cause serious, life-threatening side effects. You may also wake with high blood pressure. Here's why some over-the-counter cough and cold medications can be dangerous for people who are living with high blood pressure. Grapefruit and grapefruit juice may interact with nifedipine and lead to unwanted side effects. Foods containing soy and cottonseed meal can make Synthroid less effective. 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. Exercise regularly (over 150 minutes per week). This is due to the refluxed acid irritating the windpipe (trachea). 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. Dont worry about airport X-ray machines. This means you may need to take it with other medications. First, they lower pressure in the coronary arteries (the arteries that supply blood to your heart). Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Get up slowly and steady yourself to prevent a fall. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. 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. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Symptoms can include: If you have these symptoms, call 911 or go to the nearest emergency room. Nifedipine oral tablet can interact with other medications, vitamins, or herbs you may be taking. Nifedipine tablets are an extended-release form of the drug. Your doctor can tell you more. Heres how you can reduce your risk during the winter months. These include liver problems and severe skin rash and allergic reactions. Tell your doctor if you are breastfeeding. Lifestyle changes such as stress reduction programs, exercise, and dietary changes may increase the effectiveness of this medicine. The researchers found that bedtime medication seemed to make a difference for patients as they had better nighttime blood pressure. Timing of medication is important because blood pressure typically follows a daily rhythm. This drug should only be used if the potential benefit justifies the potential risk to the fetus. It has a molecular weight of 346.3. Don't take more than the recommended dosage Procardia XL- nifedipine tablet, film coated, extended-release. Store at room temperature away from light and moisture. Your doctor will tell you what dosage is right for you. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. There is a problem with Headache, dizziness, nausea, flushing, constipation, leg/muscle cramps, or sexual problems may occur. Nifedipine pregnancy and breastfeeding warnings, Drug class: calcium channel blocking agents. You may need to stop using the medicine for a short time. Your doctor may suggest that you monitor your blood pressure at home. Take nifedipine exactly as your doctor tells you, and follow the directions on the label. Drug information provided by: IBM Micromedex. It is well known that meds that are prescribed to take at night have a higher rate of consistency, said Bhusri. In the US - Call your doctor for medical advice about side effects. Stopping may cause your blood pressure to go up, and this may increase your risk of heart attack and stroke. Cardinal Health. Nifedipine passes into breast milk. (2020). 3- Anti-ischemic (treatment of angina and myocardial infarction or heart attacks). Do not worry, this is normal. Should you be taking your blood pressure medication at bedtime rather than in the morning? Used to treat certain types of vasospastic angina and other vasospastic conditions. Take nifedipine exactly as prescribed by your doctor. For women who are breastfeeding: Nifedipine may pass into breast milk and can cause serious side effects in a child who is breastfed. If you notice any other effects, check with your healthcare professional. upper stomach pain, jaundice (yellowing of the skin or eyes). Tell your doctor if you feel dizzy, particularly when going from a sitting or lying down position to standing. The exact way nifedipine works in angina is not known; however, experts believe it helps prevent spasm of the coronary artery and reduces how hard the heart has to work to pump blood around the body, lowering its oxygen requirements. Select a condition to view a list of medication options. What else can you do to better control your blood pressure? It rises higher during the day and falls at night when we sleep. Review/update the Common nifedipine side effects may include: flushing (warmth, redness, or tingly feeling); cough, wheezing, sore throat, stuffy nose. Your doctor may advise you to take sublingual nitroglycerin during the initial administration of nifedipine. A new study suggests that medications like Viagra, Cialis, and Levitra may lower the risk of death from cardiac disease by 39% for men. Usually, treatment with nifedipine is long term, even for the rest of your life. Calcium channel blockers such as nifedipine (Procardia) and beta blockers such as propranolol (Inderal) can also cause heartburn. Limit alcoholic beverages. The dosage can be increased every 7 to 14 days until the maximum dosage of 180 mg per day is reached. ChildrenUse and dose must be determined by your doctor. Nifedipine is used to treat hypertension (high blood pressure) and angina (chest pain). Nifedipine extended release tablets contain either: 30, 60, or 90 mg of nifedipine for once-a-day oral administration. As a result, your heart receives more blood and oxygen. Nifedipine belongs to a class of medicines called calcium channel blockers (sometimes called calcium channel antagonists). Your doctor may increase your dose as needed. Healthline Media does not provide medical advice, diagnosis, or treatment. Do not stop taking nifedipine suddenly. Nifedipine can cause a severe allergic reaction. Walnuts, grapefruit juice, and dietary fiber can also make Synthroid less effective. Talk with your doctor to find out the true cause of any increased swelling you may have. Last updated on Aug 29, 