Nifedipine
Nifedipine ေသြးတိုးက်ေဆး
Nifedipine, Oral Tablet calcium channel blockers.
If you stop taking the drug suddenly or don’t take it at all: If you take this drug to treat high blood pressure, your blood pressure may increase. This can raise your risk of health problems such as heart attack or stroke. If you take this drug to treat angina, your chest pain may get worse.
ရုတ္တရက္ ဒံုးတိ ျဖတ္လို့ မရ ေသြးေပါင္း တိုးလာနိုင္ heart attack or stroke ျဖစ္လာနိုင္ ရင္ ဖတ္ ေအာင့္ကုသမားေတြ ရင္ ဘတ္ ေအာင့္တာပိုဆိုးလာနုိင္
If you miss doses or don’t take the drug on schedule: Your medication may not work as well or may stop working completely. For this drug to work well, a certain amount needs to be in your body at all times. ပံုမွန္ မေသာက္ရင္ အက်ိ ုးသက္ေရာက္မွ ုမရိွ
What to do if you miss a dose: Take your dose as soon as you remember. If you remember just a few hours before your next scheduled dose, take only one dose. Never try to catch up by taking two doses at once. This could result in dangerous side effects.
ေသာက္ဖို့ ေမ့ သြားရင္ နွစ္လံုး ျပ ုး မေသာက္ရ ျပသနာတက္နိင္
How to tell if the drug is working: If you’re taking this drug to treat high blood pressure, your blood pressure level should go down. Your doctor can check your blood pressure, or you can do it using a home blood pressure monitor. If you’re taking this drug to treat angina, you should have less severe chest pain, less frequent chest pain, or both.
ေသြးေပါင္တိုင္းတာေတြ ေဆာင္ထား အိမ္မွာ
၇င္ဖတ္ ေအာင့္တာ အတြက္ ေသာက္ေနပါ က နာတာေတြ သက္သာသင့္တယ္
If you take too much: You could have dangerous levels of the drug in your body. Symptoms of an overdose of this drug can include:
dizziness မ်ားသြား၇င္ ေခါငး္မွု း ရင္တုန္ ျမန္ အေရးျပာနီးရဲလာ
a fast heartbeat
flushing (reddening of the skin)
Nifedipine is used to treat hypertension (high blood pressure). long-term treatment
treat two types of angina (chest pain): vasospastic angina and chronic stable angina. ေသြးေၾကာက်ဥ္း ရင္ဘတ္ ေအာင့္ၿခင္း
treat angina (chest pain). treat either high blood pressure or angina.
It’s also used to treat vasospastic angina (chest pain due to a spasm in arteries around the heart) ေသြးေၾကာမ်ား က်ဥ္းလိုက္က်ယ္လိုက္ျဖစ္ၿခင္းေၾကာင့္
ရင္ဘတ္ ေအာင့္ၿခင္း
or chronic stable angina (chest pain that occurs with activity or stress). စိတ္ ဖိစီမွ ုမ်ားလို့ လွုပ္ရွားမွ ုမ်ားလို့ ၇င္ဘတ္ ေအာင့္ၿခင္း
Nifedipine may be used as part of a combination therapy. This means you may need to take it with other medications. If you are using it to treat high blood pressure, you may take it with other drugs that lower blood pressure. If you are using it to treat angina, you may take it with nitrates (nitroglycerin products) or beta-blockers.
(nitroglycerin products) or beta-blockers. တု့ိနဲ့ လညး္ တြဲ ေပးေသး
Calcium channel blockers help lower blood pressure by relaxing the blood vessels throughout your body. As a result, less pressure is built up and your heart does not have to work as hard to pump blood. ေသြးေၾကာမ်ားကို ေျပ ေလွ ်ာ ့ ေစ
Calcium channel blockers help to prevent angina in two ways. First, they lower pressure in the coronary arteries (the arteries that supply blood to your heart). As a result, your heart receives more blood and oxygen. Second, they help prevent spasm of the coronary arteries. (A spasm is a temporary, sudden narrowing of these arteries.) နွလံုး ေသြး သြားေၾကာ ေတြမွာ ေျပေလွ ်ာ ့ ေစ
ရုတ္ တရက္ က်ဥ္ းလိုက္က်ယ္ လို္က္ ေတြကို သက္သာေစ
ဆိုးက်ိ ုး
The more common side effects that can occur with nifedipine include:
headache ေခါငး္မွ ု
nausea
dizziness or lightheadedness
flushing (reddening of the skin)
heartburn
muscle cramps ၾကြက္တက္
constipation ၀မ္းခ် ုပ္
cough ေခ်ာင္းဆိုး
decreased sexual ability or desire သားစိတ္ မယားစိတ္ ကုန္ခမ္း
edema (swelling in the legs or feet) ေၿခ လက္ ေဖာ
weakness အားနည္း
If these effects are mild, they may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk to your doctor or pharmacist. ဆိုးလာရင္ ဆရာ၀န္ သြားျပ
Edema (fluid retention). Symptoms can include: ေဖာ ၿခင္း
swelling in the arms, hands, lower legs, feet, or ankles ေၿခ လက္ လက္ ေခ်ာင္း
Allergic reaction. Symptoms can include: မတည့္ၿခင္း
trouble breathing သက္ရွုၾကတ္
trouble swallowing မ်ိ ုရခက္
rash or hives
swelling of the face, eyes, lips, or tongue ေဖာ္ၿခင္း မ်က္နွာ မ်က္စိ နုတ္ ခမ္းလွ ်ာ
Low blood pressure or low heart rate. Symptoms can include: ေသြးေပါင္က်ၿခငး္
lightheadedness ေခါငး္ မူး
fainting
Liver damage. Symptoms can include: အသညး္ ထိ
yellowing of the skin skin ၀ါ
yellowing of the whites of the eyes မ်က္လံဳး၀ါ
Chest pain (angina) that is worse or occurs more often ရင္ဘတ္ နာ
Nifedipine may interact with other medications
ေဆးကို မ်ားေစတဲ့ ပိုးသတ္ေဆး
Antibiotics
Taking certain antibiotics with nifedipine can cause higher levels of nifedipine in your body. This can increase your risk of side effects from nifedipine. These drugs include:
clarithromycin
erythromycin
quinupristin/dalfopristin
Taking the antibiotic rifampin can decrease the levels of nifedipine in your body.
