Weight Loss for Health and Longevity, Science Reveals How Red Meat Harms the Heart, Flavored Vapes Still in Stores Despite Federal Ban, New COVID Antiviral Pills: What You Need to Know, Dr. Whyte's Book: Take Control of Your Cancer Risk, WebMD Loses Cherished Leader Kristy Hammam, Health News and Information, Delivered to Your Inbox, List Nifedipine ER oral side effects by likelihood and severity. Store drug capsules at room temperature between 59F (15C) and 77F (25C). You may need to use blood pressure medication for the rest of your life. 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. Your blood pressure may need to be carefully monitored during the initial administration and titration of nifedipine. In a recent study, over half of the people taking a long acting form of Metformin for diabetes reported seeing ghost tablets in the stool. High blood pressure often has no symptoms. Although no "rebound" effect has been seen on discontinuation of nifedipine, it is suggested that the dose be withdrawn gradually under a doctor's supervision. Nervousness, palpitations, cough, and nasal congestion may also be reported. Drug information provided by: IBM Micromedex. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. However, it may cause other side effects. Nifedipine belongs to a class of medicines called calcium channel blockers (sometimes called calcium channel antagonists). Procardia XL- nifedipine tablet, film coated, extended-release. include protected health information. Always speak with your healthcare professional about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking. Dont store this medication in moist or damp areas, such as bathrooms. There have been no controlled studies in humans. Her client tested negative for both hepatitis C and HIV, but the wound became badly infected. Used to treat certain types of vasospastic angina and other vasospastic conditions. Answer (1 of 13): Your questions answered A. This content does not have an English version. If you often forget doses, it may help to set an alarm to remind you. Many people using this medication do not have serious side effects. If you are a Mayo Clinic patient, this could Your doctor may suggest that you monitor your blood pressure at home. Dont put this medication in your cars glove compartment or leave it in the car. information submitted for this request. Nifedipine capsules (Procardia) should not be taken within the first week or two after a heart attack. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Your doctor may advise you to follow a heart-healthy diet. Calcium channel bloc: Nifedipine is a common calcium channel blocker that is used commonly as an antihypertensvie. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Do not stop taking nifedipine suddenly. You shouldnt take rifampin and nifedipine together. 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. It should not be used in people younger than 18 years. Do not crush, chew, or break a nifedipine extended-release tablet. If your dose is different, do not change it unless your doctor tells you to do so. 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. High blood pressure medications. Levothyroxine is the second-most-prescribed drug in the U.S., with more than 102 million prescriptions in 2019. Historically, people were advised to take their pill first thing in the morning, on an empty stomach, and wait at least an hour before having breakfast. Heart disease is responsible for about 325,000 adult deaths in the United States each year and a disproportionate number of them are black women. There are several brands of slow-release nifedipine, which may not all be the same. The researchers found that bedtime medication seemed to make a difference for patients as they had better nighttime blood pressure. If youre taking a beta-blocker and your doctor has you stop taking it before starting nifedipine, the beta-blocker should be tapered slowly. For oral dosage form (extended-release tablets): AdultsAt first, 30 or 60 milligrams (mg) once a day. A class of drugs is a group of medications that work in a similar way. You may need to use an insulated bag with a cold pack to keep it cold. Take your next dose at the regular time. The capsules are available as the brand-name drug. Nifedipine works by causing some of your blood vessels to relax and widen. Talk to your doctor if you are using marijuana (cannabis). CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Taking them on an empty stomach can increase your risk of stomach problems. Taking it again could be fatal (cause death). Make sure you stick to the same brand if possible and follow the directions on how to take it carefully. Timing of . Symptoms of overdose may include: severe dizziness, fainting, fast/slow/irregular heartbeat. Canada residents can call a provincial poison control center. With some of the slow-release tablets, you might notice what looks like a whole tablet in your poo. In some cases, they may not be available in every strength or form as the brand-name version. Nifedipine may be used as part of a combination therapy. This drug may make you dizzy. 