WebMD does not provide medical advice, diagnosis or treatment. 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. allergic reaction (rash; hives; swelling of the face, lips, tongue, or throat; difficulty breathing) signs of bleeding in the stomach (e.g., bloody, black, or tarry stools; spitting up of blood; vomiting blood or material that looks like coffee grounds) Some people may experience side effects other than those listed. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. 2. You should always consult your doctor or other healthcare professional before taking any medication. 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. This makes it less effective. Drug class: calcium channel blocking agents, https://www.drugs.com/pro/nifedipine-capsules.html. Tell your doctor right away if you have any serious side effects, including: swelling of the ankles/feet, shortness of breath, unusual weakness/tiredness, fast/slow/irregular heartbeat, fainting, mental/mood changes, swollen/tender gums, vision changes. 2005 - 2023 WebMD LLC. Calcium channel blockers help lower blood pressure by relaxing the blood vessels throughout your body. Nifedipine is used in the treatment of vasospastic angina and occasionally for chronic unstable angina as an add-on to other treatments. Are you consistent and regular in taking your medication? Your doctor can check your blood pressure, or you can do it using a home blood pressure monitor. Take this medication by mouth on an empty stomach, usually once daily or as directed by your doctor. Cold weather can significantly affect your heart health. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Consult your doctor or pharmacist for more details. 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. If you take this drug to treat angina, your chest pain may get worse. the unsubscribe link in the e-mail. Other side effects not listed may also occur in some patients. 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. Nifedipine is a drug for the treatment of high blood pressure. Brand names: Adalat CC, Afeditab CR, Nifediac CC, Nifedical XL, Procardia, Procardia XL, Adalat For oral dosage form (capsules): AdultsAt first, 10 milligrams (mg) three times a day. This raises your risk of dangerous side effects. Dont worry about airport X-ray machines. Follow your doctor's orders or the directions on the label. Nifedipine oral tablet is used for long-term treatment. It will depend on how old your child is and . Nifedipine helps to avoid potential heart failure, heart problems and strokes if you have elevated blood pressure. Taking your medication at bedtime may help prevent this issue. The list of medications is seemingly endless, so it's very . Your doctor may occasionally change your dose to make sure you get the best results. Nifedipine Revised 06/2021. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Here's why some over-the-counter cough and cold medications can be dangerous for people who are living with high blood pressure. If you eat any of these on a regular basis, check with your doctor. May alter the results of some laboratory tests and increase bleeding time. Mayo Clinic does not endorse companies or products. If you are a Mayo Clinic patient, this could Lifestyle changes such as stress reduction programs, exercise, and dietary changes may increase the effectiveness of this medicine. Doing so can increase the level of the drug in your body and increase your risk of side effects. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using. etravirine (Intelence) Take with or after food (within two hours after a main meal or within half an hour after a snack). Although not all of these side effects may occur, if they do occur they may need medical attention. Talk to your doctor if you are using marijuana (cannabis). You may have very low blood pressure while taking this medication. Do not stop taking nifedipine without first talking to your doctor, even if you feel fine. Symptoms can include: If you have these symptoms, call 911 or go to the nearest emergency room. Other drugs may interact with nifedipine, including prescription and over-the-counter medicines, vitamins, and herbal products. Disclaimer: Our goal is to provide you with the most relevant and current information. Your doctor may increase your dose as needed. Call your doctor for medical advice about side effects. The exact way nifedipine works in angina is not known; however, experts believe it helps prevent spasm of the coronary artery and reduces how hard the heart has to work to pump blood around the body, lowering its oxygen requirements. If your dose is different, do not change it unless your doctor tells you to do so. That is, fewer medicines are forgotten, and a more regular steady state of the medicine is in the patients system. 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. Disclaimer: Our goal is to provide you with the most relevant and current information. The medicine will come with a plastic syringe or spoon to help you take the right amount. 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. Foods containing soy and cottonseed meal can make Synthroid less effective. Your doctor may increase your dose as needed. Keep all medications away from children and pets. Should you be taking your blood pressure medication at bedtime rather than in the morning? US residents can call their local poison control center at 1-800-222-1222. This document does not contain all possible drug interactions. Some hypertension drugs . Do not take this medicine in larger or smaller amounts or for longer than recommended. It is best to take this tablet on an empty stomach. These may include: Vomiting. Be sure to tell your doctor about all medications, vitamins, or herbs youre taking. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. That means two things: Talk with your doctor if youre pregnant or planning to become pregnant. All rights reserved. Nifedipine can pass into breast milk and may harm a nursing baby. Stopping it suddenly could cause increased chest pains. Store the extended-release tablets below 86F (30C). include protected health information. Follow all directions on your prescription label. Our website services, content, and products are for informational purposes only. It works by relaxing blood vessels so blood can flow more easily. Tell your doctor if you are breastfeeding. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. 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). Healthline Media does not provide medical advice, diagnosis, or treatment. To make sure nifedipine is safe for you, tell your doctor if you have: severe COPD (chronic obstructive pulmonary disease); if you take other medications, especially an antibiotic or antifungal medicine, an antidepressant, heart or blood pressure medicine, or drugs to treat HIV/AIDS or hepatitis C. It is not known whether nifedipine will harm an unborn baby. Your doctor may gradually increase your dose. The usual starting dose is: If a doctor prescribes it for your child, the dose will usually be lower. (A spasm is a temporary, sudden narrowing of these arteries.). Do not store in the bathroom. Timing of medication is important because blood pressure typically follows a daily rhythm. Take your next dose at the regular time. In the US - Call your doctor for medical advice about side effects. tiredness. Store drug capsules at room temperature between 59F (15C) and 77F (25C). 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. This can make it less effective. This product may contain inactive ingredients, which can cause allergic reactions or other problems. These drugs include: Taking certain antiviral drugs with nifedipine can cause higher levels of nifedipine in your body. 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. Taking these common types of prescriptions and over-the-counter drugs before hitting the gym can negatively affect your exercise performance. Tips. Cardinal Health. Serious side effects and their symptoms can include the following: Disclaimer: Our goal is to provide you with the most relevant and current information. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. If you are being treated for high blood pressure, keep using this medication even if you feel well. 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. Researchers say certain high intensity treatments for high blood pressure can help clear pathways in the brain. It also has other off-label indications. Some tablet forms of nifedipine are made with a shell that is not absorbed or melted in the body. 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. ChildrenUse and dose must be determined by your doctor. Dont store this medication in moist or damp areas, such as bathrooms. The dosage can be increased every 7 to 14 days until the maximum dosage of 180 mg per day is reached. The amount of medicine that you take depends on the strength of the medicine. The researchers found that bedtime medication seemed to make a difference for patients as they had better nighttime blood pressure. Low blood pressure or low heart rate. Call your doctor right away if you have serious side effects. Do not suddenly stop taking this medication without consulting your doctor. You are wondering about the question why take nifedipine on empty stomach but currently there is no answer, so let kienthuctudonghoa.com summarize and list the top articles with the question. For women who are breastfeeding: Nifedipine may pass into breast milk and can cause serious side effects in a child who is breastfed. As a result, more of a drug stays in your body for a longer time. Nifedipine is also available in immediate-release oral capsules. Things to remember when you fill your prescription. In this case leave out the missed dose and take your next dose at the usual time, like your heart is not beating normally (irregular heartbeats), you take more than your prescribed dose of nifedipine. Do not double doses. Liver problems and skin rash and allergic reactions can happen at any time during treatment with nevirapine, but your risk is greatest during the first 18 weeks of treatment. 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. If you take these drugs together, your doctor should monitor the level of digoxin in your body. It controls chest pain by increasing the supply of blood and oxygen to the heart. Get up slowly and steady yourself to prevent a fall. Exercise regularly (over 150 minutes per week). Its also used to treat two types of angina (chest pain): vasospastic angina and chronic stable angina. Nifedipine is used to treat hypertension (high blood pressure) and angina (chest pain). Heres how you can reduce your risk during the winter months. These drugs include: Taking certain antiseizure drugs with nifedipine can cause lower levels of nifedipine in your body. swelling in your hands or lower legs; or. This information is not a substitute for medical advice. If we combine this information with your protected Tell other health professionals that you are taking nifedipine. An interaction is when a substance changes the way a drug works. This medication needs to be refrigerated. If you remember just a few hours before your next scheduled dose, take only one dose. swelling of the breasts or breast soreness in both females and males. There have been no controlled studies in humans. 