rifampin သည္ nifedipine level ကို နညး္ေစ
This could make nifedipine less effective. You shouldn’t take rifampin and nifedipine together. အတူတကြေသာက္ရင္
က်ိ ုးသက္ေရာက္မွ ုက်ဆငး္
Antifungal drugs
Taking certain antifungal drugs with nifedipine can cause higher levels of nifedipine in your body. This can increase your risk of side effects from nifedipine. These drugs include: မိွ ုသတ္ေဆးေတြနဲ့ တြဲ ေသာက္၇င္ ေဆးဆိုးက်ိ ုး ပိုမ်ား
fluconazole
itraconazole
ketoconazole
Antiviral drugs
Taking certain antiviral drugs with nifedipine can cause higher levels of nifedipine in your body. This can increase your risk of side effects from nifedipine. These drugs include: virus သတ္ ေဆးနဲ့ တြဲ ေသာက္ရင္ ေဆး ဆိုး က် ိုး ပို မ်ား
atazanavir
delavirdine
fosamprenavir
indinavir
nelfinavir
ritonavir
Antiseizure drugs
Taking certain antiseizure drugs with nifedipine can cause lower levels of nifedipine in your body. This can make it less effective. These drugs include: အတက္က် ေဆးမ်ားနဲ့ တြဲ ေသာက္ရင ္အာနိသင္က်ဆင္း
phenytoin
carbamazepine
Taking other antiseizure drugs with nifedipine can cause higher levels of nifedipine in your body. This raises your risk of side effects from nifedipine. These drugs include: တစ္ၿခား အတက္က် ေဆး valproic acid နဲ့ တြက္ ေသာက္ ေဆးဆိုးက်ိ ုး ပို ျဖစ္
valproic acid
Heart drugs
Digoxin is used to treat heart rhythm problems. Using digoxin with nifedipine can increase or decrease the amount of digoxin in your body. If you take these drugs together, your doctor should monitor the level of digoxin in your body. နွလံုးဆီ ခ်က္ မွန္ ေဆးနဲ့ တြဲ ေသာက္ရင္ digoxin ေဆး မ်ားတာ
နည္းတာေတြျဖစ္နိုင္တယ္ monitor လုပ္သင့္
Other drugs
Beta-blockers are used to treat many conditions. These include high blood pressure, migraines, or heart failure. Using these drugs with nifedipine has a low risk of causing heart failure, extremely low blood pressure, or a worsening of chest pain (angina).
Beta-blockers မ်ားနဲ့ တြဲ ေပး၇င္ ေသြးေပါင္က် တတ္ ရင္ဘတ္ ပိုနာတတ္ တြဲ ေပးရ
တြဲ ေပးထား၇င္ ျဖတ္ မယ္ဆိိုင္တံုးဒိ မျဖတ္ရ
If you’re taking a beta-blocker and your doctor has you stop taking it before starting nifedipine, the beta-blocker should be tapered slowly. Stopping it suddenly could cause increased chest pains. Beta-blockers include:
Beta-blockers ကို ျဖတ္ တဲ့ အခါ ရုတ္ တရက္ ျဖတ္ လို့ မရ တျဖည္းျဖည္း နညး္နည္း ေလွ ်ာ့ ျပီးျဖတ္ရ
ရုတ္တရက္ျဖတ္ ပါက ရင္ဘတ္ တအား နာတတ္သည္
atenolol
metoprolol
nadolol
propranolol
timolol
Doxazosin is used to treat high blood pressure, as well as benign prostate hyperplasia in men. Using doxazosin with nifedipine can lower the amount of doxazosin in your body. This makes it less effective. Using these drugs together can also cause increased levels of nifedipine in your body. This raises your risk of dangerous side effects.
Doxazosin ေသြးတိုးက် ဆီးၾကိတ္မွာ ေပးတဲ့ ေဆး တြဲ ေပး၇င္ doxazosin နညး္ေစတယ္ အာနိသင္က်ဆငး္ nifedipine level ပိုမ်ား
Forms and strengths
Generic: nifedipine
Form: Oral capsule
Strengths: 10 mg, 20 mg
Form: Oral extended-release tablet
Strengths: 30 mg, 60 mg, 90 mg
Brand: Adalat CC
Form: Oral extended-release tablet
Strengths: 30 mg, 60 mg, 90 mg
Brand: Afeditab CR
Form: Oral extended-release tablet
Strengths: 30 mg, 60 mg
Brand: Procardia XL
Form: Oral extended-release tablet
Strengths: 30 mg, 60 mg, 90 mg
Brand: Procardia
Form: Oral capsule
Strengths: 10 mg
Dosage for hypertension (high blood pressure) ေသြးတိုးအတြက္ ေဆး ေပးနည္း
Adult dosage (ages 18–64 years)
The starting dose is 30 mg or 60 mg by mouth once per day. The dosage can be increased every 7 to 14 days until the maximum dosage of 90–120 mg per day is reached.
Child dosage (ages 0–17 years)
This medication has not been studied in children. It should not be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.
Dosage for vasospastic angina ေသြးေၾကာ က်ဥ္းလိုက္ က်ယ္လို က္ နွ လံုး ေသြေၾကာ ျပသနာရွင္ မ်ား အတြက္ ေဆးေပးနညး္
Adult dosage (ages 18–64 years)
The starting dose is 30 mg or 60 mg by mouth once per day. The dosage can be increased every 7 to 14 days until the maximum dosage of 180 mg per day is reached.
Child dosage (ages 0–17 years)
This medication has not been studied in children. It should not be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.
Dosage for chronic stable angina
Adult dosage (ages 18–64 years)
The starting dose is 30 mg or 60 mg by mouth once per day. The dosage can be increased every 7 to 14 days until the maximum dosage of 90–120 mg per day is reached.
Child dosage (ages 0–17 years)
This medication has not been studied in children. It should not be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.
Special considerations ေက်ာက္ကပ္ မေကာင္း ေဆးေလွ ်ာ ့ ျပီး တစ္ၿခားေဆးကို ေျပာငး္
If you have liver disease, your body may have trouble clearing nifedipine from your blood. This may cause the amount of nifedipine in your blood to be too high. Your doctor may adjust your dose to keep the amount of nifedipine in your body at a safe level.
