Nifedipine: A Detailed Medication Profile

Summary or Key Points

Nifedipine, a calcium channel blocker, is a frequently prescribed medication for hypertension (high blood pressure) and angina (chest pain). As with any medication, it’s important to understand the correct dosing, potential side effects, and the right way to take it. For personal advice, consult with your healthcare provider or contact one of our telemedicine professionals right away.

Names of Medication

US Brand Name: Procardia (Nifedipine)

The term ‘generic name’ is the official medical name for the active ingredient in the medicine, which in this case is enclosed in parentheses.

Pharmacologic Category

Nifedipine belongs to a class of drugs known as calcium channel blockers. Other medications in this category include Amlodipine (Norvasc), Diltiazem (Cardizem), and Verapamil (Calan).

Dosing

Hypertension (High Blood Pressure): The usual starting dose is 30-60 mg per day, which can be increased up to 90 mg per day depending on the patient’s response. This treatment continues as long as it is effective and as advised by your healthcare provider.

Angina (Chest Pain): The typical dose for angina is 10-20 mg three times a day. The treatment length depends on the severity of the symptoms and the advice of your healthcare provider.

Remember, always consult your healthcare provider or one of our telemedicine professionals before adjusting your dose.

Dosage Forms and Strengths

Nifedipine is available in both immediate and extended-release forms. It comes in different strengths: 10mg, 20mg, 30mg, 60mg, and 90mg tablets.

Administration Instructions

Nifedipine should be taken orally with or without food. Swallow extended-release tablets whole; do not split, chew, or crush them. Always follow the specific instructions provided by your healthcare provider or one of our telemedicine professionals.

Adverse Reactions and Side Effects

• Common: These may include headache, dizziness, or fatigue. These are typically mild and may diminish as your body adjusts to the medication.
• Less common: Some patients may experience gastrointestinal issues like nausea or constipation.
• Rare: Serious side effects such as chest pain, rapid heartbeat, severe dizziness, or fainting are infrequent but should be reported to a healthcare professional immediately.

For any side effects not listed here, consult with your healthcare provider or contact one of our telemedicine professionals.

Contraindications

‘Contraindications’ refer to conditions or factors that serve as a reason to withhold a certain medical treatment due to the harm it may cause to the patient. In relation to Nifedipine:

• Cardiogenic Shock: Nifedipine is contraindicated in patients with cardiogenic shock because it can further reduce cardiac output.
• Unstable Angina: The use of Nifedipine in unstable angina has been associated with increased risk of cardiovascular events.
• Allergy: Patients with a known hypersensitivity to Nifedipine or any components of the medication should not take it.

Drug to Drug Interactions

Some drugs that can interact with Nifedipine include:

• Diltiazem (Cardizem)
• Flecainide (Tambocor)
• Carbamazepine (Tegretol)
• Quinidine (Quin-G)

These interactions may affect the way Nifedipine works and could increase the risk of side effects. Always consult your healthcare provider or one of our telemedicine professionals before starting any new medication.

Nifedipine in Pregnancy

Nifedipine has been used safely for short-term situations during pregnancy, such as preterm labor. However, as with any medication, it should be used only when clearly needed and under a healthcare provider’s supervision. For personalized advice, contact one of our telemedicine professionals.

Nifedipine while Breastfeeding

Nifedipine does pass into breast milk, but it’s generally considered safe during breastfeeding. Always consult your healthcare provider or one of our telemedicine professionals to discuss potential risks and benefits.

Estimated Cost of Medication

The estimated cost for a 30-day supply of Nifedipine (generic) is around $15-$25 without insurance, using a GoodRx coupon. Prices may vary depending on the pharmacy and location.

Possible Alternatives

Alternatives or adjuncts to Nifedipine for treating hypertension and angina may include lifestyle modifications like diet changes, exercise, stress management, and other medications. Always discuss these alternatives with your healthcare provider or one of our telemedicine professionals before making any changes to your treatment plan.

Recent Updates on Nifedipine Research

Current research suggests that Nifedipine has potential use in managing vascular dementia due to its vasodilatory properties. Studies have also examined its role in managing preterm labor. While these findings are promising, more research is needed to establish Nifedipine’s safety and effectiveness in these conditions.

Brief Legal Disclaimer

This article is for informational purposes only and not intended as medical advice. Always consult a healthcare professional for diagnosis and treatment. Reliance on the information provided here is at your own risk.
Brief Legal Disclaimer: This article is for informational purposes only and not intended as medical advice. Always consult a healthcare professional for diagnosis and treatment. Reliance on the information provided here is at your own risk.