NICARDIA XL 30MG TABLET

Manufacturer : JBC-J B CHEMICALS & PHARMACEUTICALS LTD
Composition : NIFEDIPINE-30MG
Dose Form : TABLET
Description : NICARDIA XL 30MG TAB
Route Of Administration : ORAL
Pack : 10
In stock
SKU
NIC0028
₹102.47
Manufacturer : JBC-J B CHEMICALS & PHARMACEUTICALS LTD
Composition : NIFEDIPINE-30MG
Dose Form : TABLET
Description : NICARDIA XL 30MG TAB
Route Of Administration : ORAL
Pack : 10

Drug Ingredient Information

NIFEDIPINE-30MG

NIFEDIPINE

Information for patients
Drug Information Nifedipine contains nifedipine, which belongs to a group of medicines called calcium antagonists. Nifedipine is used to treat high blood pressure or angina (chest pain). For high blood pressure: Nifedipine works by rexing and expanding the blood vessels. This makes the blood flow more easily and lowers blood pressure. Lower blood pressure reduces the strain on your heart. For angina: Nifedipine works by rexing and expanding the arteries supplying the heart. This allows more blood and oxygen to reach the heart and decreases the strain on it. Your angina attacks will be less severe and less frequent if there is less strain on the heart.
Drug Alert
Alert • If you have had a heart attack within the st month. • If you get a sudden angina attack. Nifedipine will not help relieve symptoms of angina quickly. • If you have unstable angina • If you are allergic to the active ingredient (nifedipine), to any other simir medicines (known as dihydropyridines) or to any of the other ingredients. The ingredients of Nifedipine are listed in section 6. • If you are pregnant. • If you are breastfeeding. If you need to take Nifedipine , you should stop breastfeeding before you start to take this medicine
Before Consuming the Medicine
Avoid Drug • If you have had a heart attack within the st month. • If you get a sudden angina attack. Nifedipine will not help relieve symptoms of angina quickly. • If you have unstable angina • If you are allergic to the active ingredient (nifedipine), to any other simir medicines (known as dihydropyridines) or to any of the other ingredients. The ingredients of Nifedipine are listed in section 6. • If you are pregnant. • If you are breastfeeding. If you need to take Nifedipine , you should stop breastfeeding before you start to take this medicine. • If you are taking rifampicin, an antibiotic. • If you have a liver disease that prevents your liver from working properly. • If you have infmmation of the bowel or intestines, such as Crohn’s disease. • If you have an obstruction or narrowing in your intestines, or have had this in the past. • If you have ever had an obstruction in the gullet (the oesophagus - the tube connecting the throat to the stomach). • If you have been told that you have a narrowing of the aortic heart valve (stenosis). • If you have ever had a colpse caused by a heart problem (cardiogenic shock), during which you became breathless, pale and had a cold sweat and dry mouth. • If you have a “Kock pouch” (a surgically constructed intestinal reservoir with an opening through the abdominal wall) in your gut. • If your blood pressure continues to rise despite treatment (malignant hypertension).
Drug Special Care • If you have low blood pressure and you were prescribed Nifedipine for your angina. Your blood pressure may be decreased further by this treatment. • If you have a heart condition where your heart cannot cope with increased strain (poor cardiac reserve). • If you are a diabetic. The treatment for your diabetes may need to be adjusted. If you have any questions about this, ask your doctor. • If you are on kidney dialysis. If you have a very high blood pressure and a low blood volume, you might experience a sudden drop in blood pressure when you take Nifedipine . ? Talk to your doctor before you take Nifedipine if any of these apply to you
Drug Drug Interactions Tell your doctor about any other medicines that you are taking, or took recently. This includes any products you bought without a prescription. Some medicines may affect the way Nifedipine works. Tell your doctor if you are taking: • Other medicines to treat high blood pressure. • Rifampicin (an antibiotic) • Cimetidine (to treat stomach ulcers). • Digoxin, diltiazem, quinidine or beta-blockers (to treat heart conditions). • Quinupristin/dalfopristin (a combination antibiotic). • Phenytoin, carbamazepine or valproic acid (to treat epilepsy). • Cisapride (to treat reduced movements of the gullet and stomach). • Magnesium sulphate injections during pregnancy (may cause a severe fall in blood pressure). • Erythromycin (an antibiotic). • Ketoconazole, itraconazole or fluconazole (anti-fungal medicines). • Indinavir, nelfinavir, ritonavir, saquinavir or amprenavir (to treat HIV). • Fluoxetine or nefazodone (to treat depression). • Tacrolimus (to prevent the rejection of transpnted organs). • Phenobarbital (usually used to treat insomnia or anxiety).
Drug Pregnancy Interaction Do not take Nifedipine if you are pregnant. If you are pregnant, think you might be pregnant or are pnning a family, tell your doctor before taking Nifedipine . You may be able to use Nifedipine after week 20 of your pregnancy, but only after special consideration and agreement by your doctor
Drug Breast feeding Interaction Do not take Nifedipine if you are breastfeeding. If you need to take Nifedipine , you should stop breastfeeding before you start taking the tablets
Drug Machinery Interaction Nifedipine may make you feel dizzy, faint, extremely tired or have visual disturbances. Do not drive or operate machinery if you are affected in this way. This may be more likely when you first start treatment, if you change tablets, or if you have drunk alcohol
Drug More Information Tell your doctor: • If your chest pain (angina) gets worse (comes on more often or more severely) over a matter of hours or days. You may be advised not to take Nifedipine . • If you have chest pains after taking your first dose of Nifedipine . Your doctor may wish to change your treatment. • If you notice increased breathlessness. • If you notice swelling of the ankles. ? Tell your doctor before you take the next dose if any of these apply to you. Also tell your doctor: • If you are giving a urine sample. Nifedipine may interfere with the results of certain urine tests. • If you are to have a barium contrast x-ray (barium meal). These tablets may affect the results of the test. • If you are a man who has been unable to father a child by in vitro fertilisation. Drugs like Nifedipine have been shown to impair sperm function.