အသည္း မေကာငး္ရင္ ေဆးဆိုးက်ိ ုး ပိုမ်ား
Important warnings
Congestive heart failure warning: In rare cases, upon starting to take nifedipine, some patients without a history of heart failure have developed heart failure. တခ်ိ ု့ လူေတြမွာ နွလံုးေ ရာဂါ အရင္ က မရိွတဲ့ လူေတြ နွ လံုး ေရာဂါ ျဖစ္လာတတ္သည္ ရွားတယ္
Chest pain (angina) warning: If you’re taking this drug to treat angina, it can cause a temporary increase in chest pain.
Low blood pressure warning: This drug can cause very low blood pressure. This most often occurs when the drug is started, or when the dosage is increased. ေသြးေပါင္က်တတ္တယ္ ေဆးကို စေပးတာ တိုးလိုက္တာတို့ လုပ္ရင္
Allergy warning
ဓါတ္ မတည့္
Nifedipine can cause a severe allergic reaction. Symptoms can include:
swelling of the face, eyes, lips, or tongue မ်က္နွာ မ်က္စိ နုတ္ ခမ္း လ ွ် ာ ေဖာ္
trouble breathing အသက္ရွ ု ခက္
trouble swallowing မ်ိ ုရခက္
Do not eat grapefruit or drink grapefruit juice if you’re taking nifedipine. Doing so can increase the level of the drug in your body and increase your risk of side effects. Your doctor will likely tell you to avoid grapefruit at least 3 days before starting to take nifedipine.
စပ်စ္သီးေရွာင္ nifedipine level ပို မ်ားေစ
Alcohol interaction
Don’t have drinks that contain alcohol while taking this drug. Drinking alcohol while taking nifedipine can cause very low blood pressure.
Warnings for people with certain health conditions အရက္ မေသာက္ရ ေသြးေပါင္က်တတ္
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. Talk to your doctor to find out the true cause of any increased swelling you may have. Your doctor can help you decide how to manage it.
နွလံုးသမားေတြ ေၿခ လက္ ေဖာလာမယ္ ေဆး ေၾကာင့္
For people with liver disease: Your liver clears this drug from your blood. If your liver isn’t working right, the level of nifedipine in your blood may become too high. အသည္း မေကာင္းရင္ ေဆးဆိုးက်ိုးမ်ား
For people with low blood pressure: If you have episodes of low blood pressure, taking nifedipine may make these episodes worse. This may be more likely to occur when you first start taking nifedipine, or when your doctor increases your dose. Talk to your doctor if you have frequent episodes of low blood pressure. ေသြး ေပါင္က်တတ္တဲ့ လူေတြ အဲ့ ေဆး စေပးတဲ့ အခါ သို့ မဟုတ္ တိုးလိုက္တဲ့ အခါမွာ ေသြ း ေပါင္းက်တာ ျဖစ္တတ္
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. You may be at greater risk for this blockage if you have a history of it.
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. Nifedipine capsules (Procardia) should not be taken within the first week or two after a heart attack. Ask your doctor about this risk to see if nifedipine is right for you. နွလံုးသမားေတြ ရင္ဘတ္နာ ပိုဆိုးလာတတ္
Warnings for other groups
For pregnant women: Nifedipine is a category C pregnancy drug. That means two things:
ကိုယ္၀န္ ေဆာင္ သမား မသံုးရ
Research in animals has shown adverse effects to the fetus when the mother takes the drug.
There haven’t been enough studies done in humans to be certain how the drug might affect the fetus.
Talk to your doctor if you’re pregnant or planning to become pregnant. This drug should only be used if the potential benefit justifies the potential risk to the fetus. Call your doctor if you become pregnant while taking this drug.
For women who are breastfeeding: Nifedipine may pass into breast milk and can cause serious side effects in a child who is breastfed. Tell your doctor if you are breastfeeding. You should decide whether you will stop breastfeeding or stop taking nifedipine.
နို့ မွာ ပါရင္ ကေလး ထိတတ္
Both the nifedipine immediate-release capsules and extended-release tablets are also available as generic drugs. Generic drugs usually cost less. 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 means you may need to take it with other medications. If you are using it to treat high blood pressure, you may take it with other drugs that lower blood pressure. If you are using it to treat angina, you may take it with nitrates (nitroglycerin products) or beta-blockers.
Calcium channel blockers help lower blood pressure by relaxing the blood vessels throughout your body. As a result, less pressure is built up and your heart does not have to work as hard to pump blood.
Calcium channel blockers help to prevent angina in two ways. First, they lower pressure in the coronary arteries (the arteries that supply blood to your heart). As a result, your heart receives more blood and oxygen. Second, they help prevent spasm of the coronary arteries. (A spasm is a temporary, sudden narrowing of these arteries.)
To help avoid interactions, your doctor should manage all of your medications carefully. Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking. To find out how this drug might interact with something else you’re taking, talk to your doctor or pharmacist.
Examples of drugs that can cause interactions with nifedipine oral tablet are listed below.
If you’re taking a beta-blocker and your doctor has you stop taking it before starting nifedipine, the beta-blocker should be tapered slowly. Stopping it suddenly could cause increased chest pains. Beta-blockers include:
Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. This information is not a substitute for medical advice. Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking.
The starting dose is 30 mg or 60 mg by mouth once per day. The dosage can be increased every 7 to 14 days until the maximum dosage of 90–120 mg per day is reached.
Child dosage (ages 0–17 years)
This medication has not been studied in children. It should not be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.
The starting dose is 30 mg or 60 mg by mouth once per day. The dosage can be increased every 7 to 14 days until the maximum dosage of 180 mg per day is reached.
Child dosage (ages 0–17 years)
This medication has not been studied in children. It should not be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.
The starting dose is 30 mg or 60 mg by mouth once per day. The dosage can be increased every 7 to 14 days until the maximum dosage of 90–120 mg per day is reached.
Child dosage (ages 0–17 years)
This medication has not been studied in children. It should not be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.
Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you.
If you stop taking the drug suddenly or don’t take it at all: If you take this drug to treat high blood pressure, your blood pressure may increase. This can raise your risk of health problems such as heart attack or stroke. If you take this drug to treat angina, your chest pain may get worse.
