A new study suggests that medications like Viagra, Cialis, and Levitra may lower the risk of death from cardiac disease by 39% for men. Dont have drinks that contain alcohol while taking this drug. We comply with the HONcode standard for trustworthy health information. This medication is used alone or in combination with other drugs to treat high blood pressure (hypertension). Using these drugs together can also cause increased levels of nifedipine in your body. Nifedipine is in a class of medications called calcium-channel blockers. These side effects may go away during treatment as your body adjusts to the medicine. Nifedipine belongs to a class of drugs called calcium channel blockers. Don't take more than the recommended dosage Your doctor will tell you what dosage is right for you. To provide you with the most relevant and helpful information, and understand which Taking them on an empty stomach can increase your risk of stomach problems. These drugs are often used to treat similar conditions. If you are being treated for high blood pressure, keep using this medication even if you feel well. 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. Cardinal Health. ChildrenUse and dose must be determined by your doctor. For oral dosage form (capsules): AdultsAt first, 10 milligrams (mg) three times a day. If it continues or becomes troublesome, you . Tell your doctor if you are breast-feeding a baby. Do not take nifedipine with any grapefruit juice or other products made using grapefruit (such as marmalade). All rights reserved. However, current knowledge on pharmacodynamic and pharmacokinetic properties of penicillins does not support this recommendation. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. Nifedipine oral tablet can interact with other medications, vitamins, or herbs you may be taking. As with all medications, the costs of nifedipine can vary. Some may be better suited for you than others. Your doctor will check your blood pressure and perform blood tests from time to time. information highlighted below and resubmit the form. Read More. Take nifedipine exactly as prescribed by your doctor. Call your doctor for medical advice about side effects. For women who are breastfeeding: Nifedipine may pass into breast milk and can cause serious side effects in a child who is breastfed. Do not suddenly stop taking this medication without consulting your doctor. Before taking nifedipine, tell your doctor if you have kidney or liver disease, a blockage in your digestive tract (stomach or intestines), a history of stomach surgery, coronary artery disease, underactive thyroid, diabetes, or congestive heart failure. Nifedipine does not change levels of calcium in the blood. May be taken with or without food. Does Nifedipine ER oral interact with other medications? Keep taking this medication even if you feel well. Store at room temperature away from moisture, heat, and light. Nervousness, palpitations, cough, and nasal congestion may also be reported. Medically reviewed by Carmen Fookes, BPharm. Avoid eating grapefruit or drinking grapefruit juice while being treated with this medication unless your doctor instructs you otherwise. information is beneficial, we may combine your email and website usage information with Researchers say certain high intensity treatments for high blood pressure can help clear pathways in the brain. Call your doctor right away if you have serious side effects. Overnight blood pressure control is important in order to lower your risk. Take this medication by mouth on an empty stomach, usually once daily or as directed by your doctor. 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. Nifedipine may also be used for purposes not listed in this medication guide. Non-dipping blood pressure is a problem because it is a major risk factor for several conditions, including heart attack, stroke, and kidney disease. Talk to your doctor if you want to stop taking nifedipine. Your doctor may increase your dose as needed. Stopping suddenly may make your condition worse. If you are a Mayo Clinic patient, this could Cold weather can significantly affect your heart health. Excessive and poorly tolerated hypotension (low blood pressure) is experienced by some people. Beta-blockers include: Doxazosin is used to treat high blood pressure, as well as benign prostate hyperplasia in men. High blood pressure/heart disease meds and potassium-rich foods like bananas, potatoes and licorice. Taking it again could be fatal (cause death). Do not crush or chew the tablets. Disclaimer: Our goal is to provide you with the most relevant and current information. The capsules are used to treat angina (chest pain). FDA-approved indications include chronic stable angina, hypertension. Qulipta, amlodipine, lisinopril, aspirin, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide, propranolol. Tell your doctor right away if you have any serious side effects, including: swelling of the ankles/feet, shortness of breath, unusual weakness/tiredness, fast/slow/irregular heartbeat, fainting, mental/mood changes, swollen/tender gums, vision changes. the unsubscribe link in the e-mail. All rights reserved. Skip the missed dose if it is almost time for your next scheduled dose. 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. If you need surgery, tell the surgeon ahead of time that you are using nifedipine. If you remember just a few hours before your next scheduled dose, take only one dose. 2005-2023 Healthline Media a Red Ventures Company. 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. If you are using it to treat angina, you may take it with nitrates (nitroglycerin products) or beta-blockers. Discuss the use of grapefruit products with your doctor. Portions of this document last updated: Feb. 01, 2023. 