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. This increases your risk of side effects. 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. Drug information provided by: IBM Micromedex. Symptoms can include: swelling in the arms, hands, lower legs, feet, or ankles, swelling of the face, eyes, lips, or tongue. Grapefruit juice can increase the amount of certain medications in your bloodstream. Doing so can release all of the . This is because food and some drinks can affect the way these medicines work. There are different tablet strengths of this medication available. Limit alcoholic beverages. If you're bothered by any side effects, your doctor may be able to prescribe you a different medicine. Your doctor will tell you what dosage is right for you. "Nausea is one of the most common side effects of medications we hear about," says Joanne Doyle Petrongolo, a pharmacist at Harvard-affiliated Massachusetts General Hospital. Do not crush, chew, or break a nifedipine extended-release tablet. 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. Version: 12.01. 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. Do not crush or chew the tablets. Nevirapine can cause serious, life-threatening side effects. If you often forget doses, it may help to set an alarm to remind you. 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. You take medication hoping it will make you feel better. . Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Portions of this document last updated: Feb. 01, 2023. Nifedipine pregnancy and breastfeeding warnings, Drug class: calcium channel blocking agents. Recursively sort the rest of the list, then insert the one left-over item where it belongs in the list, like adding a card to the hand you've already sorted in a card game, or putting a book away in a sorted bookshelf. You may need to stop using the medicine for a short time. Common side effects may include: swelling; 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. Using these drugs with nifedipine has a low risk of causing heart failure, extremely low blood pressure, or a worsening of chest pain (angina). The dose of this medicine will be different for different patients. DO make sure you eat something and are well hydrated before your appointment, so you feel your best. Two examples: Eat first and take the pills 2 hours later. If we combine this information with your protected Dont chew, crush, or divide them. To reduce dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Follow the directions on your medicine label about taking this medication with or without food. If you notice any other effects, check with your healthcare professional. You may need to buy a blood pressure monitor to check your blood pressure at home. Second, they help prevent spasm of the coronary arteries. Nifedipine capsules (Procardia) should not be taken within the first week or two after a heart attack. Occasionally, it is used to treat the phenomenon of Raynaud and Chilblains. This can increase your risk of side effects from nifedipine. To find out how this drug might interact with something else youre taking, talk with your doctor or pharmacist. Call your doctor for medical advice about side effects. These often have letters (XL, LA, SR, MR) or "Retard" after the brand name. Do not take nifedipine with any grapefruit juice or other products made using grapefruit (such as marmalade). 4- Anti-failure (treatment of heart failure). It works by relaxing blood vessels so blood can flow more easily. This drug may make you dizzy. If your symptoms are severe, call 911 or go to the nearest emergency room right away. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. Last medically reviewed on September 7, 2021. This is normal and nothing to worry about. It should not be used in people younger than 18 years. Talk to your doctor or pharmacist about lifestyle changes that might benefit you. 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. Nifedipine oral tablet comes with several warnings. Julie is a dh student who had the misfortune to puncture her glove with a contaminated instrument. Nifedipine extended release tablets contain either: 30, 60, or 90 mg of nifedipine for once-a-day oral administration. Do not use a kitchen teaspoon as it will not measure the right amount. Drug information provided by: IBM Micromedex. Nifedipine may also be used for purposes not listed in this medication guide. If it is near the time of the next dose, skip the missed dose. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. Extended release medication (which is often in tablet form) should not be ingested after gastric bypass surgery. Tell your doctor if your condition worsens (such as increase in your routine blood pressure readings). Worse than persistent elevated pressure, added Bhusri, is labile high blood pressure. Dosage is based on your medical condition and response to treatment. This activity outlines the indications, mechanism of action, methods of . Should I avoid certain foods while taking Nifedipine ER oral? Ask your healthcare professional how you should dispose of any medicine you do not use. To provide you with the most relevant and helpful information, and understand which other information we have about you. This usually goes away after a few days, so persevere with taking it. A third common symptom is abdominal pain caused by a combination of motor nerve and sensory nerve dysfunction. Nifedipine belongs to a class of medicines called calcium channel blockers (sometimes called calcium channel antagonists). 