If you miss doses or don’t take the drug on schedule: Your medication may not work as well or may stop working completely. For this drug to work well, a certain amount needs to be in your body at all times.
If you take too much: You could have dangerous levels of the drug in your body. Symptoms of an overdose of this drug can include:
What to do if you miss a dose: Take your dose as soon as you remember. If you remember just a few hours before your next scheduled dose, take only one dose. Never try to catch up by taking two doses at once. This could result in dangerous side effects.
How to tell if the drug is working: If you’re taking this drug to treat high blood pressure, your blood pressure level should go down. Your doctor can check your blood pressure, or you can do it using a home blood pressure monitor. If you’re taking this drug to treat angina, you should have less severe chest pain, less frequent chest pain, or both.
Don’t take this drug again if you have ever had an allergic reaction to it before. Taking it again could be fatal (cause death).
For people with liver disease: Your liver clears this drug from your blood. If your liver isn’t working right, the level of nifedipine in your blood may become too high.
For people with low blood pressure: If you have episodes of low blood pressure, taking nifedipine may make these episodes worse. This may be more likely to occur when you first start taking nifedipine, or when your doctor increases your dose. Talk to your doctor if you have frequent episodes of low blood pressure.
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. You may be at greater risk for this blockage if you have a history of it.
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. Nifedipine capsules (Procardia) should not be taken within the first week or two after a heart attack. Ask your doctor about this risk to see if nifedipine is right for you.
For women who are breastfeeding: Nifedipine may pass into breast milk and can cause serious side effects in a child who is breastfed. Tell your doctor if you are breastfeeding. You should decide whether you will stop breastfeeding or stop taking nifedipine.
For children: This medication has not been studied in children. It should not be used in people younger than 18 years.
Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or other healthcare professional before taking any medication. 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. 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.
https://www.healthline.com/health/nifedipine-oral-tablet
Nifedipine ေသြးတိုးက်ေဆး
Nifedipine, Oral Tablet calcium channel blockers.
If you stop taking the drug suddenly or don’t take it at all: If you take this drug to treat high blood pressure, your blood pressure may increase. This can raise your risk of health problems such as heart attack or stroke. If you take this drug to treat angina, your chest pain may get worse.
ရုတ္တရက္ ဒံုးတိ ျဖတ္လို့ မရ ေသြးေပါင္း တိုးလာနိုင္ heart attack or stroke ျဖစ္လာနိုင္ ရင္ ဖတ္ ေအာင့္ကုသမားေတြ ရင္ ဘတ္ ေအာင့္တာပိုဆိုးလာနုိင္
If you miss doses or don’t take the drug on schedule: Your medication may not work as well or may stop working completely. For this drug to work well, a certain amount needs to be in your body at all times. ပံုမွန္ မေသာက္ရင္ အက်ိ ုးသက္ေရာက္မွ ုမရိွ
What to do if you miss a dose: Take your dose as soon as you remember. If you remember just a few hours before your next scheduled dose, take only one dose. Never try to catch up by taking two doses at once. This could result in dangerous side effects.
ေသာက္ဖို့ ေမ့ သြားရင္ နွစ္လံုး ျပ ုး မေသာက္ရ ျပသနာတက္နိင္
How to tell if the drug is working: If you’re taking this drug to treat high blood pressure, your blood pressure level should go down. Your doctor can check your blood pressure, or you can do it using a home blood pressure monitor. If you’re taking this drug to treat angina, you should have less severe chest pain, less frequent chest pain, or both.
ေသြးေပါင္တိုင္းတာေတြ ေဆာင္ထား အိမ္မွာ
၇င္ဖတ္ ေအာင့္တာ အတြက္ ေသာက္ေနပါ က နာတာေတြ သက္သာသင့္တယ္
If you take too much: You could have dangerous levels of the drug in your body. Symptoms of an overdose of this drug can include:
dizziness မ်ားသြား၇င္ ေခါငး္မွု း ရင္တုန္ ျမန္ အေရးျပာနီးရဲလာ
a fast heartbeat
flushing (reddening of the skin)
Nifedipine is used to treat hypertension (high blood pressure). long-term treatment
treat two types of angina (chest pain): vasospastic angina and chronic stable angina. ေသြးေၾကာက်ဥ္း ရင္ဘတ္ ေအာင့္ၿခင္း
treat angina (chest pain). treat either high blood pressure or angina.
It’s also used to treat vasospastic angina (chest pain due to a spasm in arteries around the heart) ေသြးေၾကာမ်ား က်ဥ္းလိုက္က်ယ္လိုက္ျဖစ္ၿခင္းေၾကာင့္
ရင္ဘတ္ ေအာင့္ၿခင္း
or chronic stable angina (chest pain that occurs with activity or stress). စိတ္ ဖိစီမွ ုမ်ားလို့ လွုပ္ရွားမွ ုမ်ားလို့ ၇င္ဘတ္ ေအာင့္ၿခင္း
Nifedipine may be used as part of a combination therapy. This means you may need to take it with other medications. If you are using it to treat high blood pressure, you may take it with other drugs that lower blood pressure. If you are using it to treat angina, you may take it with nitrates (nitroglycerin products) or beta-blockers.