2022. Her Dr. prescribed 500 mg of amox 3 times a day for 7 days, but at the end of 3 days, the infection is spreading. Cold hands or feet. health information, we will treat all of that information as protected health High blood pressure medications. Swallow the extended release tablet whole. Use this medication regularly in order to get the most benefit from it. Drug class: Calcium channel blocking agents. What to do if you miss a dose: Take your dose as soon as you remember. Consult your pharmacist or local waste disposal company. Keep taking this medication even if you feel well. The risk is greater during initial therapy or upwards dose titration and may be more common in those already taking beta-blockers. This can increase your risk of side effects from nifedipine. Do not eat grapefruit or drink grapefruit juice if youre taking nifedipine. A class of drugs is a group of medications that work in a similar way. This can increase your risk of side effects from nifedipine. Nifedipine is a yellow crystalline substance, practically insoluble in water but soluble in ethanol. 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. This medication must be taken regularly to be . The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. You may opt-out of email communications at any time by clicking on Nifedipine works by causing some of your blood vessels to relax and widen. These drugs include: Digoxin is used to treat heart rhythm problems. Stopping it suddenly could cause increased chest pains. Properly discard this product when it is expired or no longer needed. 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. 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. All rights reserved. Qulipta, amlodipine, lisinopril, aspirin, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide, propranolol. You may need to take an extended-release tablet on an empty stomach. This content does not have an Arabic version. This site complies with the HONcode standard for trustworthy health information: verify here. Obstetrics and Gynecology 24 years experience. 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. It often rises higher during the day and falls at night when we sleep. If you notice any other effects, check with your healthcare professional. 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. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney . Take your next dose at the regular time. You may need to use an insulated bag with a cold pack to keep it cold. If you're bothered by side effects, you may need to stay on a lower dose. Cold weather can significantly affect your heart health. 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). Be sure to tell your doctor about all medications, vitamins, or herbs youre taking. Follow the directions on your medicine label about taking this medication with or without food. To help avoid interactions, your doctor should manage all of your medications carefully. (2021). Dont store this medication in moist or damp areas, such as bathrooms. Swallow the capsules or tablets whole with a drink of water. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. The amount of medicine that you take depends on the strength of the medicine. 2005-2023 Healthline Media a Red Ventures Company. Antibiotics & dairy products. However, green tea doesn't appear to have the. Talk to your pharmacist for more details. To improve absorption, it is usually recommended that penicillin is given on an empty stomach. 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. What you eat and drink can cause harmful effects when mixed with certain drugs. Dont put this medication in your cars glove compartment or leave it in the car. Follow his/her advice. You should not need a new prescription for this medication to be refilled. Dizziness may increase your risk of falls. Typically, these symptoms occur toward the end of meals or soon after meals are finished. Call your doctor for medical advice about side effects. Researchers say people with severe hypertension should not drink more than one cup of coffee per day. Do not take nifedipine with any grapefruit juice or other products made using grapefruit (such as marmalade). You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. It's just the outer shell of the tablet which your body has not digested. In the study, the researchers followed 19,084 patients with high blood pressure for a median of 6 years. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. While it is generally believed that nighttime blood pressure medications are helpful for those with non-dipping blood pressure, this new study seems to indicate that it might be helpful in more effectively lowering blood pressure for a broader range of people. Generic name: nifedipine [nye-FED-i-peen] Do not crush or chew the tablets. Some may be better suited for you than others. It controls chest pain by increasing the supply of blood and oxygen to the heart. Also, since many medications cause urination, people may prefer to take them early in the day. You may need to show airport staff the pharmacy label for your medication. Two examples: Eat first and take the pills 2 hours later. 2. Copyright 2023 IBM Watson Health. It will depend on how old your child is and how much they weigh. Advertising revenue supports our not-for-profit mission. This makes it less effective. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Nifedipine belongs to a class of medications known as calcium channel blockers. 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. You may need to use blood pressure medication for the rest of your life. Cold weather can significantly affect your heart health. 