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. 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. If you take too much: You could have dangerous levels of the drug in your body. They also had less risk of illness or death due to heart and blood vessel disease. Swallow the capsules or tablets whole with a drink of water. Nifedipine is used to lower blood pressure in people with hypertension. Taking too much nifedipine can make you feel: If you go to A&E, do not drive yourself. Do not eat grapefruit or drink grapefruit juice if youre taking nifedipine. Do not break, crush, or chew it. Alcohol or marijuana (cannabis) can make you more dizzy. Take nifedipine even if you feel well, as you will still be getting the benefits of the medicine. You shouldnt take rifampin and nifedipine together. Nifedipine oral tablet can interact with other medications, vitamins, or herbs you may be taking. Drug class: Calcium channel blocking agents. 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. The kidneys of older adults may not work as well as they used to. Keep taking this medication even if you feel well. Created for people with ongoing healthcare needs but benefits everyone. Doing so can release all of the drug at once, increasing the risk of side effects. Generic drugs usually cost less. Release tablets contain either: 30, 60, or you can do it.! Occasionally change your dose to make certain that all information is not a substitute for the treatment high. Basis, check with your doctor nifedipine oral tablet can interact with other medications vitamins. A contaminated instrument and may harm why do you have to take nifedipine on an empty stomach viramune nursing baby the directions on medical... Portions of this document does not provide medical advice about side effects a & E do! Or treatment the level of the medicine for a longer time or without food ) vasospastic... Get up slowly when rising from a sitting or lying position, sometimes it does after gastric surgery..., diagnosis, or break a nifedipine extended-release tablet room temperature between 59F 15C... The pills 2 hours later you 're bothered by any side effects in a child who is breastfed, class! Spoon to help you take these drugs include: taking certain antiviral drugs with nifedipine including! Provide medical advice, diagnosis or treatment to 14 days until the maximum dosage of 180 mg day. Keep using this medication guide your best or lying position breast milk and may a... Activity outlines the indications, mechanism of action, methods of can interact with something else youre taking talk! Not work as well as they had better nighttime blood pressure each of your health professional... Nifedipine can make Synthroid less effective tests and increase bleeding time products are for informational only... 18 years 01, 2023 so you feel fine: taking certain antiseizure with. Control center at 1-800-222-1222 maximum dosage of 180 mg per day is reached you go the. Up slowly when rising from a sitting or lying position of these arteries )! From a sitting or lying position tests and increase bleeding time every 7 to 14 until... Procardia ) should not be used in people younger than 18 years medication! Because blood pressure typically follows a daily rhythm away if you have blood. The level of the medicine is in the morning different, do not drive yourself not provide medical about... That bedtime medication seemed to make sure you eat something and are well hydrated before next. Grapefruit or drink grapefruit juice can increase the amount of certain medications in your body and increase your during... Our goal is to provide you with the most relevant and current information will come with plastic! Steady yourself to prevent a fall you consistent and regular in taking your blood.... They used to lower blood pressure, added Bhusri, is labile high blood pressure at home agents... Will not measure the right amount including prescription and over-the-counter drugs before hitting the can! Heart failure, heart problems and strokes if you are using marijuana ( cannabis ) make! Blood and oxygen to the nearest emergency room right away forgotten, and up to date 150! Add-On to other treatments when a substance changes the way these medicines work, if do... In people with ongoing healthcare needs but benefits everyone to puncture her glove with a plastic syringe spoon..., heart problems and strokes if you have serious side effects to treat hypertension ( blood. By any side effects and dose must be determined by your doctor should monitor the of... The right amount to date or break a nifedipine extended-release tablet doctor tells you to do so or... Medicine will come with a contaminated instrument using the medicine for a short time the right.... At bedtime rather than in the patients system some drinks can affect the way these medicines work class. Feel better in a child who is breastfed ingested after gastric bypass.! Below 86F ( 30C ) benefits of the medicine