Select a condition to view a list of medication options. Keep these considerations in mind if your doctor prescribes nifedipine oral tablet for you. 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). If you're not sure, check with your doctor or pharmacist. 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. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Its also used to treat two types of angina (chest pain): vasospastic angina and chronic stable angina. For oral dosage form (extended-release tablets): AdultsAt first, 30 or 60 milligrams (mg) once a day. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). These are all extended-release tablets. Most people with high blood pressure do not feel sick. Never try to catch up by taking two doses at once. If you are also taking a beta-blocker (atenolol, carvedilol, labetalol, metoprolol, nadolol, nebivolol, propranolol, sotalol, and others) you should not stop using the beta-blocker suddenly or you could have serious heart problems that will not be prevented by nifedipine. Nifedipine oral tablet is available as both a generic drug and brand-name drug. This content does not have an Arabic version. Qulipta, amlodipine, lisinopril, aspirin, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide, propranolol. You must continue to take it as directed if you expect to lower your blood pressure and keep it down. This can raise your risk of health problems such as heart attack or stroke. You may be at greater risk for this blockage if you have a history of it. Do not take nifedipine with any grapefruit juice or other products made using grapefruit (such as marmalade). Talk to your pharmacist for more details. This makes it less effective. These drugs include: Taking other antiseizure drugs with nifedipine can cause higher levels of nifedipine in your body. If any of these effects last or get worse, tell your doctor or pharmacist promptly. This can increase your risk of side effects from nifedipine. Call your doctor right away if you have serious side effects. Follow your doctor's instructions about tapering your beta-blocker dose. This is due to the refluxed acid irritating the windpipe (trachea). This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. This medication has not been studied in children. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. If you have liver disease, your body may have trouble clearing nifedipine from your blood. Do not take extra medicine to make up the missed dose. This dosage information is for nifedipine oral tablet. Your doctor may advise you to take sublingual nitroglycerin during the initial administration of nifedipine. Make sure you stick to the same brand if possible and follow the directions on how to take it carefully. We clearly need more data.. Also used in the treatment of chronic stable angina in patients intolerant of, or not adequately controlled by, beta-blockers or nitrates. Nausea. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Other drugs may interact with nifedipine, including prescription and over-the-counter medicines, vitamins, and herbal products. If you remember just a few hours before your next scheduled dose, take only one dose. This drug may make you dizzy. Research published in the October 22, 2019, issue of the European Heart Journal suggests that maybe you should. Talk with your doctor to find out the true cause of any increased swelling you may have. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. If the starting dose is not working well enough (your blood pressure does not come down enough, or you are still getting symptoms), you may need to increase your dose. Nifedipine oral tablet can interact with other medications, vitamins, or herbs you may be taking. You may need to use an insulated bag with a cold pack to keep it cold. Follow your doctor's instructions carefully. Do not crush or chew the tablets. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well. What are the new treatment options for migraines? You may report side effects to Health Canada at 1-866-234-2345. As we age, however, we may develop a blood pressure pattern called non-dipping. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. trouble concentrating. Do not start, stop, or change the dosage of any medicines without your doctor's approval. 5.0 (1 review) Term. This could result in dangerous side effects. Grapefruit juice can increase the amount of certain medications in your bloodstream. 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. It often rises higher during the day and falls at night when we sleep. This drug should only be used if the potential benefit justifies the potential risk to the fetus. 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. Yes, I would recommend bedtime administration of BP meds based on this study and others cited in this article because of the significant survival benefit, he said. Copyright 2023 IBM Watson Health. Nausea and vomiting are two of the most common symptoms of gastroparesis, most likely stemming from the sluggish emptying of the stomach. It works by relaxing blood vessels so blood can flow more easily. Animal studies report that nifedipine causes birth defects in rats and rabbits. They also had less risk of illness or death due to heart and blood vessel disease. Dizziness, light-headedness, flushing, headache, weakness, nausea, heartburn, and muscle cramps or tremor. May not be suitable for some people including those with preexisting low blood pressure, dehydration, those experiencing angina as a result of beta-blocker withdrawal, or with heart failure. 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. Nifedipine is also available in immediate-release oral capsules. This information is not a substitute for medical advice. Occasionally, it is used to treat the phenomenon of Raynaud and Chilblains. As a result, your heart receives more blood and oxygen. While there have been no reports of harm to nursing infants, consult your doctor before breast-feeding. These drugs include: Taking certain antiviral drugs with nifedipine can cause higher levels of nifedipine in your body. They cant hurt your medication. Take the nifedipine packet or leaflet inside it plus any remaining medicine with you. 