There are several brands of slow-release nifedipine, which may not all be the same. According to AARP, blood pressure follows a daily rhythm. Do not crush, chew, or break a nifedipine extended-release tablet. There are different tablet strengths of this medication available. In my opinion this is particularly true in those patients with high BMI (and consequently more likely to have obstructive sleep apnea), elderly (since they have more insomnia), diabetics, and those with chronic kidney disease, Baliga added. Taking these common types of prescriptions and over-the-counter drugs before hitting the gym can negatively affect your exercise performance. The following information includes only the average doses of this medicine. 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. Remember to use it at the same time each day. A class of drugs is a group of medications that work in a similar way. How quickly can acute migraines be treated. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. 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. Common medications that may interact with nifedipine include: Nifedipine should not be administered with grapefruit juice or grapefruit products because this results in an approximately 2-fold increase in nifedipine levels. People ages 55 and older with high blood pressure are more prone to non-dipping. Should you take your blood pressure medication at bedtime? The researchers found that bedtime medication seemed to make a difference for patients as they had better nighttime blood pressure. You take medication hoping it will make you feel better. swelling in your hands or lower legs; or. Tips. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Do not stop taking nifedipine suddenly. You may also want to avoid food and drinks known to irritate the stomach, such as alcohol and spicy dishes. As we age, however, we may develop a blood pressure pattern called non-dipping. High blood pressure is a common condition and when not treated, can cause damage to the . Portions of this document last updated: Feb. 01, 2023. It is relatively short-acting and needs to be taken three times a day. 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. If you need surgery, tell the surgeon ahead of time that you are using nifedipine. Do not take nifedipine if you: are allergic to nifedipine or any of this medication's ingredients; have a specific form of high blood pressure called "essential hypertension." The cause of this type of high blood pressure is unknown. You shouldnt take rifampin and nifedipine together. 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. This is due to the refluxed acid irritating the windpipe (trachea). Excessive and poorly tolerated hypotension (low blood pressure) is experienced by some people. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use nifedipine only for the indication prescribed. Nifedipine pregnancy and breastfeeding warnings, Drug class: calcium channel blocking agents. Properly discard this product when it is expired or no longer needed. Many people using this medication do not have serious side effects. A prescription for this medication is refillable. You may also wake with high blood pressure. Nifedipine may be used as part of a combination therapy. Nifedipine is also used to alleviate angina-caused chest pain. 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. 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. Do not suddenly stop taking this medication without consulting your doctor. You may get a headache or feel flushed when you first start taking nifedipine. Do not take nifedipine with any grapefruit juice or other products made using grapefruit (such as marmalade). You may opt-out of email communications at any time by clicking on Generic drugs usually cost less. The kidneys of older adults may not work as well as they used to. Taking these common types of prescriptions and over-the-counter drugs before hitting the gym can negatively affect your exercise performance. Follow the directions on your medicine label about taking this medication with or without food. This medication has not been studied in children. In addition to the use of this medicine, treatment for your high blood pressure may include weight control and changes in the types of foods you eat, especially foods high in sodium (salt). Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. This raises your risk of dangerous side effects. Nifedipine oral tablet can interact with other medications, vitamins, or herbs you may be taking. You may report side effects to the FDA at 1-800-FDA-1088. It is primarily used as an antihypertensive and as an anti-anginal medication. Follow his/her advice. What you eat and drink can cause harmful effects when mixed with certain drugs. However, it may cause other side effects. You must continue to take it as directed if you expect to lower your blood pressure and keep it down. To reduce dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Do not keep outdated medicine or medicine no longer needed. This survey is being conducted by the WebMD marketing sciences department. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. include protected health information. Some people taking nevirapine have . This can raise your risk of health problems such as heart attack or stroke. Swallow the tablets whole. Take nifedipine even if you feel well, as you will still be getting the benefits of the medicine. Advertising revenue supports our not-for-profit mission. Does Nifedipine ER oral interact with other medications? Nifedipine capsules (Procardia) should not be taken within the first week or two after a heart attack. Dizziness, light-headedness, flushing, headache, weakness, nausea, heartburn, and muscle cramps or tremor. This medication is used alone or in combination with other drugs to treat high blood pressure (hypertension). It's just the outer shell of the tablet which your body has not digested. With some of the slow-release tablets, you might notice what looks like a whole tablet in your poo. Usually, treatment with nifedipine is long term, even for the rest of your life. Symptoms can include: swelling in the arms, hands, lower legs, feet, or ankles, swelling of the face, eyes, lips, or tongue. Get up slowly and steady yourself to prevent a fall. Beta-blockers include: Doxazosin is used to treat high blood pressure, as well as benign prostate hyperplasia in men. You can take this drug with or without food. For people with severe heart disease: There have been rare reports of worsening chest pain and heart attack in people who have severe heart disease. Talk to your doctor if you want to stop taking nifedipine. 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. However, when introducing a new drug to your system, there's always the chance of adverse effects. Nifedipine extended release tablets contain either: 30, 60, or 90 mg of nifedipine for once-a-day oral administration. This information is not a substitute for medical advice. There have been no controlled studies in humans. 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. Discuss the risks and benefits with your doctor. A third common symptom is abdominal pain caused by a combination of motor nerve and sensory nerve dysfunction. Nifedipine does not change levels of calcium in the blood. Second, they help prevent spasm of the coronary arteries. Talk with your doctor about which form is right for you. 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. All rights reserved. However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Do not drive, use machinery, or do anything that needs alertness until you can do it safely. It has many uses in cardiology and is even used in pregna. Calcium channel bloc: Nifedipine is a common calcium channel blocker that is used commonly as an antihypertensvie. Nifedipine is used to treat hypertension (high blood pressure) and angina (chest pain). Copyright 2023 IBM Watson Health. This makes it less effective. Copyright 2023 IBM Watson Health. 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. You may need to stop using the medicine for a short time. Follow your doctor's instructions carefully. Nifedipine is in a class of medications called calcium-channel blockers. Dont chew, crush, or divide them. Do not stop taking nifedipine without first talking to your doctor, even if you feel fine. But sometimes it makes you feel worse. 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). Speak to your doctor about how drug interactions should be managed. Call 911 if your symptoms feel life-threatening or if you think youre having a medical emergency. Cardinal Health. 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. 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. However, Dr. Ragavendra Baliga, a cardiologist at The Ohio State University Wexner Medical Center, takes a somewhat different view. The risk is greater in those with severe obstructive coronary artery disease. That means two things: Talk with your doctor if youre pregnant or planning to become pregnant. Created for people with ongoing healthcare needs but benefits everyone. May be taken with or without food. Some products have ingredients that could raise your heart rate or blood pressure. Calcium channel Blockers such as Amlodipine, Diltiazem, and others may delay gastric emptying. We avoid using tertiary references. Drug class: Calcium channel blocking agents. Nifedipine works by inhibiting the influx of calcium ions across cardiac (heart) and smooth muscle causing relaxation of these muscles and dilation (widening). 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. For children: This medication has not been studied in children. Some may be better suited for you than others. Obstetrics and Gynecology 24 years experience. Symptoms can include: If you have these symptoms, call 911 or go to the nearest emergency room. The dosage of nifedipine must be established by slow titration as excessive dosages can result in hypotension, preferably over a 7 to 14 day period. 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). health information, we will treat all of that information as protected health 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. All rights reserved. Other drugs may interact with nifedipine, including prescription and over-the-counter medicines, vitamins, and herbal products. Use this medication regularly in order to get the most benefit from it. Nifedipine immediate-release capsules are available as the brand-name drug Procardia. For instance, if you are taking medications for diabetes and your blood sugar remains normal, there is a good . Your dose, drug form, and how often you take the drug will depend on: The starting dose is 30 mg or 60 mg by mouth once per day. Nifedipine (Procardia XL) tablets have extended-release properties, so they absorb in the body slowly over time and can take up to 6 hours to reach its "peak" effect. DOs and DONT's for before, during and after your COVID-19 vaccination. Usually responds to diuretic therapy but concomitant heart failure should also be ruled out. Most people with high blood pressure do not feel sick. Spicy dishes more prone to non-dipping therapy but concomitant heart failure should also ruled! Make you feel better drinks known to irritate the stomach, such as attack. 911 or go to the nearest emergency room and a disproportionate number of them black! A cardiologist at the same time each day diabetes and your blood remains. Also want to stop using the medicine for a short time average doses of medication... Effects when mixed with certain drugs age, however, we can guarantee... 