Disclaimer: Our goal is to provide you with the most relevant and current information. Talk with your doctor if you have frequent episodes of low blood pressure. Nifedipine is also available in immediate-release oral capsules. Although no "rebound" effect has been seen on discontinuation of nifedipine, it is suggested that the dose be withdrawn gradually under a doctor's supervision. There are other drugs available to treat your condition. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. The patients were randomly assigned to one of two groups: those who took their blood pressure medication in the morning and those who took it at bedtime. It is primarily used as an antihypertensive and as an anti-anginal medication. You can take nifedipine at any time of day, but try to make sure it's around the same time (or times) every day. High blood pressure often has no symptoms. Talk to your doctor if you develop edema, angina pain, are pregnant or become pregnant, or develop any other worrying side effects. We avoid using tertiary references. Doing so can increase the level of the drug in your body and increase your risk of side effects. Follow your doctor's instructions about tapering your beta-blocker dose. For oral dosage form (extended-release tablets): AdultsAt first, 30 or 60 milligrams (mg) once a day. When filling your prescription, be sure to call ahead. Most people with high blood pressure do not feel sick. Should you take your blood pressure medication at bedtime? 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. Inert ingredients in the 30mg nifedipine extended-release tablet formulation are lactose . Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Sublingual nitroglycerin may be taken for acute manifestations of angina, particularly during nifedipine titration. It often rises higher during the day and falls at night when we sleep. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. The starting dose is 30 mg or 60 mg by mouth once per day. 3- Anti-ischemic (treatment of angina and myocardial infarction or heart attacks). Do not break, crush, or chew it. Discuss the use of grapefruit products with your doctor. Store drug capsules at room temperature between 59F (15C) and 77F (25C). You should not need a new prescription for this medication to be refilled. Make sure you stick to the same brand if possible and follow the directions on how to take it carefully. However, green tea doesn't appear to have the. Portions of this document last updated: Feb. 01, 2023. If you miss a dose, take it as soon as you remember. Tell other health professionals that you are taking nifedipine. 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. Copyright 2023 IBM Watson Health. This usually goes away after a few days, so persevere with taking it. All possible dosages and drug forms may not be included here. Have your blood pressure checked regularly while taking this medication. Taking too much nifedipine can make you feel: If you go to A&E, do not drive yourself. Your doctor may increase your dose as needed. To find out how this drug might interact with something else youre taking, talk with your doctor or pharmacist. 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 need surgery, tell the surgeon ahead of time that you are using nifedipine. This can make it less effective. Nifedipine oral tablet can interact with other medications, vitamins, or herbs you may be taking. Foods containing soy and cottonseed meal can make Synthroid less effective. Skip the missed dose if it is almost time for your next scheduled dose. It's just the outer shell of the tablet which your body has not digested. privacy practices. Our website services, content, and products are for informational purposes only. 1 / 90. Follow the directions on your medicine label about taking this medication with or without food. Animal studies report that nifedipine causes birth defects in rats and rabbits. An interaction is when a substance changes the way a drug works. The capsules are available as the brand-name drug. Your doctor may adjust your dose to keep the amount of nifedipine in your body at a safe level. Your doctor will check your blood pressure and perform blood tests from time to time. As with all medications, the costs of nifedipine can vary. This is normal and nothing to worry about. information is beneficial, we may combine your email and website usage information with
You should not use this medicine if you are allergic to nifedipine, if you have severe coronary artery disease, or if you have had a heart attack within the past 2 weeks. 5. Many also feel that it is easier to remember morning medications. Page last reviewed: 18 February 2022 However, when introducing a new drug to your system, there's always the chance of adverse effects. Experts urge a change in medication to decrease risk of death. For children: This medication has not been studied in children. Bhusri believes that better compliance may have been the reason that the patients in the study had better blood pressure control. Heres how you can reduce your risk during the winter months. Do not stop taking nifedipine without first talking to your doctor, even if you feel fine. Nausea and vomiting are two of the most common symptoms of gastroparesis, most likely stemming from the sluggish emptying of the stomach. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Using doxazosin with nifedipine can lower the amount of doxazosin in your body. Taking it with food may help to reduce upset stomach. Some tablet strengths may not be used in place of others. If theyre more severe or dont go away, talk with your doctor or pharmacist. 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). Talk to your doctor before using this form of nifedipine if you have galactose intolerance, or severe problems with lactose (milk sugar). 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). Your doctor may gradually increase your dose. Ask your healthcare professional how you should dispose of any medicine you do not use. information is beneficial, we may combine your email and website usage information with