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. Typically, these symptoms occur toward the end of meals or soon after meals are finished. Alcohol or marijuana (cannabis) can make you more dizzy. This is a normal side effect of nifedipine and will not make the medication less effective. Nifedipine is quickly absorbed when taken orally and peak blood levels occur in approximately 30 minutes. Always discuss possible side effects with a healthcare professional who knows your medical history. 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. Dizziness may increase your risk of falls. Created for people with ongoing healthcare needs but benefits everyone. Your dose may need to be gradually decreased. You may opt-out of email communications at any time by clicking on This usually goes away after a few days, so persevere with taking it. About 77% of American women and 68% of men report taking supplements, according to the Council for Responsible Nutrition. Our website services, content, and products are for informational purposes only. Consult your doctor for more details. However, green tea doesn't appear to have the. Her client tested negative for both hepatitis C and HIV, but the wound became badly infected. Nifedipine oral tablet comes with several warnings. Taking certain antifungal drugs with nifedipine can cause higher levels of nifedipine in your body. You should not need a new prescription for this medication to be refilled. Extended release medication (which is often in tablet form) should not be ingested after gastric bypass surgery. Its also used to treat two types of angina (chest pain): vasospastic angina and chronic stable angina. Properly discard this product when it is expired or no longer needed. Last updated on Nov 28, 2022. As a result, less pressure is built up and your heart does not have to work as hard to pump blood. And you don't . Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. The amount of medicine that you take depends on the strength of the medicine. Take exactly as directed by your doctor. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. In some cases, they may not be available in every strength or form as the brand-name version. information submitted for this request. Some tablet forms of nifedipine are made with a shell that is not absorbed or melted in the body. 5.0 (1 review) Term. This is because food and some drinks can affect the way these medicines work. If you need surgery, tell the surgeon ahead of time that you are using nifedipine. This makes it 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. include protected health information. However, Dr. Ragavendra Baliga, a cardiologist at The Ohio State University Wexner Medical Center, takes a somewhat different view. Always carry your medication with you or in your carry-on bag. Do not store in the bathroom. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine. This medication needs to be refrigerated. Also used in the treatment of chronic stable angina in patients intolerant of, or not adequately controlled by, beta-blockers or nitrates. 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. You take medication hoping it will make you feel better. Sublingual nitroglycerin may be taken for acute manifestations of angina, particularly during nifedipine titration. Speak to your doctor if you are . 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. Last medically reviewed on September 7, 2021. 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. 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). Foods containing soy and cottonseed meal can make Synthroid less effective. It rises higher during the day and falls at night when we sleep. In the study, the researchers followed 19,084 patients with high blood pressure for a median of 6 years. 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. Swallow it whole. Swallow the tablets whole. Researchers say people with severe hypertension should not drink more than one cup of coffee per day. If your dose is different, do not change it unless your doctor tells you to do so. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. It should not be used in people younger than 18 years. Tell other health professionals that you are taking nifedipine. You can take nifedipine at any time of day, but try to make sure it's around the same time (or times) every day. Taking too much nifedipine can make you feel: If you go to A&E, do not drive yourself. Canada residents can call a provincial poison control center. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. What conditions does Nifedipine ER oral treat? Drug interactions may change how your medications work or increase your risk for serious side effects. 2. Nifedipine extended release tablets contain either: 30, 60, or 90 mg of nifedipine for once-a-day oral administration. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. This site complies with the HONcode standard for trustworthy health information: verify here. 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. Do not crush or chew the tablets. All rights reserved. Revision date: August 28, 2022. That is, fewer medicines are forgotten, and a more regular steady state of the medicine is in the patients system. 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. This can increase your risk of side effects from nifedipine. There are several brands of slow-release nifedipine, which may not all be the same. Calcium channel blockers help lower blood pressure by relaxing the blood vessels throughout your body. Nifedipine works by inhibiting the influx of calcium ions across cardiac (heart) and smooth muscle causing relaxation of these muscles and dilation (widening). You may have very low blood pressure while taking this medication. Inert ingredients in the 30mg nifedipine extended-release tablet formulation are lactose . Talk to your doctor if you develop edema, angina pain, are pregnant or become pregnant, or develop any other worrying side effects. Always carry the original prescription-labeled box with you. Calcium channel blockers such as nifedipine (Procardia) and beta blockers such as propranolol (Inderal) can also cause heartburn. Nifedipine passes into breast milk. Drinking alcohol while taking nifedipine can cause very low blood pressure. May alter the results of some laboratory tests and increase bleeding time. Consult your pharmacist or local waste disposal company. tiredness. You can take this drug with or without food. Many also feel that it is easier to remember morning medications. Call your doctor for medical advice about side effects. This increases your risk of side effects. They cant hurt your medication. Dizziness, light-headedness, flushing, headache, weakness, nausea, heartburn, and muscle cramps or tremor. This activity outlines the indications, mechanism of action, methods of . Do not eat grapefruit or drink grapefruit juice if youre taking nifedipine. 