For people with liver disease: Your liver clears this drug from your blood. Generic drugs usually cost less. Nifedipine oral tablet doesnt cause drowsiness. Rather than taking a blanket approach to treatment, many experts say any medication regimen should be personalized for you based on a discussion with your physician. All rights reserved. You may have very low blood pressure while taking this medication. Some hypertension drugs . Dont take this drug again if you have ever had an allergic reaction to it before. Nifedipine is in a class of medications called calcium-channel blockers. The more common side effects that can occur with nifedipine include: If these effects are mild, they may go away within a few days or a couple of weeks. Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than usual. Talk with your doctor about which form is right for you. For oral dosage form (extended-release tablets): AdultsAt first, 30 or 60 milligrams (mg) once a day. ChildrenUse and dose must be determined by your doctor. Dont have drinks that contain alcohol while taking this drug. 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. Using digoxin with nifedipine can increase or decrease the amount of digoxin in your body. Researchers say yoga proved to be more beneficial than stretching for cardiovascular health when combined with regular exercise. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). These drugs include: Taking certain antiviral drugs with nifedipine can cause higher levels of nifedipine in your body. Your doctor can tell you where to buy this device and how to use it. 5. First, they lower pressure in the coronary arteries (the arteries that supply blood to your heart). 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. 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 may increase your dose as needed. However, when introducing a new drug to your system, there's always the chance of adverse effects. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. You may have to take high blood pressure medicine for the rest of your life. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. US residents can call their local poison control center at 1-800-222-1222. You should refer to the prescribing information for nifedipine for a complete list of interactions. Nifedipine capsules (Procardia) should not be taken within the first week or two after a heart attack. In some cases, they may not be available in every strength or form as the brand-name version. Nifedipine Revised 06/2021. You may need to take an extended-release tablet on an empty stomach. 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. This document does not contain all possible drug interactions. It will depend on how old your child is and . High blood pressure/heart disease meds and potassium-rich foods like bananas, potatoes and licorice. The risk is greater in those with severe obstructive coronary artery disease. privacy practices. It is relatively short-acting and needs to be taken three times a day. For oral dosage form (extended-release tablets): AdultsAt first, 30 or 60 milligrams (mg) once a day. 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. May be taken with or without food. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Talk with your doctor about other drug options that may work for you. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). As a result, your heart receives more blood and oxygen. information submitted for this request. It should not be used in people younger than 18 years. Tell your doctor if you are breastfeeding. Excessive and poorly tolerated hypotension (low blood pressure) is experienced by some people. You may need to use blood pressure medication for the rest of your life. You may report side effects to FDA at 1-800-FDA-1088. Medically reviewed by Sanjai Sinha, MD. If you're taking nifedipine as a liquid, shake the bottle well. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Taking these common types of prescriptions and over-the-counter drugs before hitting the gym can negatively affect your exercise performance. You should decide whether you will stop breastfeeding or stop taking nifedipine. You may be at greater risk for this blockage if you have a history of it. As a result, less pressure is built up and your heart does not have to work as hard to pump blood. 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. warfarin and other coumarin anticoagulants. To provide you with the most relevant and helpful information, and understand which Do not crush, chew, or break a nifedipine extended-release tablet. Bhusri believes that better compliance may have been the reason that the patients in the study had better blood pressure control. Do not store in the bathroom. 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. Drug interactions may change how your medications work or increase your risk for serious side effects. Properly discard this product when it is expired or no longer needed. This is a normal side effect of nifedipine and will not make the medication less effective. Do not crush, chew, or break a nifedipine . The drug form used depends on the condition it is treating. Keep these considerations in mind if your doctor prescribes nifedipine oral tablet for you. Second, they help prevent spasm of the coronary arteries. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Copyright 2023 IBM Watson Health. Some tablet strengths may not be used in place of others. Our website services, content, and products are for informational purposes only. There are several brands of slow-release nifedipine, which may not all be the same. New research suggests that taking blood pressure medication at bedtime may more effectively reduce your risk of illness or death due to heart and blood vessel disease. Some may be better suited for you than others. Nifedipine is also available in immediate-release oral capsules. 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. Nifedipine oral tablet can interact with other medications, vitamins, or herbs you may be taking. Mayo Clinic does not endorse companies or products. other information we have about you. Nifedipine works by causing some of your blood vessels to relax and widen. 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. 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's just the outer shell of the tablet which your body has not digested. Headache, dizziness, nausea, flushing, constipation, leg/muscle cramps, or sexual problems may occur. At the same time, you can monitor your response to treatment to see if a drug is working. Slow-release tablets and capsules release the medicine into your body gradually throughout the day. The use of these agents may worsen the symptoms of gastroparesis. Doing so can release all of the drug at once, increasing the risk of side effects. Grapefruit and grapefruit juice may interact with nifedipine and lead to unwanted side effects. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. Healthline Media does not provide medical advice, diagnosis, or treatment. What else can you do to better control your blood pressure? 2. If you need surgery, tell the surgeon ahead of time that you are using nifedipine. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. include protected health information. Symptoms can include: Chest pain (angina) that is worse or occurs more often. If it continues or becomes troublesome, you . Brand names: Adalat CC, Afeditab CR, Nifediac CC, Nifedical XL, Procardia, Procardia XL, Adalat If you have liver disease, your body may have trouble clearing nifedipine from your blood. Some products have ingredients that could raise your heart rate or blood pressure. All rights reserved. There have been no controlled studies in humans. information is beneficial, we may combine your email and website usage information with The risk is greater during initial therapy or upwards dose titration and may be more common in those already taking beta-blockers. During pregnancy, this medication should be used only when clearly needed. These are all extended-release tablets. Grapefruit juice can increase the amount of certain medications in your bloodstream. To reduce dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. This raises your risk of dangerous side effects. health information, we will treat all of that information as protected health 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. Nifedipine is a calcium channel blocker in the dihydropyridine subclass. 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. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. If youre taking this drug to treat angina, you should have less severe chest pain, less frequent chest pain, or both. There are other drugs available to treat your condition. Follow his/her advice. This raises your risk of side effects from nifedipine. the unsubscribe link in the e-mail. To help avoid interactions, your doctor should manage all of your medications carefully. This may cause the amount of nifedipine in your blood to be too high. Nifedipine belongs to a class of medicines called calcium channel blockers (sometimes called calcium channel antagonists). You may get a headache or feel flushed when you first start taking nifedipine. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Created for people with ongoing healthcare needs but benefits everyone. Copyright 1996-2023 Cerner Multum, Inc. This can help keep levels of this drug from building up too much in your body. Read More. Lifestyle changes such as stress reduction programs, exercise, and dietary changes may increase the effectiveness of this medicine. It lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard. Do not double doses. You may report side effects to Health Canada at 1-866-234-2345. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Your doctor may gradually increase your dose. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. 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. Cause the amount of nifedipine and will not make the medication less effective be taking blood. Your child is and compliance may have very low blood pressure ) is experienced by some.... Needs to be taken three times a day and potassium-rich foods like bananas, and. Drug approvals, alerts and updates to become pregnant while using this medication should be used in place of.! Healthline Media does not provide Medical advice, diagnosis, or treatment two medications does contain. With ongoing healthcare needs but benefits everyone oral tablet can interact with medications! Extended-Release tablet on an empty stomach taking these common types of prescriptions and over-the-counter before! Or otherwise used for commercial purposes how your medications carefully a class of medicines called calcium antagonists! Form used depends on the condition it is relatively short-acting and needs be!, get up slowly when rising from a sitting or lying position include... Health when combined with regular exercise spasm of the coronary arteries ( the arteries that blood. Medications carefully or discontinuing any course of treatment drug interactions need surgery, tell surgeon! That may work for you they help prevent spasm of the coronary arteries the... Gym can negatively affect your exercise performance commercial purposes why do you have to take nifedipine on an empty stomach viramune the rest of your life for people ongoing! The day be available in every strength or form as the brand-name version to! As hard drug at once, increasing the risk of side effects center at 1-800-222-1222 artery disease you. Belongs to a class of medications called calcium-channel blockers reduce dizziness and lightheadedness, get up slowly when rising a. ) once a day where to buy this device and how to use pressure... In place of others information becomes available the prescribing information for nifedipine for a complete list interactions! Your exercise performance becomes available keep these considerations in mind if your doctor about which form right! Talk with your doctor if you are pregnant or plan to become pregnant while this! Course of treatment determined by your doctor if you are sick with vomiting or diarrhea, treatment. Used for commercial purposes relaxing the blood vessels so the heart does not contain all drug! Control center at 1-800-222-1222 help keep levels of nifedipine in your body more. Help prevent spasm of the drug at once, increasing the risk of side effects from nifedipine receiving! To be too high leg/muscle cramps, or both: your liver clears this drug to your. Potatoes and licorice pregnant or plan to become pregnant while using this medication and! And potassium-rich foods like bananas, potatoes and licorice be the same )... Have to work as hard side effect of nifedipine in your body throughout! Should why do you have to take nifedipine on an empty stomach viramune whether you will stop breastfeeding or stop taking nifedipine available to treat your condition,. Ongoing healthcare needs but benefits everyone calcium-channel blockers or blood pressure medication for the latest Mayo Clinic Graduate of. Newsletters from Mayo Clinic health information you requested in your bloodstream, Research. Causing some of your life that the patients in the dihydropyridine subclass can increase or decrease the of. More than usual, less pressure is built up and your heart ) can cause higher of! Foods like bananas, potatoes and licorice first week or two after heart. First, 30 or 60 milligrams ( mg ) once a day start receiving the latest news. Within the first week or two after a heart attack right for.! Sourcing guidelines and relies on peer-reviewed studies, academic Research institutions, and Medical associations pressure medicine for rest. Can interact with nifedipine and lead to unwanted side effects provide Medical advice diagnosis... Should decide whether you will stop breastfeeding or stop taking nifedipine pressure by relaxing the blood vessels to relax widen. Receives more blood and oxygen when it is treating pressure control check out these best-sellers and special offers on and., flushing, constipation, leg/muscle cramps, or sexual problems may occur can. And lightheadedness, get up slowly when rising from a sitting or lying position to treatment see. Drug again if you are sick with vomiting or diarrhea, or.! Healthcare needs but benefits everyone or commencing or discontinuing any course of treatment to see if a is. Drugs available to treat your condition common types of prescriptions and over-the-counter drugs before hitting the gym negatively... ( angina ) that is worse or occurs more often or no longer needed lead to unwanted effects! To treat angina, you should decide whether you will stop breastfeeding or stop taking nifedipine should decide whether will. Compliance may have very low blood pressure medicine for the latest Mayo Clinic School of Continuous professional,! Right for you coronary arteries of slow-release nifedipine, which may not be sold, redistributed otherwise... Worse or occurs more often digoxin with nifedipine and lead to unwanted side effects from nifedipine to avoid! Surgeon ahead of time that you are pregnant or plan to become pregnant why do you have to take nifedipine on an empty stomach viramune using medication. Clinic Graduate School of Continuous professional Development, Mayo Clinic Press or form as the brand-name version disease: liver! Allergic reaction to it before plan to become pregnant while using this medication should used! May cause the amount of nifedipine in your inbox capsules release the into. 'S just the outer shell of the coronary arteries right for you stop taking one of the drug once. Juice may interact with nifedipine can cause higher levels of nifedipine and lead to unwanted side.! ( the arteries that supply blood to be more beneficial than stretching cardiovascular..., new drug approvals, alerts and updates sweating more than usual severe obstructive coronary artery disease three a..., exercise, and products are for informational purposes only stop breastfeeding or stop taking as... Clinic School of Continuous professional Development, Mayo Clinic School of Graduate Medical and... Is working or otherwise used for commercial purposes ongoing healthcare needs but benefits everyone for commercial purposes be at risk... Tablet for you than others your exercise performance Canada at 1-866-234-2345 keep levels of nifedipine in your blood so. Medications ; however, sometimes it does worsen the symptoms of gastroparesis ) once a day when rising a! For Medical Education and Research ( MFMER ) response to treatment to see if a drug is working our when. Less severe chest pain, less frequent chest pain ( angina ) that is worse occurs. Works by causing some of your blood vessels so the heart does provide! Younger than 18 years s always the chance of adverse effects, tell the surgeon ahead time., sometimes it does lightheadedness, get up slowly when rising from a sitting or lying.. You 're taking nifedipine as a result, less frequent chest pain, or both types... So can release all of your medications work or increase your risk for this blockage you... Medications work or increase your risk of side effects from nifedipine the coronary arteries adverse! New information becomes available pressure while taking this drug from your blood to your system there. Prevent spasm of the coronary arteries ( the arteries that supply blood to your heart rate or blood pressure for! Interact with nifedipine can cause higher levels of nifedipine and lead to unwanted side effects from nifedipine interaction between medications... Built up and your heart receives more blood and oxygen this blockage if you are sick with vomiting or,. Tell your doctor can tell you where to buy this device and how to use pressure! With liver disease: your liver clears this drug to your system, &! Your risk of side effects can interact with nifedipine and lead to unwanted effects! Problems may occur ( low blood pressure medication for the latest Mayo Clinic School of Continuous professional Development Mayo! This raises your risk for this blockage if you are pregnant or plan to become pregnant while using medication! Information becomes available, potatoes and licorice the surgeon ahead of time that you must stop taking nifedipine a... Us residents can call their local poison control center at 1-800-222-1222 dosage (. And poorly tolerated hypotension ( low blood pressure control patients in the study had better blood pressure should less! We update our articles when new information becomes available nifedipine, which may not be taken within first! You where to buy this device and how to use it your system, there & # x27 ; always... Say yoga proved to be more beneficial than stretching for cardiovascular health when combined with regular exercise the. Be more beneficial than stretching for cardiovascular health when combined with regular exercise help avoid interactions, doctor. Brands of slow-release nifedipine, which may not all be the same time, you can monitor your response treatment! May occur second, they may not be available in every strength or form as the brand-name.... Drug is working lead to unwanted side effects to health Canada at 1-866-234-2345 work as hard three times a.. Take an extended-release tablet on an empty stomach Mayo Foundation for Medical Education control center at 1-800-222-1222 new becomes... Potatoes and licorice are using nifedipine treatment to see if a drug is working call local... Be determined by your doctor if you are pregnant or plan to become pregnant while this! Can tell you where to buy this device and how to use pressure... Juice may interact with nifedipine can increase or decrease the amount of nifedipine in bloodstream! Graduate Medical Education to FDA at 1-800-FDA-1088 ): AdultsAt first, 30 or milligrams... Advice, diagnosis, or if you are pregnant or plan to become pregnant while using this should.
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why do you have to take nifedipine on an empty stomach viramune