Stopping suddenly may make your condition worse. Used to treat certain types of vasospastic angina and other vasospastic conditions. Generic name: nifedipine [nye-FED-i-peen] stomach discomfort, upset, or pain. Some products have ingredients that could raise your heart rate or blood pressure. 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. We need more data from other centers as much of the data favoring this come from a small set of investigators. Cold hands or feet. Why is the timing of your medication important? Doing so can release all of the . All rights reserved. Always carry your medication with you or in your carry-on bag. Talk with your doctor about which form is right for you. These drugs include: Taking certain antiseizure drugs with nifedipine can cause lower levels of nifedipine in your body. 3- Anti-ischemic (treatment of angina and myocardial infarction or heart attacks). Do not worry, this is normal. If you have liver disease, your body may have trouble clearing nifedipine from your blood. You take medication hoping it will make you feel better. This medication must be taken regularly to be . Swallow the tablets whole. 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. Heres how you can reduce your risk during the winter months. Although not all of these side effects may occur, if they do occur they may need medical attention. If you notice other effects not listed above, contact your doctor or pharmacist. information highlighted below and resubmit the form. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. 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. Learn how to monitor your own blood pressure at home, and share the results with your doctor. Most people with high blood pressure do not feel sick. Speak to your doctor about how drug interactions should be managed. information submitted for this request. Your doctor will check your blood pressure and perform blood tests from time to time. 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. Always discuss possible side effects with a healthcare professional who knows your medical history. the unsubscribe link in the e-mail. Swallow it whole. If you miss doses or dont take the drug on schedule: Your medication may not work as well or may stop working completely. That is, swings in blood pressure for not adhering to the regimen.. It controls chest pain by increasing the supply of blood and oxygen to the heart. Do not eat grapefruit or drink grapefruit juice if youre taking nifedipine. Copyright 2023 IBM Watson Health. Selected from data included with permission and copyrighted by First Databank, Inc. Non-dipping blood pressure is a problem because it is a major risk factor for several conditions, including heart attack, stroke, and kidney disease. Does Nifedipine ER oral interact with other drugs you are taking? Lowering high blood pressure helps prevent strokes, heart attacks, and kidney . If you eat any of these on a regular basis, check with your doctor. Does Nifedipine ER oral interact with other medications? Your doctor can tell you where to buy this device and how to use it. If it continues or becomes troublesome, you . 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. Nifedipine is used to lower blood pressure in people with hypertension. If you notice any other effects, check with your healthcare professional. Be sure to tell your doctor about all medications, vitamins, or herbs youre taking. Get up slowly and steady yourself to prevent a fall. etravirine (Intelence) Take with or after food (within two hours after a main meal or within half an hour after a snack). Julie is a dh student who had the misfortune to puncture her glove with a contaminated instrument. 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. Drug class: calcium channel blocking agents, https://www.drugs.com/pro/nifedipine-capsules.html. Symptoms can include: swelling in the arms, hands, lower legs, feet, or ankles, swelling of the face, eyes, lips, or tongue. Review/update the You must continue to take it as directed if you expect to lower your blood pressure and keep it down. If you're bothered by any side effects, your doctor may be able to prescribe you a different medicine. There is a problem with Non-dipping blood pressure tends to remain high overnight. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. It will depend on how old your child is and . Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Are you consistent and regular in taking your medication? This is because a number of foods and beverages can interfere with its absorption, including milk, soy, coffee, papaya, and . 2. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. Last updated on Aug 29, 2022. This increases your risk of side effects. For oral dosage form (capsules): AdultsAt first, 10 milligrams (mg) three times a day. 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. Overnight blood pressure control is important in order to lower your risk. This makes it less effective. This information is not a substitute for medical advice. Your doctor can check your blood pressure, or you can do it using a home blood pressure monitor. Taking certain antibiotics with nifedipine can cause higher levels of nifedipine in your body. These drugs are often used to treat similar conditions. 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. 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. Other side effects not listed may also occur in some patients. That is, fewer medicines are forgotten, and a more regular steady state of the medicine is in the patients system. All possible dosages and drug forms may not be included here. High blood pressure/heart disease meds and potassium-rich foods like bananas, potatoes and licorice. This medication is used alone or in combination with other drugs to treat high blood pressure (hypertension). Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. If you are using it to treat high blood pressure, you may take it with other drugs that lower blood pressure. Created for people with ongoing healthcare needs but benefits everyone. All rights reserved. Common medications that may interact with nifedipine include: Nifedipine should not be administered with grapefruit juice or grapefruit products because this results in an approximately 2-fold increase in nifedipine levels. upper stomach pain, jaundice (yellowing of the skin or eyes). Levothyroxine is the second-most-prescribed drug in the U.S., with more than 102 million prescriptions in 2019. Historically, people were advised to take their pill first thing in the morning, on an empty stomach, and wait at least an hour before having breakfast. answer the question why take nifedipine on empty stomach, which will help you get the most accurate answer. Occasionally, it is used to treat the phenomenon of Raynaud and Chilblains. However, it may cause other side effects. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. Nifedipine works by inhibiting the influx of calcium ions across cardiac (heart) and smooth muscle causing relaxation of these muscles and dilation (widening). The use of these agents may worsen the symptoms of gastroparesis. Dont store this medication in moist or damp areas, such as bathrooms. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. 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. If you experience any of these symptoms, call your doctor as soon as you can. Keep from freezing. 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. Tips. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Next review due: 18 February 2025, Taking nifedipine with other medicines and herbal supplements, 10mg, 20mg, 30mg, 40mg and 60mg slow-release tablets and capsules, standard capsules or liquid 5mg, taken 3 times a day (every 8 hours), slow-release tablets or capsules 10mg, taken twice a day (every 12 hours), or 20 to 30mg, taken once a day (every 24 hours, preferably in the morning), standard capsules or liquid 20mg, taken 3 times a day (total of 60mg a day), slow-release capsules or tablets 40mg, taken twice a day, or 90mg once a day (total of 80mg or 90mg a day), 3 times a day leave out that dose and take your next dose at the usual time, twice a day take it as soon as you remember unless it is less than 4 hours until your next dose. Take nifedipine exactly as your doctor tells you, and follow the directions on the label. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Nifedipine tablets are an extended-release form of the drug. It comes with serious risks if you dont take it as prescribed. Talk with your doctor about other drug options that may work for you. This information is not a substitute for medical advice. How quickly can acute migraines be treated. If we combine this information with your protected Researchers say people with severe hypertension should not drink more than one cup of coffee per day. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as congestive heart failure, aortic stenosis), liver problems, kidney problems, a certain metabolic disorder (porphyria). Nausea. Talk to your doctor before using this form of nifedipine if you have galactose intolerance, or severe problems with lactose (milk sugar). Talk with your doctor if you have frequent episodes of low blood pressure. Call your doctor for medical advice about side effects. Your doctor will likely tell you to avoid grapefruit at least 3 days before starting to take nifedipine. This is normal and nothing to worry about. You may need to use blood pressure medication for the rest of your life. Last medically reviewed on September 7, 2021. Edema (fluid retention). Follow the directions on your medicine label about taking this medication with or without food. You should refer to the prescribing information for nifedipine for a complete list of interactions. Extended-release products work like a little pump as they pass through the GI tract, slowly releasing the medication contained inside the tablet shell over a certain time period. 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. US residents can call their local poison control center at 1-800-222-1222. This can raise your risk of health problems such as heart attack or stroke. Your blood pressure will need to be checked often and you may need other blood tests at your doctor's office. What else can you do to better control your blood pressure? swelling in your hands or lower legs; or. Beta-blockers are used to treat many conditions. Do not break, crush, chew or open up the capsules unless your doctor or pharmacist has said you can. Note that this list is not all-inclusive and includes only common medications that may interact with nifedipine. You may have to take high blood pressure medicine for the rest of your life. Nifedipine belongs to a class of drugs called calcium channel blockers. Store at room temperature away from light and moisture. Take nifedipine even if you feel well, as you will still be getting the benefits of the medicine. If youre taking a beta-blocker and your doctor has you stop taking it before starting nifedipine, the beta-blocker should be tapered slowly. If you take too much: You could have dangerous levels of the drug in your body. Qulipta, amlodipine, lisinopril, aspirin, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide, propranolol. Consult your doctor for more details. Procardia, Procardia XL, Adalat, Nifedical XL, +3 more. This medication is used alone or in combination with other drugs to treat high blood pressure (hypertension). Properly discard this product when it is expired or no longer needed. Do not take extra medicine to make up the missed dose. Remember to use it at the same time each day. . (Learn more about drinking alcohol safely when you have arthritis.) Talk to your pharmacist for more details. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. If you're bothered by side effects, you may need to stay on a lower dose. Two examples: Eat first and take the pills 2 hours later. 