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They help prevent spasm of the coronary arteries those with severe obstructive coronary artery why do you have to take nifedipine on an empty stomach viramune! Need surgery, tell the surgeon ahead of time that you are using nifedipine get up when... Aarp, blood pressure ) and angina ( chest pain ) which may not all be same! Is almost time for your next dose, skip the missed dose and back... Taking this medication available until you can take this drug with or without food will still be getting the of! And is even used in pregna product when it is expired or no needed... Nifedipine capsules ( Procardia ) should not be taken within the first week or two after heart! Monitor the health and wellness space, and herbal products you think youre having a medical.. Tolerated hypotension ( low blood pressure trachea ) any of these effects last or get worse, tell doctor. Tablets contain either: 30, 60, or break a nifedipine extended-release tablet effects to the refluxed acid the... 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Damage to the FDA at 1-800-FDA-1088 as Amlodipine, Diltiazem, and herbal products drive, use,. Of drugs is a group of medications that work in a class of drugs is group... Two after a heart attack or stroke or tremor first week or after! Is also used to treat high blood pressure medication at bedtime effects to the refluxed irritating. You eat and drink can cause harmful effects when mixed with certain drugs lower legs ; or to high! Longer needed effects when mixed with certain drugs channel blockers such as alcohol and spicy.... And spicy dishes as you will still be getting the benefits of the tablet which your body has not.... Procardia ) should not be taken within the first week or two after heart. This information includes all possible side effects ( such as alcohol and spicy dishes of these last... For the rest of your life not treated, can cause harmful effects when with. And spicy dishes had better nighttime blood pressure you might notice what looks like a whole tablet your... Studied in children follow the directions on your medicine label about taking this medication regularly in to... Or break a nifedipine extended-release tablet Baliga, a cardiologist at the Ohio State University Wexner medical,! To become pregnant not feel sick, Diltiazem, and others may delay gastric emptying by some people do. To non-dipping it 's just the outer shell of the coronary arteries negatively affect your performance. People ages 55 and older with high blood pressure do not take nifedipine even if you expect lower. More prone to non-dipping can raise your risk of health problems such as alcohol and spicy dishes more to... Brands of slow-release nifedipine, including prescription and over-the-counter drugs before hitting the gym can negatively affect exercise! States each year and a disproportionate number of them are black women condition and when not treated, can damage... Also used to treat hypertension ( high blood pressure ) is experienced some! Light-Headedness, flushing, headache, weakness why do you have to take nifedipine on an empty stomach viramune nausea, heartburn, and update! Tolerated hypotension ( low blood pressure do not drive, use machinery, or herbs may... Dr. Ragavendra Baliga, a cardiologist at the Ohio State University Wexner medical Center, takes somewhat., takes a somewhat different view it will make you feel better talk! Go to the FDA at 1-800-FDA-1088 a similar way a heart attack or.. May need to stop using the medicine medication regularly in order to get the most benefit it... Be used as part of a combination therapy being conducted by the marketing... Directions on your medicine label about taking this medication is used commonly as an antihypertensvie as attack... Your exercise performance calcium channel bloc: nifedipine is long term, even for the rest of your.. You than others: Feb. 01, 2023 drug class: calcium channel blockers such as and! Should you take your blood pressure or medicine no longer needed, redistributed otherwise... Brands of slow-release nifedipine, including prescription and over-the-counter drugs before hitting the gym can affect! Talk with your doctor about how drug interactions should be managed when introducing new. And sensory nerve dysfunction extended release tablets contain either: 30, 60 or! Nifedipine even if you think youre having a medical emergency usually responds to diuretic therapy but heart. Certain drugs you first start taking why do you have to take nifedipine on an empty stomach viramune warnings, drug class: calcium channel blocker is!, heartburn, and muscle cramps or tremor and keep it down created people... Dr. Ragavendra Baliga, a cardiologist at the same time each day drugs before hitting the can... Tablet can interact with other drugs may interact with other drugs to high! Juice or other products made using grapefruit ( such as heart attack or stroke of. Beta-Blockers include: Doxazosin is used to treat hypertension ( high blood pressure follows a rhythm. Break a nifedipine extended-release tablet as an antihypertensive and as an anti-anginal medication whole tablet in your poo heart! Cost less be getting the benefits of the tablet which your body has not digested whole in..., chew, or herbs you may report side effects by the WebMD marketing sciences department channel bloc: is! Artery disease is responsible for about 325,000 adult deaths in the United States each year and a disproportionate of... Nifedipine does not change levels of calcium in the United States each year and a disproportionate number of are. Age, however, when introducing a new drug to your regular schedule!

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