(nitroglycerin products) or beta-blockers. တု့ိနဲ့ လညး္ တြဲ ေပးေသး
Calcium channel blockers help lower blood pressure by relaxing the blood vessels throughout your body. As a result, less pressure is built up and your heart does not have to work as hard to pump blood. ေသြးေၾကာမ်ားကို ေျပ ေလွ ်ာ ့ ေစ
Calcium channel blockers help to prevent angina in two ways. First, they lower pressure in the coronary arteries (the arteries that supply blood to your heart). As a result, your heart receives more blood and oxygen. Second, they help prevent spasm of the coronary arteries. (A spasm is a temporary, sudden narrowing of these arteries.) နွလံုး ေသြး သြားေၾကာ ေတြမွာ ေျပေလွ ်ာ ့ ေစ
ရုတ္ တရက္ က်ဥ္ းလိုက္က်ယ္ လို္က္ ေတြကို သက္သာေစ
ဆိုးက်ိ ုး
The more common side effects that can occur with nifedipine include:
headache ေခါငး္မွ ု
nausea
dizziness or lightheadedness
flushing (reddening of the skin)
heartburn
muscle cramps ၾကြက္တက္
constipation ၀မ္းခ် ုပ္
cough ေခ်ာင္းဆိုး
decreased sexual ability or desire သားစိတ္ မယားစိတ္ ကုန္ခမ္း
edema (swelling in the legs or feet) ေၿခ လက္ ေဖာ
weakness အားနည္း
If these effects are mild, they may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk to your doctor or pharmacist. ဆိုးလာရင္ ဆရာ၀န္ သြားျပ
Edema (fluid retention). Symptoms can include: ေဖာ ၿခင္း
swelling in the arms, hands, lower legs, feet, or ankles ေၿခ လက္ လက္ ေခ်ာင္း
Allergic reaction. Symptoms can include: မတည့္ၿခင္း
trouble breathing သက္ရွုၾကတ္
trouble swallowing မ်ိ ုရခက္
rash or hives
swelling of the face, eyes, lips, or tongue ေဖာ္ၿခင္း မ်က္နွာ မ်က္စိ နုတ္ ခမ္းလွ ်ာ
Low blood pressure or low heart rate. Symptoms can include: ေသြးေပါင္က်ၿခငး္
lightheadedness ေခါငး္ မူး
fainting
Liver damage. Symptoms can include: အသညး္ ထိ
yellowing of the skin skin ၀ါ
yellowing of the whites of the eyes မ်က္လံဳး၀ါ
Chest pain (angina) that is worse or occurs more often ရင္ဘတ္ နာ
Nifedipine may interact with other medications
ေဆးကို မ်ားေစတဲ့ ပိုးသတ္ေဆး
Antibiotics
Taking certain antibiotics with nifedipine can cause higher levels of nifedipine in your body. This can increase your risk of side effects from nifedipine. These drugs include:
clarithromycin
erythromycin
quinupristin/dalfopristin
Taking the antibiotic rifampin can decrease the levels of nifedipine in your body.
rifampin သည္ nifedipine level ကို နညး္ေစ
This could make nifedipine less effective. You shouldn’t take rifampin and nifedipine together. အတူတကြေသာက္ရင္
က်ိ ုးသက္ေရာက္မွ ုက်ဆငး္
Antifungal drugs
Taking certain antifungal drugs with nifedipine can cause higher levels of nifedipine in your body. This can increase your risk of side effects from nifedipine. These drugs include: မိွ ုသတ္ေဆးေတြနဲ့ တြဲ ေသာက္၇င္ ေဆးဆိုးက်ိ ုး ပိုမ်ား
fluconazole
itraconazole
ketoconazole
Antiviral drugs
Taking certain antiviral drugs with nifedipine can cause higher levels of nifedipine in your body. This can increase your risk of side effects from nifedipine. These drugs include: virus သတ္ ေဆးနဲ့ တြဲ ေသာက္ရင္ ေဆး ဆိုး က် ိုး ပို မ်ား
atazanavir
delavirdine
fosamprenavir
indinavir
nelfinavir
ritonavir
Antiseizure drugs
Taking certain antiseizure drugs with nifedipine can cause lower levels of nifedipine in your body. This can make it less effective. These drugs include: အတက္က် ေဆးမ်ားနဲ့ တြဲ ေသာက္ရင ္အာနိသင္က်ဆင္း
phenytoin
carbamazepine
Taking other antiseizure drugs with nifedipine can cause higher levels of nifedipine in your body. This raises your risk of side effects from nifedipine. These drugs include: တစ္ၿခား အတက္က် ေဆး valproic acid နဲ့ တြက္ ေသာက္ ေဆးဆိုးက်ိ ုး ပို ျဖစ္
valproic acid
Heart drugs
Digoxin is used to treat heart rhythm problems. Using digoxin with nifedipine can increase or decrease the amount of digoxin in your body. If you take these drugs together, your doctor should monitor the level of digoxin in your body. နွလံုးဆီ ခ်က္ မွန္ ေဆးနဲ့ တြဲ ေသာက္ရင္ digoxin ေဆး မ်ားတာ
နည္းတာေတြျဖစ္နိုင္တယ္ monitor လုပ္သင့္
Other drugs
Beta-blockers are used to treat many conditions. These include high blood pressure, migraines, or heart failure. Using these drugs with nifedipine has a low risk of causing heart failure, extremely low blood pressure, or a worsening of chest pain (angina).
Beta-blockers မ်ားနဲ့ တြဲ ေပး၇င္ ေသြးေပါင္က် တတ္ ရင္ဘတ္ ပိုနာတတ္ တြဲ ေပးရ
တြဲ ေပးထား၇င္ ျဖတ္ မယ္ဆိိုင္တံုးဒိ မျဖတ္ရ
If you’re taking a beta-blocker and your doctor has you stop taking it before starting nifedipine, the beta-blocker should be tapered slowly. Stopping it suddenly could cause increased chest pains. Beta-blockers include:
Beta-blockers ကို ျဖတ္ တဲ့ အခါ ရုတ္ တရက္ ျဖတ္ လို့ မရ တျဖည္းျဖည္း နညး္နည္း ေလွ ်ာ့ ျပီးျဖတ္ရ
ရုတ္တရက္ျဖတ္ ပါက ရင္ဘတ္ တအား နာတတ္သည္
atenolol
metoprolol
nadolol
propranolol
timolol
Doxazosin is used to treat high blood pressure, as well as benign prostate hyperplasia in men. Using doxazosin with nifedipine can lower the amount of doxazosin in your body. This makes it less effective. Using these drugs together can also cause increased levels of nifedipine in your body. This raises your risk of dangerous side effects.
Doxazosin ေသြးတိုးက် ဆီးၾကိတ္မွာ ေပးတဲ့ ေဆး တြဲ ေပး၇င္ doxazosin နညး္ေစတယ္ အာနိသင္က်ဆငး္ nifedipine level ပိုမ်ား
Forms and strengths
Generic: nifedipine
Form: Oral capsule
Strengths: 10 mg, 20 mg
Form: Oral extended-release tablet
Strengths: 30 mg, 60 mg, 90 mg
Brand: Adalat CC
Form: Oral extended-release tablet
Strengths: 30 mg, 60 mg, 90 mg
Brand: Afeditab CR
Form: Oral extended-release tablet
Strengths: 30 mg, 60 mg
Brand: Procardia XL
Form: Oral extended-release tablet
Strengths: 30 mg, 60 mg, 90 mg
Brand: Procardia
Form: Oral capsule
Strengths: 10 mg
Dosage for hypertension (high blood pressure) ေသြးတိုးအတြက္ ေဆး ေပးနည္း
Adult dosage (ages 18–64 years)
The starting dose is 30 mg or 60 mg by mouth once per day. The dosage can be increased every 7 to 14 days until the maximum dosage of 90–120 mg per day is reached.