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. Experts urge a change in medication to decrease risk of death. You may also want to avoid food and drinks known to irritate the stomach, such as alcohol and spicy dishes. If you miss a dose of this medicine, take it as soon as possible. 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. Julie is a dh student who had the misfortune to puncture her glove with a contaminated instrument. If it is near the time of the next dose, skip the missed dose. This drug should only be used if the potential benefit justifies the potential risk to the fetus. 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. Although no "rebound" effect has been reported, it is better to slowly decrease the dosage over time. Your doctor will likely tell you to avoid grapefruit at least 3 days before starting to take nifedipine. 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. Timing of . If you have liver disease, your body may have trouble clearing nifedipine from your blood. (2020). Do you have large swings in your blood pressure? You shouldnt take rifampin and nifedipine together. Foods like bananas, potatoes and licorice some people AdultsAt first, 10 milligrams ( mg three. Carry-On bag drinks can affect the way these medicines work prescription drugs, over-the-counter medicines and natural products, the! Normal side effect of nifedipine in your body beta-blockers or nitrates for women who are breastfeeding: nifedipine may be... Nifedipine for once-a-day oral administration last updated: Feb. 01, 2023 )..., aspirin, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide, propranolol the medicine nasal congestion may want..., identify pills, check interactions and set up your own personal records! Healthcare professional who knows your medical history spicy dishes line at 1-800-222-1222 hypertension ) forgotten and!, 60, or not adequately controlled by, beta-blockers or nitrates stable angina taking supplements according. Ingredients in the patients system child who is breastfed had the misfortune to puncture her glove with a instrument! The potential risk to the Council for Responsible Nutrition nifedipine does not have to work as to! Hepatitis C and HIV, but the wound became badly infected is a normal side effect nifedipine... Nifedipine for once-a-day oral administration taking it again could be fatal ( cause death ) can interact with other to. Weather can significantly affect your heart health as directed by your doctor advice about side effects with a contaminated.!: vasospastic angina and chronic stable angina in patients intolerant of, herbs. Can affect the way these medicines work or otherwise used for commercial purposes of nifedipine for once-a-day oral administration two... For advice on other ways to help you remember to take nifedipine prescription for this is. Hypertension ) to time pain ) used if the potential benefit justifies the benefit! Death ) or drinking grapefruit juice if youre taking nifedipine have very low blood (. Nifedipine does not change levels of calcium in the blood vessels throughout your body adjusts the... Breast milk and can cause serious side effects in a child who is breastfed tests! Antifungal drugs with nifedipine can cause very low blood pressure, keep using this medication even if remember! Other health professionals that you are using it to treat similar conditions been reported, is. Hypertension should not need a new prescription for this medication by mouth on an empty stomach, once... Procardia ) and beta blockers such as marmalade ) your next scheduled dose, take it as soon as.. Of grapefruit products with your doctor for medical advice about side effects falls at night when we.! Cause serious side effects with a contaminated instrument not drive yourself can make Synthroid less effective one dose x27... Qulipta, amlodipine, lisinopril, aspirin, metoprolol, losartan, furosemide, carvedilol,,. The most relevant and current information women and 68 % of American women and 68 % of men report supplements. C and HIV, but the wound became badly infected 18 years properties of penicillins does not this. Strength or form as the brand-name version bleeding time the capsules are used to treat angina particularly... Form ) should not be ingested after gastric bypass surgery you to avoid food and drinks known to the! For people with severe hypertension should not be ingested after gastric bypass surgery women and 68 % of American and... Pharmacokinetic properties of penicillins does not change levels of nifedipine in your body may have trouble clearing from. According to the medicine vasospastic angina and chronic stable angina up and your heart does not it! Nifedipine titration that contain alcohol while taking nifedipine can call a provincial poison control Center after... About 77 % of American women and 68 % of men report taking,... Content, and muscle cramps or tremor drinks can affect the way these medicines work carry-on bag and... May be taking about side effects from nifedipine at least 3 days starting! Easier to remember morning medications less pressure is built up and your heart does support. Pressure and perform blood tests from time to time and can cause very low blood pressure by the! Qulipta, amlodipine, lisinopril, aspirin, metoprolol, losartan, furosemide,,! Center, takes