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. 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. 2. Do not use a kitchen teaspoon as it will not measure the right amount. In the study, the researchers followed 19,084 patients with high blood pressure for a median of 6 years. If you're bothered by side effects, you may need to stay on a lower dose. This medication is used alone or in combination with other drugs to treat high blood pressure (hypertension). These may include: Vomiting. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. Why is the timing of your medication important? Research in animals has shown adverse effects to the fetus when the mother takes the drug. Drug class: calcium channel blocking agents, https://www.drugs.com/pro/nifedipine-capsules.html. 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. The kidneys of older adults may not work as well as they used to. Created for people with ongoing healthcare needs but benefits everyone. Mayo Clinic does not endorse companies or products. These drugs include: Taking certain antiseizure drugs with nifedipine can cause lower levels of nifedipine in your body. For oral dosage form (capsules): AdultsAt first, 10 milligrams (mg) three times a day. Are you consistent and regular in taking your medication? Nifedipine works by causing some of your blood vessels to relax and widen. 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. upper stomach pain, jaundice (yellowing of the skin or eyes). If you're taking nifedipine as a liquid, shake the bottle well. With some of the slow-release tablets, you might notice what looks like a whole tablet in your poo. DO make sure you eat something and are well hydrated before your appointment, so you feel your best. 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. Answer (1 of 13): Your questions answered A. It is well known that meds that are prescribed to take at night have a higher rate of consistency, said Bhusri. Dr. Satjit Bhusri, assistant professor of cardiology at Zucker School of Medicine at Hofstra/Northwell, also felt that it should not be a blanket recommendation for all patients. Uses. Some tablet forms of nifedipine are made with a shell that is not absorbed or melted in the body. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Swallow it whole. If you take too much: You could have dangerous levels of the drug in your body. You should not need a new prescription for this medication to be refilled. Also, since many medications cause urination, people may prefer to take them early in the day. A team of researchers analyzed the potential side effects of a common blood pressure drug and found that it may increase the risk of a potentially severe bowel condition. If you are a Mayo Clinic patient, this could 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. Speak to your doctor if you are . other information we have about you. Stopping suddenly may make your condition worse. An extended-release drug is slowly released into your bloodstream over time. Nifedipine is used in the treatment of vasospastic angina and occasionally for chronic unstable angina as an add-on to other treatments. What should I know regarding pregnancy, nursing and administering Nifedipine ER oral to children or the elderly? Do not flush medications down the toilet or pour them into a drain unless instructed to do so. That is, swings in blood pressure for not adhering to the regimen.. Remember to use it at the same time each day. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. stomach discomfort, upset, or pain. For people with a history of gastrointestinal blockage: There have been rare reports of gastrointestinal blockage with use of the brand-name drug Procardia XL. 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. 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. Nifedipine oral tablet comes with several warnings. information highlighted below and resubmit the form. Not every pharmacy stocks this drug. Timing of . If you stop taking the drug suddenly or dont take it at all: If you take this drug to treat high blood pressure, your blood pressure may increase. 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. Store drug capsules at room temperature between 59F (15C) and 77F (25C). Do not break, crush, chew or open up the capsules unless your doctor or pharmacist has said you can. As a result, less pressure is built up and your heart does not have to work as hard to pump blood. All rights reserved. Always carry your medication with you or in your carry-on bag. include protected health information. This is because food and some drinks can affect the way these medicines work. While you should never stop taking metoprolol on your own, seek immediate attention if you experience difficulty breathing, swelling, fainting or a rapid, pounding or irregular heartbeat. 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. Swallow the capsules or tablets whole with a drink of water. Ask your healthcare professional how you should dispose of any medicine you do not use. If you eat breakfast at 8:00 in the morning, wait for 2 hours or un. Disclaimer: Our goal is to provide you with the most relevant and current information. You should not stop using nifedipine suddenly. Disclaimer: Our goal is to provide you with the most relevant and current information. Doing so can release all of the drug at once, increasing the risk of side effects. 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. This survey is being conducted by the WebMD marketing sciences department. There have been no controlled studies in humans. This usually means you do not need to take them as often. If you notice any other effects, check with your healthcare professional. Nifedipine is very sensitive to light, so make sure you take your tablet or capsule as soon as you take it out of the packet. We comply with the HONcode standard for trustworthy health information. 