Child dosage (ages 0–17 years)
This medication has not been studied in children. It should not be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.
Dosage for vasospastic angina ေသြးေၾကာ က်ဥ္းလိုက္ က်ယ္လို က္ နွ လံုး ေသြေၾကာ ျပသနာရွင္ မ်ား အတြက္ ေဆးေပးနညး္
Adult dosage (ages 18–64 years)
The starting dose is 30 mg or 60 mg by mouth once per day. The dosage can be increased every 7 to 14 days until the maximum dosage of 180 mg per day is reached.
Child dosage (ages 0–17 years)
This medication has not been studied in children. It should not be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.
Dosage for chronic stable angina
Adult dosage (ages 18–64 years)
The starting dose is 30 mg or 60 mg by mouth once per day. The dosage can be increased every 7 to 14 days until the maximum dosage of 90–120 mg per day is reached.
Child dosage (ages 0–17 years)
This medication has not been studied in children. It should not be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.
Special considerations ေက်ာက္ကပ္ မေကာင္း ေဆးေလွ ်ာ ့ ျပီး တစ္ၿခားေဆးကို ေျပာငး္
If you have liver disease, your body may have trouble clearing nifedipine from your blood. This may cause the amount of nifedipine in your blood to be too high. Your doctor may adjust your dose to keep the amount of nifedipine in your body at a safe level.
အသည္း မေကာငး္ရင္ ေဆးဆိုးက်ိ ုး ပိုမ်ား
Important warnings
Congestive heart failure warning: In rare cases, upon starting to take nifedipine, some patients without a history of heart failure have developed heart failure. တခ်ိ ု့ လူေတြမွာ နွလံုးေ ရာဂါ အရင္ က မရိွတဲ့ လူေတြ နွ လံုး ေရာဂါ ျဖစ္လာတတ္သည္ ရွားတယ္
Chest pain (angina) warning: If you’re taking this drug to treat angina, it can cause a temporary increase in chest pain.
Low blood pressure warning: This drug can cause very low blood pressure. This most often occurs when the drug is started, or when the dosage is increased. ေသြးေပါင္က်တတ္တယ္ ေဆးကို စေပးတာ တိုးလိုက္တာတို့ လုပ္ရင္
Allergy warning
ဓါတ္ မတည့္
Nifedipine can cause a severe allergic reaction. Symptoms can include:
swelling of the face, eyes, lips, or tongue မ်က္နွာ မ်က္စိ နုတ္ ခမ္း လ ွ် ာ ေဖာ္
trouble breathing အသက္ရွ ု ခက္
trouble swallowing မ်ိ ုရခက္
Do not eat grapefruit or drink grapefruit juice if you’re taking nifedipine. Doing so can increase the level of the drug in your body and increase your risk of side effects. Your doctor will likely tell you to avoid grapefruit at least 3 days before starting to take nifedipine.
စပ်စ္သီးေရွာင္ nifedipine level ပို မ်ားေစ
Alcohol interaction
Don’t have drinks that contain alcohol while taking this drug. Drinking alcohol while taking nifedipine can cause very low blood pressure.
Warnings for people with certain health conditions အရက္ မေသာက္ရ ေသြးေပါင္က်တတ္
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. Talk to your doctor to find out the true cause of any increased swelling you may have. Your doctor can help you decide how to manage it.
နွလံုးသမားေတြ ေၿခ လက္ ေဖာလာမယ္ ေဆး ေၾကာင့္
For people with liver disease: Your liver clears this drug from your blood. If your liver isn’t working right, the level of nifedipine in your blood may become too high. အသည္း မေကာင္းရင္ ေဆးဆိုးက်ိုးမ်ား
For people with low blood pressure: If you have episodes of low blood pressure, taking nifedipine may make these episodes worse. This may be more likely to occur when you first start taking nifedipine, or when your doctor increases your dose. Talk to your doctor if you have frequent episodes of low blood pressure. ေသြး ေပါင္က်တတ္တဲ့ လူေတြ အဲ့ ေဆး စေပးတဲ့ အခါ သို့ မဟုတ္ တိုးလိုက္တဲ့ အခါမွာ ေသြ း ေပါင္းက်တာ ျဖစ္တတ္
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. You may be at greater risk for this blockage if you have a history of it.
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. Nifedipine capsules (Procardia) should not be taken within the first week or two after a heart attack. Ask your doctor about this risk to see if nifedipine is right for you. နွလံုးသမားေတြ ရင္ဘတ္နာ ပိုဆိုးလာတတ္
Warnings for other groups
For pregnant women: Nifedipine is a category C pregnancy drug. That means two things:
ကိုယ္၀န္ ေဆာင္ သမား မသံုးရ
Research in animals has shown adverse effects to the fetus when the mother takes the drug.
There haven’t been enough studies done in humans to be certain how the drug might affect the fetus.
Talk to your doctor if you’re pregnant or planning to become pregnant. This drug should only be used if the potential benefit justifies the potential risk to the fetus. Call your doctor if you become pregnant while taking this drug.
For women who are breastfeeding: Nifedipine may pass into breast milk and can cause serious side effects in a child who is breastfed. Tell your doctor if you are breastfeeding. You should decide whether you will stop breastfeeding or stop taking nifedipine.
နို့ မွာ ပါရင္ ကေလး ထိတတ္
Nifedipine, Oral Tablet
- Nifedipine oral tablet is available as both a generic drug and brand-name ride. Brand names: Adalat CC, Afeditab CR, and Procardia XL.
- Nifedipine tablets are an extended-release form of the drug. Nifedipine is also available in immediate-release oral capsules. The capsules are available as the brand-name drug Procardia. They are also available in a generic drug.