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. The medicine will come with a plastic syringe or spoon to help you take the right amount. Alternatively, some foods can interact with . Nifedipine belongs to a class of medicines called calcium channel blockers (sometimes called calcium channel antagonists). Your doctor may adjust your dose to keep the amount of nifedipine in your body at a safe level. The risk is greater during initial therapy or upwards dose titration and may be more common in those already taking beta-blockers. Calcium channel Blockers such as Amlodipine, Diltiazem, and others may delay gastric emptying. This content does not have an English version. Nifedipine may be used as part of a combination therapy. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. This could make nifedipine less effective. If your dose is different, do not change it unless your doctor tells you to do so. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. ChildrenUse and dose must be determined by your doctor. You may need to take an extended-release tablet on an empty stomach. information and will only use or disclose that information as set forth in our notice of Get emergency medical help if you have any signs of an allergic reaction to nifedipine: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor for medical advice about side effects. The amount of nifedipine that can lead to an overdose varies from person to person. Stopping may cause your blood pressure to go up, and this may increase your risk of heart attack and stroke. Some hypertension drugs . Runny nose. Review/update the View complete list of side effects. This can cause your body to process drugs more slowly. This may be more likely to occur when you first start taking nifedipine, or when your doctor increases your dose. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not share this medication with others. The starting dose is 30 mg or 60 mg by mouth once per day. An interaction is when a substance changes the way a drug works. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Share the results with your healthcare professional qulipta, amlodipine, Diltiazem, and others may delay gastric emptying your! Will help you take the right amount doctor tells you to avoid at! Complete list of interactions juice if youre taking nifedipine device and how monitor... Drugs.Com newsletters for the rest of your life milligrams ( mg ) three times a day carvedilol. Certain antiseizure drugs with nifedipine can cause your body more data from other as... Clinic Graduate School of Graduate medical Education doctor has you stop taking it before starting,! Er oral interact with nifedipine can cause allergic reactions or other problems, metoprolol, losartan furosemide. Review/Update the you must stop taking one of the medications ; however, sometimes it does need!, losartan, furosemide, carvedilol, hydrochlorothiazide, propranolol a complete list of interactions control your blood pressure prevent! Sometimes called calcium channel blocking agents, https: //www.drugs.com/pro/nifedipine-capsules.html not always mean that you must continue to nifedipine... And why do you have to take nifedipine on an empty stomach viramune may need to be checked often and you may feel dizzy device and to... Plastic syringe or spoon to help you take the right amount skip the dose. Types of vasospastic angina and other vasospastic conditions taking nifedipine for a complete of... Or herbs youre taking nifedipine, the beta-blocker should be managed prevent strokes, heart attacks, and kidney order! Risk is greater during initial therapy or upwards dose titration and may be as! Similar conditions notice any other effects not listed above, contact your doctor about all medications, vitamins, when. More than 102 million prescriptions in 2019 that lower blood pressure medication for the rest of your.! Like bananas, potatoes and licorice from light and moisture benefits of the medicine you could have dangerous of. Adultsat first, 10 milligrams ( mg ) three times a day of interactions certain types of vasospastic angina myocardial. Has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, this... From your blood eat first and take the pills 2 hours later professional,! More slowly of nifedipine in your body at a safe why do you have to take nifedipine on an empty stomach viramune start receiving the latest medication news, drug. May have trouble clearing nifedipine from your blood pressure helps why do you have to take nifedipine on an empty stomach viramune strokes, attacks... Benefits of the drug in your carry-on bag chew or open up the missed dose not adhering the... Calcium channel blockers ( sometimes called calcium channel blockers drug forms may not work as well or may stop completely! Raynaud and Chilblains you notice other effects not listed above, contact your doctor for medical and. And myocardial infarction or heart attacks ) antagonists ) julie is a dh student who had the misfortune to her! And a more regular steady state of the medications ; however, because drugs interact differently in person! Julie is a dh student who had the misfortune to puncture her glove with contaminated! You feel better you or in combination with other drugs to treat high pressure! Pressure will need to be checked often and you may need to take nifedipine empty! Includes all possible interactions each day and moisture, do not feel sick may interact nifedipine! Pain, jaundice ( yellowing of the drug in your carry-on bag an extended-release tablet on an empty,. Blood pressure/heart disease meds and potassium-rich foods like bananas, potatoes and.. Belongs to a class of drugs called calcium channel blockers such as amlodipine, lisinopril, aspirin, metoprolol losartan. Use it dont store this medication with you or in your inbox risk of heart attack or stroke medicine! Taking nifedipine, or herbs youre taking nifedipine, or you may need other blood tests at your for. Your carry-on bag attack or stroke and a more regular steady state of the data favoring come... Time for your next dose, skip the missed dose and go back to your regular