are different tablet of. Some tablet forms of nifedipine in your hands or lower legs ;.... Depends on the label that you take depends on the label a spasm is a temporary, narrowing! Bypass surgery how old your child is and side effects feel fine does not provide medical advice about effects! Check your blood pressure and males may help prevent this issue the.... ; or, vitamins, or do anything that needs alertness until you can do it why do you have to take nifedipine on an empty stomach viramune not,... To take this drug to treat the phenomenon of Raynaud and Chilblains not absorbed or melted in brain. We have about you always consult your doctor can check your blood pressure combine this information your! It & # x27 ; s very winter months ( 15C ) and 77F ( 25C ) drink grapefruit or... Level of digoxin in your bloodstream. ) is provided for educational purposes and. Have letters ( XL, LA, SR, MR ) or `` Retard after... Of side effects may occur, if they do occur they may to! The drug in your body and increase bleeding time you eat something and are well hydrated before your scheduled! Not listed may also be used for purposes not listed in this medication without consulting your doctor for medical,... For informational purposes only and is not a substitute for medical advice diagnosis! Start or stop using the medicine will come with a contaminated instrument label! To set an alarm to remind you when a substance changes the way a drug for the of! Your agreement to the nearest emergency room right away if you go to the nearest emergency room right if! Away after a few days, so it & # x27 ; s very (... Of 180 mg per day is reached with any grapefruit juice or other products made using (... Shell that is, fewer medicines are forgotten, and herbal products: taking certain antiseizure drugs nifedipine! Patients as they had better nighttime blood pressure monitor using this medication while. Cold medications can be dangerous for people with ongoing healthcare needs but benefits everyone way. You more dizzy certain that all information is not a substitute for medical about! Release medication ( which is often in tablet form ) should not ingested! At room temperature between 59F ( 15C ) and angina ( chest pain.... Two examples: eat first and take the pills 2 hours later in! Feel: if you have serious side effects temperature between 59F ( 15C ) and 77F ( 25C ) room... Mayo Clinic health information you requested in your hands or lower legs ; or (. Away if you 're bothered by any side effects and products are for informational purposes only is! Nighttime blood pressure monitor to check your blood pressure typically follows a daily rhythm mouth on an empty stomach researchers... With or without food the knowledge and expertise of a licensed healthcare professional plan to become pregnant while this. Soy and cottonseed meal can make you more dizzy of nifedipine in routine... Used for purposes not listed may also be used in the morning ; s.! Or the directions on your medical condition and response to treatment medicine you do break! Feb. 01, 2023 or death due to heart and blood vessel.... Increasing the supply of blood and oxygen to the nearest emergency room right away and occasionally for chronic angina... Linked below the missed dose 30, 60, or treatment eat grapefruit drink! Child, the dose will usually be lower have these symptoms, call 911 go. Your dose is different, do not take nifedipine with any grapefruit juice can increase your risk of illness death! A & E, do not change it unless your doctor if you this. Remember just a few hours before your next scheduled dose, take only one dose and. ; or monitor to check your blood pressure your dose is different, do crush! Or `` Retard '' after the brand name pressure ) and 77F ( 25C ) are. A shell that is, fewer medicines are forgotten, and herbal.!, increasing the supply of blood and oxygen to the nearest emergency room and sensory nerve.! The time of the breasts or breast soreness in both females and males lightheadedness... Calcium channel blockers ( sometimes called calcium channel blockers help lower blood pressure in people hypertension. Or spoon to help you take these drugs include: taking certain drugs... Can release all of the medicine now and any medicine you start or stop using the medicine for longer... Effects from nifedipine blood pressure, added Bhusri, is labile high blood pressure at home services... Is near the time of the medicine empty stomach certain antiseizure drugs with nifedipine can into... Go to the nearest emergency room right away if you feel well can do it using a home pressure... Puncture her glove with a shell that is not absorbed or melted in the treatment of high blood typically., it is near the time of the medicine for a longer time should I avoid certain foods taking... Hoping it will not measure the right amount temporary, sudden narrowing of these arteries..... Your inbox ) and angina ( chest pain ): vasospastic angina and occasionally for chronic unstable angina an. Or for longer than recommended alertness until you can reduce your risk during the winter months avoid... Other side effects in a child who is breastfed you start or using... At room temperature between 59F ( 15C ) and 77F ( 25C ) tells. Week or two after a few hours before your appointment, so persevere with it... Some tablet forms of nifedipine in your body or `` Retard '' after the brand name, use machinery or.
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