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NIFEDIPINE

NIFEDIPINE

Background and Date of approval NIFEDIPINE

Nifedipine is an antihypertensive medication developed by the U.S. Food And Drug Administration. It was initially approved on October 20, 1981, for treating hypertension and angina.

Uses of NIFEDIPINE

Nifedipine helps to treat hypertension (raised blood pressure) and certain types of angina (chest pain) caused by coronary artery disease. In hypertension conditions, this medicine relaxes the blood vessels and makes the blood pass smoothly. In angina, it improves the blood supply, which prevents chest pain.

How is NIFEDIPINE administered?

Take the Nifedipine Tablet as advised by your physician. Do not crush, chew, or open the medicine. Your physician will decide the correct dosage and duration based on age, body weight, and disease condition. Only stop taking the tablet if your doctor advises you to stop.

Side Effects of NIFEDIPINE

The side effects known to occur commonly during the treatment with Nifedipine are headache, peripheral edema, dizziness, fatigue, constipation, and swelling particularly of the ankles and legs.

Warnings

Nifedipine should not be used in individuals with known hypersensitivity or allergic reactions to this drug or its components. This tablet is contraindicated in patients with acute myocardial infarction (heart attack) and during the initial recovery phase. It may worsen cardiovascular function in these individuals. This drug should be cautiously used in patients with heart conditions, such as heart failure or certain conduction abnormalities. Close monitoring is required in these individuals, and dosage adjustments are necessary.

Precautions

It is important to note that sudden drops in blood pressure can occur when taking Nifedipine, mainly in individuals with very high blood pressure and low blood volume. This sudden drop in blood pressure is known as orthostatic hypotension (a condition with a significant decrease in blood pressure upon standing up or changing positions). So it is necessary to monitor blood pressure during the treatment with this drug.

Word of Advice

If you take Nifedipine regularly, try to take it simultaneously daily. It can help maintain steady levels of the medication in your body. Grapefruit juice can interact with this medicine and increase the medication's levels in your body. It's advisable to avoid consuming grapefruit or its juice while taking this drug. This medicine is prescribed specifically for your condition, and it is highly advised not to share it with others, even if they have related symptoms. Talk to your physician if you develop any symptoms that worsen, or it does not improve after taking this drug. They may need to reassess your condition and adjust your treatment if necessary. 

Frequently Asked Questions

Q1.

What are the possible side effects of Nifedipine that I should be aware of?

Yes, side effects of Nifedipine may include severe allergic reactions and liver or kidney problems. You must seek medical attention if you encounter any side effects, such as swelling, difficulty breathing, nausea, and rashes.

Q2.

Does Nifedipine cause edema?

The vasodilation of Nifedipine can lead to an increased chance of fluid leakage from the blood vessels into the surrounding tissues, resulting in edema. It occurs in the lower extremities, such as the ankles and feet. It's important to monitor for signs of edema while taking this drug and inform your healthcare provider if you notice any unusual swelling or changes in your extremities.

Q3.

How long does it take time for Nifedipine to work?

Immediate-release tablets of Nifedipine typically start working within 30 minutes to 1 hour after administration. Extended-release formulations may take longer to reach their maximum effect, with onset times ranging from 1 to 2 hours. 

Q4.

Can Nifedipine be given sublingually?

No, Nifedipine should not be given sublingually (under the tongue). It is available in various formulations, including immediate-release tablets and extended-release capsules, which are meant to be swallowed whole with water.

Q5.

How does Nifedipine work in treating low blood pressure?

Nifedipine works by blocking the influx of calcium ions into certain cells, leading to relaxation and dilation of blood vessels, which mainly helps to lower blood pressure and improve blood flow.

Q6.

Can I take Nifedipine with low BP?

If you have low blood pressure (hypotension), taking Nifedipine may further decrease your blood pressure and cause symptoms such as dizziness, lightheadedness, fainting, or fatigue. Therefore, taking this drug if you have low blood pressure is generally not recommended unless specifically prescribed and closely monitored by your healthcare provider.

References

  1. Morningside Healthcare Ltd, Electronic medicines compendium (EMC), [ Revised on June 2022] [ Accessed on 3 June 2023],  https://www.medicines.org.uk/emc/files/pil.12305.pdf
  2. Package leaflet: Information for the user - Nifedipine. www.hpra.ie. [Revised on March 2018], Available at: https://www.hpra.ie/img/uploaded/swedocuments/PIL-2206287-04052018094255-636610237772812500.pdf (Accessed on 3 June 2023).
  3. Goodman & Gilman's, The Pharmacological Basis of Therapeutics, Treatment of Myocardial Ischemia and Hypertension, 12th edition, 2011, 755.
  4. KD Tripathi, Essentials of Medical Pharmacology, Cardiovascular drugs, 7th edition, 2013, 546.

Disclaimer

The drug information on this page is not a substitute for medical advice; it is meant for educational purposes only. For further details, consult your doctor about your medical condition to know if you are eligible to receive this treatment.

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