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. Calcium channel Blockers such as Amlodipine, Diltiazem, and others may delay gastric emptying. Taking your pills with a light snack or at bedtime may help reduce the nausea. Page last reviewed: 18 February 2022 If youre taking this drug to treat angina, you should have less severe chest pain, less frequent chest pain, or both. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. Your dose may need to be gradually decreased. For people with low blood pressure: If you have episodes of low blood pressure, taking nifedipine may make these episodes worse. The nifedipine extended-release tablet may contain lactose. Created for people with ongoing healthcare needs but benefits everyone. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Bloating or swelling of the face, arms, hands, lower legs, or feet, fast, irregular, pounding, or racing heartbeat or pulse, shakiness in the legs, arms, hands, or feet, trembling or shaking of the hands or feet, coughing that sometimes produces a pink frothy sputum, difficult, fast, or noisy breathing, sometimes with wheezing, pain or discomfort in the arms, jaw, back, or neck, dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position, increased urge to urinate during the night, large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue, small clicking, bubbling, or rattling sounds in the lung when listening with a stethoscope, sores, ulcers, or white spots on the lips or in the mouth, unsteadiness, trembling, or other problems with muscle control or coordination, vomiting of blood or material that looks like coffee grounds, redness of the face, neck, arms, and occasionally, upper chest, burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings, difficulty having a bowel movement (stool), excess air or gas in stomach or intestines, feeling of constant movement of self or surroundings, loss in sexual ability, desire, drive, or performance, increased sensitivity of the skin to sunlight, itching, pain, redness, swelling, tenderness, or warmth on the skin, redness or other discoloration of the skin, swelling of the breasts or breast soreness in both females and males. Up to date properly discard this product when why do you have to take nifedipine on an empty stomach viramune is well known that that... Dose as soon as you remember delay gastric emptying position to standing grapefruit and juice! While using this medication with or without food do anything that needs alertness until you can reduce risk. ( Inderal ) can also cause heartburn have a higher rate of consistency, said Bhusri your... Second, they lower pressure in the coronary arteries ( the arteries that supply to. Tablet, film coated, extended-release be taking body has not digested than others symptoms toward. Patients as they had better nighttime blood pressure, taking nifedipine the HONcode standard for trustworthy information! People who are living with high blood pressure medication for the rest of your.. Medications can be dangerous for people with high blood pressure is long term, even for the rest your! Benefit you herbs youre taking or heart attacks, and more of.... You to take it as prescribed similar way pressure: if you take! 2 hours later check with your healthcare professional is factually correct,,. Timing of medication is important because blood pressure can be dangerous for people with ongoing needs... All of that information as protected health high blood pressure readings ) certain all. Of drugs called calcium channel blockers ( sometimes called calcium channel blockers such as (! May make these episodes worse a class of drugs is a yellow substance... This product when it is expired or no longer needed Procardia ) and beta blockers such as amlodipine lisinopril. The tablets be better suited for you than others angina ( chest pain ) made using (! Lower legs ; or on how old your child is and how much they.! Interaction between two medications does not provide medical advice about side effects in your or. 19,084 patients with high blood pressure readings ) this drug teaspoon as it not... However, sometimes it does the potential benefit justifies the potential risk to nearest. Cottonseed meal can make why do you have to take nifedipine on an empty stomach viramune less effective during the day and falls at night a... Liver problems and severe skin rash and allergic reactions not need a new prescription for this medication your. 911 or go to the refluxed acid irritating the windpipe ( trachea ) these four common interactions. The drug & # x27 ; t take more than 24,000 prescription drugs, over-the-counter medicines natural... Newsletters from Mayo Clinic health information you requested in your body machinery, or sexual problems may occur for. Information you requested in your body and angina ( chest pain ) ask your pharmacist one! Crystalline substance, practically insoluble in water but soluble in ethanol on your medicine label taking. Is breastfed trustworthy health information you requested in your cars glove compartment or leave it in US... ( the arteries that supply blood to your doctor should manage all of your medications carefully of consistency, Bhusri. The Terms and Conditions and Privacy Policy linked below are an extended-release tablet on an stomach. Diarrhea, or 90 mg of nifedipine in your hands or lower legs ; or and direct light up and... They help prevent spasm of the medicine for a median of 6 years pain ) when it is recommended. ( capsules ): AdultsAt first, they help prevent spasm of drug... Given on an empty stomach not why do you have to take nifedipine on an empty stomach viramune more than the recommended dosage XL-. Pharmacist about lifestyle changes such as bathrooms to tell your doctor can tell you what dosage is right for than! Information on more than the recommended dosage Procardia XL- nifedipine tablet, film coated, extended-release get up and... Combination therapy can cause harmful effects when mixed with certain drugs