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. Portions of this document last updated: Feb. 01, 2023. 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. You may report side effects to FDA at 1-800-FDA-1088. Nifedipine oral tablet doesnt cause drowsiness. Some tablet strengths may not be used in place of others. All rights reserved. Bhusri feels the key to controlling your blood pressure is your routine. include protected health information. The bottom line. Nervousness, palpitations, cough, and nasal congestion may also be reported. Drug information provided by: IBM Micromedex. Nevirapine can cause serious, life-threatening side effects. Many people using this medication do not have serious side effects. Timing of medication is important because blood pressure typically follows a daily rhythm. How to tell if the drug is working: If youre taking this drug to treat high blood pressure, your blood pressure level should go down. You can take nifedipine at any time of day, but try to make sure it's around the same time (or times) every day. 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. Properly discard this product when it is expired or no longer needed. swelling of the breasts or breast soreness in both females and males. 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. Mayo Clinic does not endorse companies or products. 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. What you eat and drink can cause harmful effects when mixed with certain drugs. 1 / 90. We comply with the HONcode standard for trustworthy health information. It has many uses in cardiology and is even used in pregna. Typically, these symptoms occur toward the end of meals or soon after meals are finished. This site complies with the HONcode standard for trustworthy health information: verify here. We need more data from other centers as much of the data favoring this come from a small set of investigators. Nifedipine is used to treat hypertension (high blood pressure) and angina (chest pain). Nifedipine is a drug for the treatment of high blood pressure. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. Available for Android and iOS devices. 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. Other medications can affect the removal of nifedipine from your body, which may affect how nifedipine works. This raises your risk of dangerous side effects. Brand names: Adalat CC, Afeditab CR, Nifediac CC, Nifedical XL, Procardia, Procardia XL, Adalat The elderly drug should only be used in the study, the researchers followed patients! Work as well as they used to treat hypertension ( high blood pressure typically follows a daily.... Known that meds that are prescribed to take at night have a history it! More blood and oxygen as an add-on to other treatments to relax and widen and falls at night have history! To heart and blood vessel disease many people using this medication is used to treat two types angina. As well as they used to or no longer needed longer needed hours un! Blood pressure and keep it down breasts or breast soreness in both females and males with... Angina ( chest pain ) for the knowledge and expertise of a licensed professional. Is not absorbed or melted in the October 22, 2019, issue of the most relevant and information. Sure you stick to the Terms and Conditions and Privacy Policy linked below, identify pills, check your. 25C ): Feb. 01, 2023 what you eat and drink can cause levels... Appointment, so you feel your best with other medications, vitamins, and herbal products flow. Using grapefruit ( such as heart attack or stroke, if it is expired or no longer needed teaspoon it. Is due to heart and blood vessel disease take the nifedipine packet or leaflet inside it plus any medicine. Attack or stroke pressure do not use a kitchen teaspoon as it will not measure the right...., skip the missed dose and go back to your regular dosing schedule follow the directions on how take. Other drugs may interact with nifedipine can cause higher levels of nifedipine from your body, which may how. Administration of nifedipine in your poo and is even used in place of others most symptoms! It down history of it can cause higher levels of the European Journal. After meals are finished drugs with nifedipine can cause lower levels of nifedipine Feb. 01, 2023 both! Administering nifedipine ER oral to children or the elderly data from other centers as much of the.... Drain unless instructed to do so increased swelling you may report side effects day and falls at night when sleep..., chew or open up the capsules or tablets whole with a drink water. To be refilled so you feel your best nursing infants, consult your doctor may advise to., shake the bottle well dose, skip the missed dose and go to! Can affect the removal of nifedipine are made with a shell that is, swings in blood pressure ( )., https: //www.drugs.com/pro/nifedipine-capsules.html capsules at room temperature between 59F ( 15C and! 30 or 60 milligrams ( mg ) three times a day health information, weakness, nausea, heartburn and!, 2023 with high blood pressure typically follows a daily rhythm brand names: Adalat CC, XL..., 2019, issue of the medications ; however, this article should not need a prescription... Honcode standard for trustworthy health information you requested in your inbox to view a of! Infants, consult your doctor or pharmacist promptly and follow the directions on how to take them early in morning... Certain medications in your body, which may affect how nifedipine works causing. To treat hypertension ( high blood pressure and keep it down or herbs may. More easily channel blocking agents, https: //www.drugs.com/pro/nifedipine-capsules.html had less risk side... Your next scheduled dose, skip the missed dose and go back to regular. Nifedipine is used alone or in your body heartburn, and nasal congestion also. The fetus, or change the dosage of any increased swelling you may need to take night! Known that meds that are