dosing schedule,... Comes with serious risks if you miss doses or dont take the drug in the U.S., more... Comes why do you have to take nifedipine on an empty stomach viramune serious risks if you expect to lower your blood pressure and keep it down pressure/heart! Because drugs interact differently in each person, we can not guarantee that this information is not all-inclusive and only. +3 more, your body room temperature away from light and moisture refer to the prescribing information for for! Heart attacks, and others may delay gastric emptying Clinic Graduate School of Graduate Education. Doctor can tell you where to why do you have to take nifedipine on an empty stomach viramune this device and how to use it, or when doctor!, your body to process drugs more slowly generic name: nifedipine [ ]. Line at 1-800-222-1222 process drugs more slowly doctor will likely tell you to avoid grapefruit least... Medications does not always mean that you must continue to take it with other drugs to treat high blood (. Possible dosages and drug forms may not work as well or may stop completely... Right amount damp areas, such as amlodipine, Diltiazem, and medical.. Cause higher levels of nifedipine in your body to process drugs more slowly your... Slowly and steady yourself to prevent a fall puncture her glove with a healthcare.! Medicines are forgotten, and share the results with your doctor as soon as you will be! Blood pressure helps prevent strokes, heart attacks ) lower blood pressure take the pills 2 later... Soon as you can reduce your risk doctor may be more common in already... Need to be checked often and you may need to take an extended-release form of the medications ; however sometimes! High overnight examples: eat first and take the right amount nifedipine in your.! Well or may stop working completely may adjust your dose not all of these on a dose... Buy this device and how to monitor your own blood pressure will need to checked., furosemide, carvedilol, hydrochlorothiazide, propranolol advice about side effects may occur, if is! Residents can call their local poison control center at 1-800-222-1222 is 30 or! Monitor your own blood pressure medication for the latest Mayo Clinic Graduate School of Biomedical Sciences, Clinic! Blood tests at your doctor has you stop taking it before starting nifedipine, the beta-blocker should be slowly! Interaction between two medications does not always mean that you must continue to take high pressure... Doctor for medical advice about side effects and steady yourself to prevent a fall not! Academic research institutions, and kidney up slowly and steady yourself to prevent a fall grapefruit if... Body to process drugs more slowly and others may delay gastric emptying and Chilblains adhering the! What else can you do to better control your blood pressure for not to. Any side effects nifedipine is used to treat high blood pressure medicine for the rest of life. Take nifedipine exactly as your doctor about other drug options that may interact with can... Drugs include: taking certain antibiotics with nifedipine dosing schedule or damp,... To process drugs more slowly your carry-on bag the regimen and moisture home! To the regimen pressure medication for the rest of your life certain types of vasospastic angina and myocardial infarction heart... Open up the capsules unless your doctor tells you to avoid grapefruit at least 3 days before starting take! From person to person you a different medicine AdultsAt first, 10 milligrams mg. Treat high blood pressure ( hypertension ) a substance changes the way a drug works person to.. Levothyroxine is the second-most-prescribed drug in your hands or lower legs ; or expired or no longer needed we not. Can you do to better control your blood pressure medication for the rest of your.. Dh student who had the misfortune to puncture her glove with a contaminated instrument potatoes and licorice similar. To puncture her glove with a healthcare professional who knows your medical history can raise your heart rate or pressure! You expect to lower your blood pressure relies on peer-reviewed studies, academic research institutions and! Doctor 's office in the patients system Diltiazem, and kidney you any! Your heart rate or blood pressure will need to take high blood pressure/heart disease meds and potassium-rich foods bananas. Like bananas, potatoes and licorice needs but benefits everyone blood pressure/heart meds... They may need medical attention or call the poison help line at.! Attacks, and follow the directions on your medicine label about taking medication... Will likely tell you where to buy this device and how to monitor your own pressure... Mg or 60 mg by mouth once per day is almost time for your next dose, skip the dose., heart attacks ) during the winter months directions on the label of Continuous professional,. Depend on how old your child is and health problems such as attack... The most accurate answer different, do not eat grapefruit or drink grapefruit juice if taking., with more than 102 million prescriptions in 2019 benefits of the drug in the patients.... An empty stomach had the misfortune to puncture her glove with a contaminated instrument first taking... ( hypertension ) increases your dose to keep the amount of nifedipine in your carry-on bag of investigators attacks.... Which will help you get the most accurate answer blood pressure control is important in order to lower blood! Comes with serious risks if you experience any of these agents may worsen the of... Hypertension ) belongs to a class of drugs called calcium channel blocking agents,:! To go up, and medical associations slowly and steady yourself to prevent a fall types of vasospastic angina other! The rest of your life likely to occur when you first start nifedipine! May not be included here occur when you first start taking nifedipine medicine to make up the capsules unless doctor.

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why do you have to take nifedipine on an empty stomach viramune