- Nifedipine is used to treat hypertension (high blood pressure). It’s also used to treat two types of angina (chest pain): vasospastic angina and chronic stable angina.
Nifedipine oral tablet is a prescription drug that’s available as the brand-name drugs Adalat CC, Afeditab CR, and Procardia XL. These are all extended-release tablets. An extended-release drug is slowly released into your bloodstream over time. Nifedipine immediate-release capsules are available as the brand-name drug Procardia. The capsules are used to treat angina (chest pain). The tablets are used to treat either high blood pressure or angina.
Both the nifedipine immediate-release capsules and extended-release tablets are also available as generic drugs. Generic drugs usually cost less. In some cases, they may not be available in every strength or form as the brand-name version.
Why it's used
Nifedipine is used to lower blood pressure in people with hypertension. It’s 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). The drug form used depends on the condition it is treating. Talk to your doctor about which form is right for you.Nifedipine may be used as part of a combination therapy. This means you may need to take it with other medications. If you are using it to treat high blood pressure, you may take it with other drugs that lower blood pressure. If you are using it to treat angina, you may take it with nitrates (nitroglycerin products) or beta-blockers.
How it works
Nifedipine belongs to a class of drugs called calcium channel blockers. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions.Calcium channel blockers help lower blood pressure by relaxing the blood vessels throughout your body. As a result, less pressure is built up and your heart does not have to work as hard to pump blood.
Calcium channel blockers help to prevent angina in two ways. First, they lower pressure in the coronary arteries (the arteries that supply blood to your heart). As a result, your heart receives more blood and oxygen. Second, they help prevent spasm of the coronary arteries. (A spasm is a temporary, sudden narrowing of these arteries.)
Nifedipine oral tablet doesn’t cause drowsiness. However, it may cause other side effects.
More common side effects
The more common side effects that can occur with nifedipine include:- headache
- nausea
- dizziness or lightheadedness
- flushing (reddening of the skin)
- heartburn
- muscle cramps
- constipation
- cough
- decreased sexual ability or desire
- edema (swelling in the legs or feet)
- weakness
Serious side effects
Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life-threatening or if you think you’re having a medical emergency. Serious side effects and their symptoms can include the following:- Edema (fluid retention). Symptoms can include:
- swelling in the arms, hands, lower legs, feet, or ankles
- Allergic reaction. Symptoms can include:
- trouble breathing
- trouble swallowing
- rash or hives
- swelling of the face, eyes, lips, or tongue
- Low blood pressure or low heart rate. Symptoms can include:
- lightheadedness
- fainting
- Liver damage. Symptoms can include:
- yellowing of the skin
- yellowing of the whites of the eyes
- Chest pain (angina) that is worse or occurs more often
Nifedipine oral tablet can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well.
To help avoid interactions, your doctor should manage all of your medications carefully. Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking. To find out how this drug might interact with something else you’re taking, talk to your doctor or pharmacist.
Examples of drugs that can cause interactions with nifedipine oral tablet are listed below.
Antibiotics
Taking certain antibiotics with nifedipine can cause higher levels of nifedipine in your body. This can increase your risk of side effects from nifedipine. These drugs include:- clarithromycin
- erythromycin
- quinupristin/dalfopristin
Antifungal drugs
Taking certain antifungal drugs with nifedipine can cause higher levels of nifedipine in your body. This can increase your risk of side effects from nifedipine. These drugs include:- fluconazole
- itraconazole
- ketoconazole
Antiviral drugs
Taking certain antiviral drugs with nifedipine can cause higher levels of nifedipine in your body. This can increase your risk of side effects from nifedipine. These drugs include:- atazanavir
- delavirdine
- fosamprenavir
- indinavir
- nelfinavir
- ritonavir
Antiseizure drugs
Taking certain antiseizure drugs with nifedipine can cause lower levels of nifedipine in your body. This can make it less effective. These drugs include:- phenytoin
- carbamazepine
- valproic acid
Heart drugs
Digoxin is used to treat heart rhythm problems. Using digoxin with nifedipine can increase or decrease the amount of digoxin in your body. If you take these drugs together, your doctor should monitor the level of digoxin in your body.Other drugs
Beta-blockers are used to treat many conditions. These include high blood pressure, migraines, or heart failure. Using these drugs with nifedipine has a low risk of causing heart failure, extremely low blood pressure, or a worsening of chest pain (angina).If you’re taking a beta-blocker and your doctor has you stop taking it before starting nifedipine, the beta-blocker should be tapered slowly. Stopping it suddenly could cause increased chest pains. Beta-blockers include:
- atenolol
- metoprolol
- nadolol
- propranolol
- timolol
Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. This information is not a substitute for medical advice. Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking.
This dosage information is for nifedipine oral tablet. All possible dosages and drug forms may not be included here. Your doctor will tell you what dosage is right for you. Your dose, drug form, and how often you take the drug will depend on:
- your age
- the condition being treated
- how severe your condition is
- other medical conditions you have
- how you react to the first dose
Forms and strengths
Generic: nifedipine- Form: Oral capsule
- Strengths: 10 mg, 20 mg
- Form: Oral extended-release tablet
- Strengths: 30 mg, 60 mg, 90 mg
- Form: Oral extended-release tablet
- Strengths: 30 mg, 60 mg, 90 mg
- Form: Oral extended-release tablet
- Strengths: 30 mg, 60 mg
- Form: Oral extended-release tablet
- Strengths: 30 mg, 60 mg, 90 mg
- Form: Oral capsule
- Strengths: 10 mg
Dosage for hypertension (high blood pressure)
Adult dosage (ages 18–64 years)The starting dose is 30 mg or 60 mg by mouth once per day. The dosage can be increased every 7 to 14 days until the maximum dosage of 90–120 mg per day is reached.
Child dosage (ages 0–17 years)
This medication has not been studied in children. It should not be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.
Dosage for vasospastic angina
Adult dosage (ages 18–64 years)The starting dose is 30 mg or 60 mg by mouth once per day. The dosage can be increased every 7 to 14 days until the maximum dosage of 180 mg per day is reached.
Child dosage (ages 0–17 years)
This medication has not been studied in children. It should not be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.
Dosage for chronic stable angina
Adult dosage (ages 18–64 years)The starting dose is 30 mg or 60 mg by mouth once per day. The dosage can be increased every 7 to 14 days until the maximum dosage of 90–120 mg per day is reached.
