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Adalat (Nifedipine)

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Adalat (Nifedipine) is a calcium channel blocker used to treat high blood pressure. Some brands are also used to control angina (chest pain). It may also be used to treat other conditions as determined by your doctor.

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About Adalat (Nifedipine):

Product Type: Blood Pressure

Brand name: Adalat Generic name: Nifedipine What is the most important information I should know about Adalat? • Do not stop taking Adalat without first talking to your doctor even if you begin to feel better. If you stop taking the medication your condition could become worse. • Do not crush chew or break any form of Adalat. Swallow the pills whole. • Do not consume grapefruit or grapefruit juice during treatment with Adalat. Adalat can interact with grapefruit and grapefruit juice and the interaction may have dangerous effects. You should discuss the use of grapefruit and grapefruit juice with your doctor. What is Adalat? • Adalat is in a class of drugs called calcium channel blockers. Adalat relaxes (widens) your blood vessels (veins and arteries) which makes it easier for the heart to pump and reduces its workload. • Adalat is used to lower hypertension (high blood pressure) and to treat angina (chest pain). • Adalat may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Adalat? • Before taking Adalat tell your doctor if you have kidney disease; liver disease; another disease of the heart or blood vessels such as sick sinus syndrome aortic stenosis heart failure low blood pressure or coronary artery disease. • You may not be able to take Adalat or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. • Adalat is in the FDA pregnancy category C. This means that it is not known whether Adalat will be harmful to an unborn baby. Do not take Adalat without first talking to your doctor if you are pregnant or could become pregnant during treatment. • Adalat passes into breast milk. Do not take Adalat without first talking to your doctor if you are breast-feeding a baby. • If you are over 65 years of age you may be more likely to experience side effects from Adalat. Your doctor may prescribe a lower dose of this medication. How should I take Adalat? • Take Adalat exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass of water. • Adalat CC should be taken on an empty stomach. • Do not crush chew or break any form of Adalat. Swallow the pills whole. • Do not consume grapefruit or grapefruit juice during treatment with Adalat. Adalat can interact with grapefruit and grapefruit juice and the interaction may have dangerous effects. You should discuss the use of grapefruit and grapefruit juice with your doctor. • Occasionally the Procardia XL tablet shell may be seen in the stool. This is not harmful. The medicine has been absorbed by the body and the tablet shell is designed to be eliminated in the stool. • Do not stop taking Adalat without first talking to your doctor even if you begin to feel better. If you stop taking the medication your condition could become worse. • Store Adalat at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. However if it is almost time for the next dose skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication. What happens if I overdose? • Seek emergency medical attention. • Symptoms of a Adalat overdose include dizziness weakness chest pain shortness of breath fainting an unusually fast or slow heartbeat coma slurred speech and confusion. What should I avoid while taking Adalat? • Do not consume grapefruit or grapefruit juice during treatment with Adalat. Adalat can interact with grapefruit and grapefruit juice and the interaction may have dangerous effects. You should discuss the use of grapefruit and grapefruit juice with your doctor. • Follow any recommendations your doctor makes about diet or exercise. • Use caution when you stand or sit up from a lying position especially if you wake up during the night. You may become dizzy when changing positions. • Use alcohol cautiously. Alcohol may further lower blood pressure and increase drowsiness or dizziness while taking Adalat. What are the possible side effects of Adalat? • If you experience any of the following serious side effects stop taking Adalat and contact your doctor immediately or seek emergency medical treatment: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); unusually fast or slow heartbeats; severe dizziness or fainting; psychosis; yellowing of the skin or eyes (jaundice); or swelling of the legs or ankles. • Other less serious side effects may be more likely to occur. Continue to take Adalat and talk to your doctor if you experience headache fatigue or tiredness; flushing; insomnia; vivid or abnormal dreams; nausea or constipation; or increased urination. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Adalat? • Before taking Adalat tell your doctor if you are taking any of the following drugs: another heart medication to treat the same or another condition; cimetidine (Tagamet Tagamet HB); erythromycin (E-Mycin E.E.S. Eryc Ery-Tab others); itraconazole (Sporanox) or ketoconazole (Nizoral); carbamazepine (Tegretol); phenytoin (Dilantin); or rifampin (Rifadin Rimactane) or rifabutin (Mycobutin). • You may not be able to take Adalat or you may require a dosage adjustment or special monitoring if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Adalat or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including herbal products