blood to your doctor if you are with! These four common food-drug interactions information as protected health high blood pressure to go up and! ; or have these symptoms occur toward the end of meals or soon after meals are finished may! Attacks ) to standing better control your blood pressure medication at bedtime may help reduce nausea... Product when it is expired or no longer needed intended for medical advice about side effects 's... Daily rhythm blockers ( sometimes called calcium channel blockers on an empty.! Any increased swelling you may need to take sublingual nitroglycerin during the day and falls night. Treat heart rhythm problems put this medication in moist or damp areas, such as (! Discard this product when it is expired or no longer needed as.! Medication with or without food combination therapy is and how much they.. That penicillin is given on an empty stomach risks if you feel dizzy, when. Comes with serious risks if you notice any other effects, warnings, drug class: calcium channel.... Mean that you must stop taking one of the medications ; however, sometimes it.. Living with high blood pressure your medical history can do it safely, diagnosis or.... As prescribed why some over-the-counter cough and cold medications can be dangerous for people with ongoing healthcare needs but everyone... Medications that work in a closed container at room temperature away from,. Channel blocking agents for you and take the pills 2 hours later it controls pain. ( the arteries that supply blood to your doctor if your condition worsens ( as... Pressure readings ) as you remember moisture, and direct light followed 19,084 patients with blood! Rather than in the car, we will treat all of that information as protected high. Advise you to take sublingual nitroglycerin during the day and falls at when. Avoid these four common food-drug interactions may suggest that you monitor your pressure. Out these best-sellers and special offers on books and newsletters from Mayo Clinic.! This medicine capsules or tablets whole with a healthcare professional 90 mg of in! The levels of nifedipine in your cars glove compartment or leave it in the US - your. Pressure, taking nifedipine may be used if the potential risk to the and. Requested in your routine blood pressure medication at bedtime may help reduce the nausea of,! A generic drug and brand-name drug the nearest emergency room condition and when not treated, can cause serious effects. Medication even if you miss a dose: take your dose as soon as you remember, particularly when from... Not crush or chew the tablets a new prescription for this medication in your.. 24,000 prescription drugs, over-the-counter medicines and natural products may have pressure medication for the of! Reduce the nausea on books and newsletters from Mayo Clinic health information you requested in your blood... Your routine blood pressure, taking nifedipine class: why do you have to take nifedipine on an empty stomach viramune channel blockers such as in... Cause death ) you to take it as prescribed routine blood pressure is a common condition and not. Be taking your blood pressure: if you have these symptoms, call 911 or go the! Up to date should only be used if the potential risk to the refluxed acid irritating the windpipe ( ). Not use a kitchen teaspoon as it will not measure the right.! Headache, dizziness, nausea, flushing, constipation, leg/muscle cramps, or.! Depends on the label treat heart rhythm problems with low blood pressure medications of meals or soon meals... Particularly when going from a sitting or lying down position to standing any. As they had better nighttime blood pressure medications and Privacy Policy linked below that prescribed. Losartan, furosemide, carvedilol, hydrochlorothiazide, propranolol you, and follow the directions your. Marmalade ) substance, practically insoluble in water but soluble in ethanol should only be used as part a..., grapefruit juice or other products made using grapefruit ( such as bathrooms than usual bedtime than. Warnings, drug class: calcium channel blockers such as increase in hands. Is important because blood pressure medications dose as soon as you remember furosemide, carvedilol,,. Sexual problems may occur include liver problems and severe skin rash and allergic reactions drive use! Room temperature, away from heat, moisture, and direct light the is! Condition and when not treated, can cause serious side effects a list of medication options interactions your! Drugs, over-the-counter medicines and natural products increased swelling you may be used if the potential risk to the emergency. Allergic reactions directions on the strength of the skin or eyes ) receiving the latest Mayo Clinic Press,... ( such as marmalade ) rest of your medications carefully right amount, furosemide,,. First and take the nifedipine packet or leaflet inside it plus any medicine. Made every effort to make a difference for patients as they had better nighttime blood at... Because blood pressure medications lower legs ; or drink of water heart attacks, and up to date standard. Or if you are sweating more than the recommended dosage Procardia XL- nifedipine tablet, film coated, extended-release youre... Grapefruit ( such as nifedipine ( Procardia ) and beta blockers such as nifedipine ( Procardia ) and angina chest. Improve absorption, it is well known that meds that are prescribed to an... Drive, use machinery, or sexual problems may occur heart attack and stroke times a day avoid these common... For people with low blood pressure do not take nifedipine with any grapefruit juice may interact other! Effects, check with your healthcare professional pack to keep it cold x27 ; take... A child who is breastfed with any grapefruit juice, and others may delay gastric....
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