Child dosage (ages 0–17 years)
This medication has not been studied in children. It should not be used in people younger than 18 years.
Senior dosage (ages 65 years and older)
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.
Special considerations
If you have liver disease, your body may have trouble clearing nifedipine from your blood. This may cause the amount of nifedipine in your blood to be too high. Your doctor may adjust your dose to keep the amount of nifedipine in your body at a safe level.Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you.
Nifedipine oral tablet is used for long-term treatment. It comes with serious risks if you don't take it as prescribed.
If you stop taking the drug suddenly or don’t take it at all: If you take this drug to treat high blood pressure, your blood pressure may increase. This can raise your risk of health problems such as heart attack or stroke. If you take this drug to treat angina, your chest pain may get worse.
If you miss doses or don’t take the drug on schedule: Your medication may not work as well or may stop working completely. For this drug to work well, a certain amount needs to be in your body at all times.
If you take too much: You could have dangerous levels of the drug in your body. Symptoms of an overdose of this drug can include:
- dizziness
- a fast heartbeat
- flushing (reddening of the skin)
What to do if you miss a dose: Take your dose as soon as you remember. If you remember just a few hours before your next scheduled dose, take only one dose. Never try to catch up by taking two doses at once. This could result in dangerous side effects.
How to tell if the drug is working: If you’re taking this drug to treat high blood pressure, your blood pressure level should go down. Your doctor can check your blood pressure, or you can do it using a home blood pressure monitor. If you’re taking this drug to treat angina, you should have less severe chest pain, less frequent chest pain, or both.
As with all medications, the costs of nifedipine can vary. To find current prices for your area, check out GoodRx.com.
Compare pharmacy prices for
Nifedipine 10mg capsules (30 qty)
Walmart | 15.34 |
Walgreens | 18.13 |
Costco | 19.40 |
Keep these considerations in mind if your doctor prescribes nifedipine oral tablet for you.
General
- Adalat CC should be taken on an empty stomach. Other versions of the drug can be taken either with food or on an empty stomach.
- Swallow the tablets whole. Don’t chew, crush, or divide them.
- Not every pharmacy stocks this drug. When filling your prescription, be sure to call ahead.
Storage
- Store drug capsules at room temperature between 59°F (15°C) and 77°F (25°C).
- Store the extended-release tablets below 86°F (30°C).
- Don’t freeze this drug.
- Keep it away from light.
- Don’t store this medication in moist or damp areas, such as bathrooms.
Refills
A prescription for this medication is refillable. You should not need a new prescription for this medication to be refilled. Your doctor will write the number of refills authorized on your prescription.Travel
When traveling with your medication:- Always carry your medication with you or in your carry-on bag.
- Don’t worry about airport X-ray machines. They can’t hurt your medication.
- You may need to show airport staff the pharmacy label for your medication. Always carry the original prescription-labeled box with you.
- Don’t put this medication in your car’s glove compartment or leave it in the car. Be sure to avoid doing this when the weather is very hot or very cold.
- This medication needs to be refrigerated. You may need to use an insulated bag with a cold pack to keep it cold.
Self-management
Your doctor may suggest that you monitor your blood pressure at home. You will need to buy a home blood pressure monitor to do this. Your doctor can tell you where to buy this device and how to use it.Clinical monitoring
Your doctor will check your blood pressure and perform blood tests from time to time.Your diet
Your doctor may advise you to follow a heart-healthy diet. Talk to your doctor about which foods are good for your heart and blood pressure, and which ones you should avoid.Hidden costs
You may need to buy a blood pressure monitor to check your blood pressure at home. Your doctor can tell you more.There are other drugs available to treat your condition. Some may be better suited for you than others. Talk to your doctor about other drug options that may work for you.
- Congestive heart failure warning: In rare cases, upon starting to take nifedipine, some patients without a history of heart failure have developed heart failure.
- Chest pain (angina) warning: If you’re taking this drug to treat angina, it can cause a temporary increase in chest pain.
- Low blood pressure warning: This drug can cause very low blood pressure. This most often occurs when the drug is started, or when the dosage is increased.
Nifedipine oral tablet comes with several warnings.
Allergy warning
Nifedipine can cause a severe allergic reaction. Symptoms can include:- swelling of the face, eyes, lips, or tongue
- trouble breathing
- trouble swallowing
Don’t take this drug again if you have ever had an allergic reaction to it before. Taking it again could be fatal (cause death).
Food interactions
Do not eat grapefruit or drink grapefruit juice if you’re taking nifedipine. Doing so can increase the level of the drug in your body and increase your risk of side effects. Your doctor will likely tell you to avoid grapefruit at least 3 days before starting to take nifedipine.Alcohol interaction
Don’t have drinks that contain alcohol while taking this drug. Drinking alcohol while taking nifedipine can cause very low blood pressure.Warnings for people with certain health conditions
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. Talk to your doctor to find out the true cause of any increased swelling you may have. Your doctor can help you decide how to manage it.For people with liver disease: Your liver clears this drug from your blood. If your liver isn’t working right, the level of nifedipine in your blood may become too high.
For people with low blood pressure: If you have episodes of low blood pressure, taking nifedipine may make these episodes worse. This may be more likely to occur when you first start taking nifedipine, or when your doctor increases your dose. Talk to your doctor if you have frequent episodes of low blood pressure.
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. You may be at greater risk for this blockage if you have a history of it.
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. Nifedipine capsules (Procardia) should not be taken within the first week or two after a heart attack. Ask your doctor about this risk to see if nifedipine is right for you.
Warnings for other groups
For pregnant women: Nifedipine is a category C pregnancy drug. That means two things:- Research in animals has shown adverse effects to the fetus when the mother takes the drug.
- There haven’t been enough studies done in humans to be certain how the drug might affect the fetus.
For women who are breastfeeding: Nifedipine may pass into breast milk and can cause serious side effects in a child who is breastfed. Tell your doctor if you are breastfeeding. You should decide whether you will stop breastfeeding or stop taking nifedipine.
For children: This medication has not been studied in children. It should not be used in people younger than 18 years.
Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or other healthcare professional before taking any medication. 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. 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.
https://www.healthline.com/health/nifedipine-oral-tablet
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