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Your doctor may want you to monitor for the following symptoms: anxiety panic attacks difficulty sleeping irritability hostility impulsivity severe restlessness and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Anafranil. Do not stop taking Anafranil. • It may be 4 weeks or more before you start to feel better but do not stop taking Anafranil without first talking to your doctor. • Use caution when driving operating machinery or performing other hazardous activities. Anafranil may cause drowsiness or dizziness. If you experience drowsiness or dizziness avoid these activities. • Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Anafranil. What is Anafranil? • Anafranil is in a class of drugs called tricyclic antidepressants. Anafranil affects chemicals in the brain that may become unbalanced and cause obsessive-compulsive disorder. • Anafranil is used to relieve symptoms of obsessive-compulsive disorder such as recurrent thoughts or feelings and repetitive actions. • Anafranil may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Anafranil? • Do not take Anafranil if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) or tranylcypromine (Parnate) within the last 14 days. • Before taking Anafranil tell your doctor if you have liver disease kidney disease asthma thyroid disease diabetes stomach or intestinal problems high blood pressure or heart disease had a heart attack in the last 6 weeks an enlarged prostate or difficulty urinating glaucoma or seizures. • You may not be able to take Anafranil or you may require a dosage adjustment or special monitoring during therapy if you have any of the conditions listed above. • While you are taking Anafranil you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Anafranil. In patients younger than 18 years the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety panic attacks difficulty sleeping irritability hostility impulsivity severe restlessness and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Anafranil. Do not stop taking Anafranil. • Anafranil is in the FDA pregnancy category C. This means that it is not known whether Anafranil will harm an unborn baby. Do not take Anafranil without first talking to your doctor if you are pregnant or could become pregnant during treatment. • Anafranil passes into breast milk and may affect a nursing baby. Do not take Anafranil without first talking to your doctor if you are breast-feeding a baby. How should I take Anafranil? • Take Anafranil exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass (8 oz) of water. • Anafranil may be taken several times a day or in one daily dose (usually at bedtime). Follow your doctor's instructions. • Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • It may be 4 weeks or more before you start to feel better but do not stop taking Anafranil without first talking to your doctor. • Store Anafranil at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for the next regularly scheduled dose skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor. What happens if I overdose? • Seek emergency medical attention. • Symptoms of a Anafranil overdose include seizures confusion drowsiness agitation hallucinations and low blood pressure (dizziness fatigue fainting). What should I avoid while taking Anafranil? • Use caution when driving operating machinery or performing other hazardous activities. Anafranil may cause drowsiness or dizziness. If you experience drowsiness or dizziness avoid these activities. • Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Anafranil. • Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • Do not stop taking Anafranil suddenly. This could cause symptoms such as nausea headache and malaise. What are the possible side effects of Anafranil? • If you experience any of the following serious side effects stop taking Anafranil and contact your doctor immediately or seek emergency medical treatment: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips face or tongue; or hives); seizures; a fast or irregular heartbeat; a heart attack; high blood pressure (blurred vision severe headache); difficulty urinating; or fever with increased sweating muscle stiffness or severe muscle weakness. • Other less serious side effects may be more likely to occur. Continue to take Anafranil and talk to your doctor if you experience drowsiness or dizziness; dry mouth and eyes; constipation; mild tremor; sweating; mild agitation weakness or headache; ringing in the ears; nausea; or loss of weight or appetite. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Anafranil? • Do not take Anafranil if you have taken a monoamine oxidase inhibitor such as isocarboxazid (Marplan) phenelzine (Nardil) or tranylcypromine (Parnate) within the last 14 days. • Anafranil may increase the effects of other drugs that cause drowsiness including other antidepressants alcohol antihistamines sedatives (used to treat insomnia) pain relievers anxiety medicines and muscle relaxants. Tell your doctor about all medicines that you are taking and do not take any other prescription or over-the-counter medicines without first talking to your doctor. • Drugs other than those listed here may also interact with Anafranil. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including herbal products. 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