How to take the Medicine
Consumption Info Do not drink grapefruit juice or eat grapefruit while taking Nifedipine . Do not start taking Nifedipine within 3 days of drinking grapefruit juice or eating grapefruit. Tell your doctor if you have had grapefruit or grapefruit juice in this time. Also, do not drink grapefruit juice or eat grapefruit whilst taking Nifedipine . Grapefruit juice is known to increase the blood levels of the active ingredient, nifedipine. This effect can st for at least 3 days. One tablet of Nifedipine 60 contains 48mg salt (sodium chloride). Tell your doctor if you are on a low-salt diet
Drug quanitty • Dose for high blood pressure: the usual dose is 1 tablet, once a day. • Dose for angina: the dose depends on your individual requirements. Your doctor will decide how much you should take
Drug Dose • Swallow the tablets whole. Do not bite, chew or break them – if you do they will not work properly. If you have difficulty swallowing tablets, consult your doctor as he or she may wish to change your medicine. • Continue to take these tablets for as long as your doctor has told you to. Take your dose at the same time each day, preferably in the morning. Take your tablets with a gss of water. Do not take them with grapefruit juice. You can take Nifedipine with or without food. You may see what looks like a complete tablet in the toilet or in your stools. This is normal – it’s the outer shell of the tablet which is not digested by the body.
Excess Drug Consumption ? Get medical help immediately. If possible, take your tablets or the box with you to show the doctor. Taking too many tablets may cause your blood pressure to become too low and your heartbeats to speed up or slow down. It may also lead to an increase in your blood sugar level or an increase in the acidity of your blood, swelling in the lungs, low blood oxygen levels and disturbances in consciousness, possibly leading to unconsciousness
Forgot Drug Consumption Take your normal dose immediately and continue taking your tablets at the usual time of day, waiting at least 12 hours before taking the next dose. Do not take a double dose to make up for the missed dose
Stop Drug Consumption
Possible Side Effects
General Information • Severe, sudden generalised allergic reaction including very rarely life-threatening shock (e.g. difficulty in breathing, drop of blood pressure, fast pulse), swelling (including potentially life-threatening swelling of the airway) • other allergic reactions causing swelling under the skin (possibly severe and including swelling of the rynx that may result in a life-threatening outcome) • fast heart beat (tachycardia) • shortness of breath or difficulty breathing • mild to moderate allergic reactions • itching (possibly severe), a rash or hives ? Contact your doctor immediately and do not take the next dose as these may be the first signs of allergic reaction which may become severe.
Common Drug Side Effects • headache • flushing • general feeling of being unwell • constipation •swelling, particurly of the ankles and legs
Rare Drug Side Effects • pins and needles • infmmation of the gums, tender or swollen gums, bleeding gums
Very Rare Drug Side Effects • stomach pain or distress caused by a mass of foreign material found in the stomach which may require surgery for removal • difficulty swallowing • abdominal pain, caused by obstruction of the gut or ulcers in the gut • vomiting. • a reduction in the number of white blood cells (leucopenia) • a more severe decrease in a specific css of white blood cell (agranulocytosis) • increased blood sugar (hyperglycaemia) • decreased skin sensitivity (hypoaesthesia) • drowsiness (somnolence) • eye pain • chest pain (angina pectoris) • heartburn or indigestion (gastroesophageal sphincter insufficiency) • yellowing of the whites of the eyes or skin (jaundice) • sensitivity to light (photosensitivity allergic reaction) • small, raised areas of bleeding in the skin (palpable purpura) • joint pain • muscle pain All of these symptoms usually go away when treatment with Nifedipine is stopped.
Drug Side Effects Symptoms • a skin reaction or blistering / peeling of the skin and/or mucosal reactions (in the mouth/nose or at the penis/vagina) (Toxic Epidermal Necrolysis) (17/0) 5 ? Contact your doctor immediately before you continue treatment as these may be signs of a severe reaction. • stomach pain (abdominal pain) • unspecific pain • chills • low blood pressure when standing up (symptoms include fainting, dizziness, light headedness, occasional palpitations, blurred vision and sometimes confusion) • fainting • irregur heartbeat (palpitations) • dry mouth • indigestion or upset stomach • wind (ftulence) • feeling sick (nausea) • muscle cramps • joint swelling • sleep disorders • anxiety or nervousness • reddening of the skin • nose bleeds • nasal congestion • sensation of spinning or whirling motion (vertigo) • migraine • dizziness • trembling • increase in the need to pass water (urinate) • painful or difficult urination • inability to achieve or maintain an erection (impotence) • blurred vision • temporary increase in certain liver enzymes
How to Store the Medicine
How to Store the Medicine Keep this medicine out of the reach and sight of children. Do not store above 30°C. Store your medicine in its original container. Protect from strong light and only remove the tablet from the blister strip when you are about to take it. Do not use after the expiry date which is marked on both the outer carton and on each blister strip of tablets. Do not dispose of medicines in household rubbish. Any unused Nifedipine tablets should be returned to a pharmacist (chemist) who will dispose of them properly. This helps the environment.

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