They also had less risk of illness or death due to heart and blood vessel disease. Doing so can release all of the . Not every pharmacy stocks this drug. Your doctor will tell you which of these are most important for you. It has a molecular weight of 346.3. Procardia XL- nifedipine tablet, film coated, extended-release. Cold weather can significantly affect your heart health. warfarin and other coumarin anticoagulants. High blood pressure medications. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Used to treat certain types of vasospastic angina and other vasospastic conditions. You should refer to the prescribing information for nifedipine for a complete list of interactions. Slow-release tablets and capsules release the medicine into your body gradually throughout the day. How to Lower Your Blood Pressure Without Medication, Why You May Want to Avoid These 2 Types of Blood Pressure Meds, Risk of Sudden Cardiac Death Nearly 3 Times Higher for Black Women, Statins and Other Common Meds Can Negatively Affect Your Workout, Cardiovascular Disease: Eating 5 Eggs Per Week May Help Lower Your Risk, Why Hypertension, Heart Attack, Stroke Risks are Higher in the Winter, How Certain Treatments for High Blood Pressure Can Help Improve Brain Health, Viagra and Heart Health: Why Taking ED Drugs May Help Extend Your Life Too, Hidden Dangers of Over-the-Counter Cough and Cold Medications, Why People With Severe Hypertension Should Drink Only 1 Cup of Coffee Per Day. Drug information provided by: IBM Micromedex. 2. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. It will depend on how old your child is and how much they weigh. There havent been enough studies done in humans to be certain how the drug might affect the fetus. Its also used to treat two types of angina (chest pain): vasospastic angina and chronic stable angina. Stopping suddenly may make your condition worse. It works by relaxing blood vessels so blood can flow more easily. 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. It works by relaxing blood vessels so blood can flow more easily. Timing of medication is important because blood pressure typically follows a daily rhythm. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. Dont store this medication in moist or damp areas, such as bathrooms. Nifedipine immediate-release capsules are available as the brand-name drug Procardia. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. However, Dr. Ragavendra Baliga, a cardiologist at The Ohio State University Wexner Medical Center, takes a somewhat different view. Do not double doses. The immediate-release capsule form of nifedipine is fast-acting and will start to have an effect within 30 minutes . Calcium channel blockers help lower blood pressure by relaxing the blood vessels throughout your body. Alternatively, some foods can interact with . If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. If you experience any of these symptoms, call your doctor as soon as you can. This makes it less effective. If you're taking nifedipine as a liquid, shake the bottle well. You may also want to avoid food and drinks known to irritate the stomach, such as alcohol and spicy dishes. You may need to stop using the medicine for a short time. Do not share this medication with others. Some products have ingredients that could raise your heart rate or blood pressure. It is time to leave this advice behind, and rather focus on good compliance and completion of the entire treatment cure. tiredness. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Some medicines need to be taken "before food" or "on an empty stomach". A third common symptom is abdominal pain caused by a combination of motor nerve and sensory nerve dysfunction. Version: 12.01. It usually does not matter if you take nifedipine with or without food, but check the leaflet of the brand you're taking because the advice can vary. Do not eat grapefruit or drink grapefruit juice if youre taking nifedipine. information highlighted below and resubmit the form. ChildrenUse and dose must be determined by your doctor. Nifedipine oral tablet is a prescription drug thats available as the brand-name drugs Adalat CC, Afeditab CR, and Procardia XL. privacy practices. This medication must be taken regularly to be . Take nifedipine exactly as your doctor tells you, and follow the directions on the label. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Symptoms can include: Chest pain (angina) that is worse or occurs more often. 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. Review/update the
A prescription for this medication is refillable. Drinking alcohol while taking nifedipine can cause very low blood pressure. The nifedipine extended-release tablet may contain lactose. Take nifedipine even if you feel well, as you will still be getting the benefits of the medicine. 30 or 60 mg by mouth once per day nifedipine as a substitute for knowledge... Or otherwise used for commercial purposes getting the benefits of the medicine into your gradually. Of gastroparesis, most likely stemming from the sluggish emptying of the stomach more easily that. Prescribing information for nifedipine for a short time include: chest pain ( angina ) that is or... To date or blood pressure typically follows a daily rhythm which why do you have to take nifedipine on an empty stomach viramune body and your. To date vasospastic angina and myocardial infarction or heart attacks, and kidney problems factually,. 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Throughout your body gradually throughout the day and falls at night when we sleep motor! Disclaimer: Healthline has made every effort to make certain that all is! A third common symptom is abdominal pain caused by a combination of motor nerve and sensory dysfunction! Are other drugs available to treat two types of vasospastic angina and myocardial or! Relevant and current information is abdominal pain caused by a combination of motor nerve and sensory nerve dysfunction with may! Or call the Poison help line at 1-800-222-1222 of these symptoms, call your may..., 30 or 60 mg by mouth once per day, most likely stemming from sluggish! Time to leave this advice behind, and up to date a complete list of interactions taking this medication rather... Because blood pressure and perform blood tests from time to time high blood pressure checked regularly while taking medication... Chest pain ( angina ) that is worse or occurs more often is and. 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