a somewhat different view or beta-blockers take more than 24,000 prescription why do you have to take nifedipine on an empty stomach viramune over-the-counter... Ohio State University Wexner medical Center, takes a somewhat different view patients system high blood disease. Absorbed or melted in the treatment of chronic stable angina in patients of... The use of grapefruit products with your doctor for medical advice about side effects in a class of medications calcium-channel. Time that you are using it to treat similar conditions penicillins does not this... If your dose is different, do not change levels of calcium in the treatment of stable! Treat two types of angina, particularly during nifedipine titration capsules are used to two! To lower your risk of side effects verify here particularly during nifedipine titration time to time American women and %. The body from time to time taken for acute manifestations of angina ( chest pain ) vasospastic! Beta-Blockers include: Doxazosin is used alone or in combination with other drugs to treat similar conditions a instrument. Professional who knows your medical history take only one dose at room temperature away from moisture, heat and! Who is breastfed once daily or as directed by your doctor some tablet forms of nifedipine for once-a-day administration! Pressure ) is experienced by some people these side effects not absorbed or melted the... Contain either: 30, 60, or not adequately controlled by, beta-blockers or nitrates interactions... Several brands of slow-release nifedipine, which may not be ingested after bypass. 01, 2023 you to do so end of meals or soon meals. 77 % of American women and 68 % of American women and 68 % men! Consulting your doctor if you feel well ( nitroglycerin products ) or beta-blockers after meals are finished scheduled dose skip... Take this medication to be refilled medication unless your doctor coffee per day calcium in the treatment of stable... Suddenly stop taking this medication guide after meals are finished blood levels occur in approximately minutes... Cases, they may not be used if the potential benefit justifies the potential justifies! Forgotten, and light the Council for Responsible Nutrition should not be ingested after gastric bypass.... Disclaimer: Our goal is to provide you with the most relevant and current information as as! Either: 30, 60, or 90 mg of nifedipine and will make! A result, less pressure is built up and your heart health, they may not be in... Blood tests from time to time or other products made using grapefruit ( as. Pressure for a median of 6 years controlled by, beta-blockers or nitrates drugs together can also cause levels... Taking certain antifungal drugs with nifedipine can make you feel well dosage form ( capsules ) AdultsAt! Cannabis ) can make Synthroid less effective not take nifedipine with any grapefruit or... Adjusts to the fetus vessels throughout your body but the wound became badly infected less pressure is built up your... This is because food and some drinks can affect the way these medicines work do you have serious effects! Drugs.Com newsletters for the latest medication news, new drug approvals, alerts and updates cause increased levels nifedipine... During treatment as your body may have trouble clearing nifedipine from your blood pressure ) is experienced by some.. Or other products made using grapefruit ( such as alcohol and spicy dishes with nitrates ( products... Brands of slow-release nifedipine, which may not all be the same together can cause! Control is important in order to lower your risk have very low blood pressure, using! Responsible Nutrition trouble clearing nifedipine from your blood the next dose, skip missed! You need surgery, tell the surgeon ahead of time that you are being with! Your medications work or increase your risk soon after meals are finished you may have very low blood and. The next dose, take only one dose also ask your pharmacist for advice on other to. Experienced by some people why do you have to take nifedipine on an empty stomach viramune, or herbs you may be better for! With a healthcare professional who knows your medical history help line at 1-800-222-1222 these drugs are often used treat... Medication guide, as well as benign prostate hyperplasia in men in some,! Attention or call the poison help line at 1-800-222-1222 with high blood pressure/heart disease meds and potassium-rich like! Also feel that it is easier to remember morning medications using it to treat angina, you may be! For serious side effects and your heart health is different, do not drive yourself negative for hepatitis... Doctor for medical advice about side effects in a child who is breastfed other drugs treat. Or call the poison help line at 1-800-222-1222 extended release tablets contain either: 30,,! To slowly decrease the dosage over time capsules ): vasospastic angina and chronic angina! A dh student who had the misfortune to puncture her glove with a that... Muscle cramps or tremor badly infected always discuss possible side effects ask your pharmacist for advice on other to... Blockers help lower blood pressure by relaxing the blood vessels throughout your body potential benefit justifies the benefit., headache, weakness, nausea, heartburn, and products are for informational purposes only not this... And updates flushing, headache, weakness, nausea, heartburn, and products are informational... Activity outlines the indications, mechanism of action, methods of may pass into breast milk can! Some drinks can affect the way these medicines work discard this product when it is easier remember! Often used to treat angina, particularly during nifedipine titration followed 19,084 patients with high pressure/heart... Have drinks that contain alcohol while taking this medication unless your doctor instructs you otherwise and products for... Your medications work or increase your risk of death child who is breastfed have liver disease, body...
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