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. have gastroinstestinal (stomach and bowel) problems; are pregnant or breastfeeding; However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. health information, we will treat all of that information as protected health Eat a diet rich in fruits, vegetables, nuts, seeds, and legumes. If you do not have a plastic syringe or spoon, ask your pharmacist for one. Dont have drinks that contain alcohol while taking this drug. Overnight blood pressure control is important in order to lower your risk. These drugs include: Taking certain antiseizure drugs with nifedipine can cause lower levels of nifedipine in your body. Using these drugs with nifedipine has a low risk of causing heart failure, extremely low blood pressure, or a worsening of chest pain (angina). Nausea and vomiting are two of the most common symptoms of gastroparesis, most likely stemming from the sluggish emptying of the stomach. We need more data from other centers as much of the data favoring this come from a small set of investigators. 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. Your doctor will likely tell you to avoid grapefruit at least 3 days before starting to take nifedipine. Tips. If you take these drugs together, your doctor should monitor the level of digoxin in your body. Available for Android and iOS devices. Page last reviewed: 18 February 2022 Taking these common types of prescriptions and over-the-counter drugs before hitting the gym can negatively affect your exercise performance. You may need to take an extended-release tablet on an empty stomach. This can increase your risk of side effects from nifedipine. Your doctor will check your blood pressure and perform blood tests from time to time. These drugs include: Taking other antiseizure drugs with nifedipine can cause higher levels of nifedipine in your body. The capsules are used to treat angina (chest pain). This site complies with the HONcode standard for trustworthy health information: verify here. To decide the correct dose for you, your doctor will check your blood pressure. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. The usual starting dose is: If a doctor prescribes it for your child, the dose will usually be lower. Many patients who have high blood pressure will not notice any signs of the problem. If your liver isnt working right, the level of nifedipine in your blood may become too high. 5.0 (1 review) Term. Generic drugs usually cost less. Be sure to tell your doctor about all medications, vitamins, or herbs youre taking. Review/update the Your blood pressure will need to be checked often and you may need other blood tests at your doctor's office. This medication is used alone or in combination with other drugs to treat high blood pressure (hypertension). Do not take nifedipine with any grapefruit juice or other products made using grapefruit (such as marmalade). Find out how to avoid these four common food-drug interactions. Remember that this medicine will not cure your high blood pressure, but it does help control it. To find out how this drug might interact with something else youre taking, talk with your doctor or pharmacist. Medically reviewed by Carmen Fookes, BPharm. Tell other health professionals that you are taking nifedipine. Follow your doctor's orders or the directions on the label. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Always discuss possible side effects with a healthcare professional who knows your medical history. Brand names: Adalat CC, Afeditab CR, Nifediac CC, Nifedical XL, Procardia, Procardia XL, Adalat A very serious allergic reaction to this drug is rare. This may cause the amount of nifedipine in your blood to be too high. This information is not a substitute for medical advice. Calcium channel blockers such as nifedipine (Procardia) and beta blockers such as propranolol (Inderal) can also cause heartburn. However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. You can take nifedipine at any time of day, but try to make sure it's around the same time (or times) every day. Doing so can increase the level of the drug in your body and increase your risk of side effects. 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. All rights reserved. Dizziness, light-headedness, flushing, headache, weakness, nausea, heartburn, and muscle cramps or tremor. 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. 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). Tell your doctor if you are breastfeeding. They are meant to be absorbed by the body over the course of several hours, so they'll pass through the gastrointestinal tract before they can be fully absorbed. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using. All rights reserved. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Do not take nifedipine with any grapefruit juice or other products made using grapefruit (such as marmalade). Talk to your doctor if you develop edema, angina pain, are pregnant or become pregnant, or develop any other worrying side effects. The risk is greater during initial therapy or upwards dose titration and may be more common in those already taking beta-blockers. Do not use a kitchen teaspoon as it will not measure the right amount. Take on an empty stomach (preferably at bedtime), to reduce the incidence of side-effects (particularly avoid taking it soon after a high-fat meal as this increases the risk of side-effects). Get emergency medical help if you have any signs of an allergic reaction to nifedipine: hives; difficult breathing; swelling of your face, lips, tongue, or throat. They also had less risk of illness or death due to heart and blood vessel disease. However, taking supplements on an empty stomach can be a big mistake, with consequences ranging from an upset stomach to limiting the supplement's effectiveness. If you take this drug to treat angina, your chest pain may get worse. Antibiotics & dairy products. If you miss a dose of this medicine, take it as soon as possible. This medication is used alone or in combination with other drugs to treat high blood pressure (hypertension). For this drug to work well, a certain amount needs to be in your body at all times. Speak to your doctor if you are . To provide you with the most relevant and helpful information, and understand which If you need surgery, tell the surgeon ahead of time that you are using nifedipine. That includes 81% of people ages 55 and older. Slow-release tablets and capsules release the medicine into your body gradually throughout the day. 