NICARDIA RETARD 20 mg 15 Tablets

Prescription status:

Prescription required

Manufacturer Name: 

JB CHEMICALS

Drug classification: 

Calcium-channel blockers.

What is this used for:

• Treats high blood pressure
• Chest pain
• Abnormal heart rhythms
• Angina
• Heart attacks

When to not take this medicine:

• Hypersensitivity
• Pregnant, are already pregnant or you are breastfeeding
• Have liver disease
• Have any heart problems
• Have diabetes

How should i take the medicine:

Take this medicine with an adequate amount of water as directed by the physician. Do not take this medicine in small or larger amounts than recommended.

How this medicine works:

It lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard

Side effects

Common:

• Headache
• Flushing
• Constipation
• Feeling tired

Less common:

• Nausea
• dizziness or lightheadedness
• Heartburn
• Fast heartbeat
• Muscle cramps
• Cough
• Swollen ankles
• Decreased sexual ability

Rare:

• Swelling of the face, eyes, lips, tongue, hands, arms, feet, ankles, or lower legs
• Difficulty breathing or swallowing
• Fainting
• Rash
• Yellowing of the skin or eyes
• Increase in frequency or severity of chest pain (angina)

Pregnancy warning: Category C

Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Lactation warning:

Use of this medicine is not recommended for lactating and breastfeeding mothers unless absolutely necessary. Inform your doctor about the use of this medicine. All the risks and benefits should be discussed with the doctor before taking this medicine.

Renal dose adjustments:

Care must be taken for individuals with kidney disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative on the basis of creatinine clearance values.

Hepatic dose adjustments:

Care must be taken for individuals with liver disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative.

Drug interactions:

Ibuprofen- Moderate

Inform your doctor about the use of either medicines. The use of these medicines are contraindicated since they may give serious adverse reactions which may lead to coma or death. Suitable alternatives may be considered based on the condition of the patient.

Aspirin- Moderate

Inform your doctor about the use of either medicines. The use of these medicines are contraindicated since they may give serious adverse reactions which may lead to coma or death. Suitable alternatives may be considered based on the condition of the patient.

Diphenhydramine- Unknown

Inform your doctor about the use of either medicines. The use of these medicines are contraindicated since they may give serious adverse reactions which may lead to coma or death. Suitable alternatives may be considered based on the condition of the patient.

Sildenafil- Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together caan add to the blood pressure-lowering effect of NIFEdipineIf you experience any signs and symptoms like dizziness, lightheadedness, fainting, flushing, headache, or a rapid pulse or heart rate then inform the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

Cholecalciferol- Unknown

Inform your doctor about the use of either medicines. The use of these medicines are contraindicated since they may give serious adverse reactions which may lead to coma or death. Suitable alternatives may be considered based on the condition of the patient.

Acetaminophen- Unknown

Inform your doctor about the use of either medicines. The use of these medicines are contraindicated since they may give serious adverse reactions which may lead to coma or death. Suitable alternatives may be considered based on the condition of the patient.

Alcohol interactions:

Consumption of alcohol is not recommended while receiving/taking this medicine as it may cause interactions and lead to serious adverse effects and may worsen the health condition.

Food interactions:

Do not eat grapefruit or drink grapefruit juice while being on this medication

Expert Advice:

1. Food instruction: As directed by the doctor
2. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
3. Report any side effects like nausea, vomiting, etc.experienced immediately to the doctor.
4. Swallow the extended-release tablets whole; do not split, chew, or crush them.

Missed dose instructions:

Take this medicine as soon as you remember. However if it is almost the for your next dose skip the dose and go back to your regular dosing schedule. Do not double dose to make up for the missed dose.

Over dose Instructions:

Seek emergency treatment or contact your physician in case if you experience any unusual signs and symptoms during the treatment with this medicine.

Storage Instructions:

• Keep this medication in the container it came in, tightly closed, and out of reach of children. 
• Store it at room temperature, away from light, and away from excess heat and moisture (not in the bathroom)

References:

Drugs H. Nifedipine: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2020 [cited 4 November 2020]. Available from: https://medlineplus.gov/druginfo/meds/a684028.html#:~:text=Nifedipine%20is%20in%20a%20class,have%20to%20pump%20as%20hard.

[Internet]. Accessdata.fda.gov. 2020 [cited 4 November 2020]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/019684s023lbl.pdf

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Keep away from direct sunlight

Store in a dry place