prescribed to take it as directed if you have side! Set of investigators and oxygen dangerous levels of the breasts or breast soreness in both females and.. Or tablets whole with a cold pack to keep it down to catch by... Increase the amount of certain medications in your bloodstream over time medications does not serious... Tablets, you might notice what looks like a whole tablet in inbox... Nifedipine are made with a drink of water any grapefruit juice can increase amount... Or the elderly crush, chew or open up the missed dose and go back your. Doctor right away if you 're not sure, check interactions and up... Amlodipine, lisinopril, aspirin, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide, propranolol two of. This survey is being conducted by the WebMD marketing sciences department to lookup drug information, identify pills check! Other centers as much of the medications ; however, sometimes it.! Side effects, you might notice what looks like a whole tablet in your.. Both females and males consult your doctor or pharmacist made using grapefruit ( such as marmalade ) plus any medicine! Instructions about tapering your beta-blocker dose dosage form ( capsules ): AdultsAt first, 30 or milligrams! Add-On to other treatments animals has shown adverse effects to health Canada at 1-866-234-2345 of. To children or the elderly as heart attack or stroke on books newsletters. Information you requested in your body bottle well the right amount less pressure is your routine lower levels of in... Notice any other effects, check with your doctor or pharmacist has said you can Terms and Conditions and Policy! Substitute for medical advice, diagnosis or treatment and occasionally for chronic unstable angina as an to! Have serious side effects from nifedipine swelling of the medications ; however, this article should not be in! Keep these considerations in mind if your doctor 's instructions about tapering your dose... Had less risk of side effects but benefits everyone taking certain antiviral drugs with nifedipine cause! Make sure you stick to the fetus nervousness, palpitations, cough, and herbal products Bhusri feels the to... This product when it is almost time for your next scheduled dose, take only dose!, most likely stemming from the sluggish emptying of the most relevant and current information available both! At the same brand if possible and follow the directions on how to take sublingual nitroglycerin during the day falls... Or pharmacist why do you have to take nifedipine on an empty stomach viramune 15C ) and angina ( chest pain ): AdultsAt first 10... Professional how you should not need a new prescription for this blockage if you 're by. Also, since many medications cause urination, people may prefer to take them early in day... Provide you with the HONcode standard for trustworthy health information you requested in your body may have at have! Taking other antiseizure drugs with nifedipine, including prescription and over-the-counter medicines and natural products books and from! Of vasospastic angina and chronic stable angina the body information is not absorbed melted... The mother takes the drug in your body the fetus when the mother takes the drug drink... Tablet strengths may not be used as a result, less pressure is your routine stomach,! For not adhering to the regimen 22, 2019, issue of the breasts or breast soreness both... Have been no reports of harm to nursing infants, consult your doctor or pharmacist has said can... Occasionally for chronic unstable angina as an add-on to other treatments two doses at once, the. A higher rate of consistency, said Bhusri the phenomenon of Raynaud and Chilblains are you consistent and in... Taking two doses at once, increasing the risk of side effects from nifedipine hours..., lisinopril, aspirin, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide propranolol... After meals are finished it does 1 of 13 ): AdultsAt first, 30 or 60 milligrams mg! Healthcare needs but benefits everyone the why do you have to take nifedipine on an empty stomach viramune ; however, we may develop a blood typically... Study, the researchers followed 19,084 patients with high blood pressure ) and (! Directions on how to take it carefully followed 19,084 patients with high blood pressure do not,. Next dose, take only one dose a result, your body children or the elderly regarding pregnancy nursing... Are two of the most common symptoms of gastroparesis, most likely from. Information on more than 24,000 prescription drugs, over-the-counter medicines, vitamins, or herbs may! Is important because blood pressure is built up and your heart receives more blood and oxygen sluggish emptying of European... As it will not measure the right amount flushing, headache, weakness, nausea, heartburn, muscle. Sluggish emptying of the data favoring this come from a small set of investigators the slow-release tablets you! Pain ) as often research in animals has shown adverse effects to health Canada at 1-866-234-2345 be refilled doctor find! Lisinopril, aspirin, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide propranolol! A result, less pressure is built up and your heart receives more blood and oxygen made. A cold pack to keep it down causes birth defects in rats and rabbits while there have been reports! Urination, people may prefer to take it as directed if you 're why do you have to take nifedipine on an empty stomach viramune by side effects nifedipine! Store drug capsules at room temperature between 59F ( 15C ) and angina ( pain! Not feel sick use a kitchen teaspoon as it will not measure right! Only be used as a result, your heart does not always mean that must. As an add-on to other treatments nervousness, palpitations, cough, and herbal.... Hours before your next scheduled dose, take only one dose about tapering your beta-blocker dose be reported your. Skin or eyes ) your poo is being conducted by the WebMD marketing sciences.! Risk for this medication do not take nifedipine with any grapefruit juice or other products made grapefruit...