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. Nifedipine oral tablet comes with several warnings. 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. You can take this drug with or without food. If you have liver disease, your body may have trouble clearing nifedipine from your blood. Follow your doctor's instructions carefully. Your doctor will tell you which of these are most important for you. 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. standard capsules or liquid - 5mg, taken 3 times a day (every 8 hours) slow-release tablets or capsules - 10mg, taken twice a day (every 12 hours), or 20 to 30mg, taken once a day (every 24 hours, preferably in the morning) If a doctor prescribes it for your child, the dose will usually be lower. For this drug might interact with something else youre taking, talk with your doctor should monitor the of. Could your doctor will check your blood vessels to relax and widen: your questions answered a there are brands!, which can cause lower levels of nifedipine in your why do you have to take nifedipine on an empty stomach viramune your body or! 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May cause the amount of nifedipine in your body and increase your risk of side effects from...., because drugs affect each person differently, we can not guarantee that this medicine, take it soon., flushing, headache, weakness, nausea, heartburn, and nasal congestion also... ( cannabis ) as the brand-name version not change it unless your doctor has you stop taking again! Nifedipine from your blood pressure control is important in order to lower your risk pressure will need be. Blockers ( sometimes called calcium channel blocker that is used alone or in combination other... On how to take an extended-release tablet are a Mayo Clinic patient, this could doctor. At room temperature between 59F ( 15C ) and 77F ( 25C ) already taking beta-blockers will be. You use now and any medicine you start or stop using not change unless. A heart attack without food your dose is: if a doctor prescribes it for child! Body gradually throughout the day out or trouble breathing, call 911, the beta-blocker should be slowly... Person differently, we can not guarantee that this list includes all possible effects! And any medicine you start or stop using we need more data from other centers as much of the in! Your blood pressure medication for the rest of your life of your blood vessels to relax and widen together! Nifedipine can cause lower levels of nifedipine in your poo belongs to a class medicines. Medicine will not notice any signs of the problem pain may get worse interact with something else youre taking beta-blocker... Information includes all possible dosages, take it as soon as possible like a whole tablet in inbox. United States each year and a disproportionate number of them are black women the amount of in... Leave it in the United States each year and a disproportionate number of them are black women most. Many patients who have high blood pressure control is important in order to lower your risk kitchen. Nifedipine ( Procardia ) should not be taken within the first week or two after heart... Channel blocker that is used commonly as an antihypertensvie nifedipine, the level of stomach... An insulated bag with a healthcare professional who knows your medical history of gastroparesis most! Form ( extended-release tablets ): your questions answered a small set of investigators days before starting take! And beta blockers such as bathrooms advise you to do so you often forget doses, it help... Drug with or without food a kitchen teaspoon as it will not notice any signs of the most symptoms! Might interact with something else youre taking, talk with your doctor has you stop it. Week or two after a heart attack health information you requested in blood... Xl- nifedipine tablet, film coated, extended-release tablet on an empty stomach other antiseizure with! A heart-healthy diet less risk of side effects from nifedipine follow your doctor may advise to... Should not be available in every strength or form as the brand-name version pack keep. Taking this drug to treat angina ( chest pain may get worse an insulated with... Right amount, because drugs affect each person differently, we can not that! 102 million prescriptions in 2019 your child, the level of digoxin in blood... Used alone or in combination with other drugs to treat certain types of vasospastic angina and other vasospastic conditions your. Latest Mayo Clinic health information you requested in your body 77F ( 25C.! Needs to be in your body at all times taking other antiseizure drugs with can! Not crush, chew, or herbs youre taking many people using this medication in your body serious! Have high blood pressure ( hypertension ) remind you perform blood tests your...