Doctor insights on:
Amlodipine Vs Nifedipine
Both: Both are safe when appropriately used. The main difference between the two is lipid solubility, and thus, time to onset. Nifedipine is water soluble and has reasonably quick onset, but also the levels will waver through the day. Amlodipine (or norvasc) is lipid soluble, takes about a week to ramp up in effect, and has a nice steady state effect. ...Read more
I was informed that Dr in US like to use long acting nifedipine compare to amlodipine for hypertension, can I know why?
Amlodipine: People have their individual preferences. Amylodipine has considerable usage in the US. ...Read more
Due to unavaiaility of metoprolol+amlodipine 25/2.5 shifted to atenolol+nifedipine 50/20. Is it ok?
BP meds: It all depends on how the new drugs control your blood pressure. And also how the old drugs were doing. You need to keep a diary of pressures at various times during the day for about a week to make sure. And if you didn't do this while on the old meds, you have no idea how they were doing. Good luck. ...Read more
Which medication would you consider to be more favourable for high blood pressure Amlodipine or Nifedipine?
BP: They are very similar and have about the same utility for HBP. ...Read more
Due to unavaibility of metoprolol +amlodipine 25/2.5 in mauritania, I changed to atenolol+nifedipine. 50/20. Is it ok?
Same drug classes at comparable doses.
Both atenolol and metoprolol are selective beta-1 blockers with similar effectiveness for BP control & prevention of cardiac events.
For calcium channel blockers, amlodipine is usually longer acting, but there are long-acting forms of nifedipine.
Your md made choice for a reason. No guarantee new combo will work as well, but it might even work better for you. ...Read more
Sent to ED with BP 219/60. When on nifedipine, get dangerously low BP, Norvasc (amlodipine) caused arrythmia. What's left? Ckd stage 4, diabetic.
m Hypertensive. On Norvasc 5 mg & atacand 16 mg. Frozen shoulder. Doctor replace Norvasc with adalat (nifedipine). low vit D (14). Is 600, 000 IU vit D3 IM safe.
Yes: This is a perfectly safe combination of medications ...Read more
5 hours for Isosorbide Mononitrate used for prevention of angina pectoris due to coronary heart disease, HTN and MI. It is a vasodilatory agent that dilates the blood vessels. It lowers blood pressure and reduces the left ventricular preload and after load reducing the hearts oxygen requirement.
Nifedipine 1/2 life 2 hours. Calcium channel blocker. Go to Medscape or Drugbank for more info. ...Read more
Wrong site of action: Many meds work by acting on "receptors" on cell surfaces. Receptors trigger activity within cells, causing the intended effect. Intended receptors can be present in many parts of the body, or med may act on different receptors (both reasons for side effects, or multiple uses for same med). Nifedipine blocks certain calcium channels. Blocking these does not open the bronchi, so not helpful. ...Read more
A few days: With these kinds of calcium channel blockers, it is not usually recommended that they be discontinued rapidly or at once. Tapering the dose down over a week can reduce the "rebound" symptoms - it is not truly a "withdrawal, " in the usual sense. If stopped abruptly, I have seen symptoms go on for a week, but they are usually only noticeable for 3-4 days. ...Read more
Yes: Nifedipine is used to lower blood pressure (among other uses). It is not considered a nitrate like Nitroglycerin which is used for chest pain (angina). Use of nitrates means you shouldn't use sildenafil & its pde5 competitors because combination can lower your blood pressure dramatically & kill you. Be careful of otc natural organic options to viagra as they are often contaminated w/viagra. ...Read more
No: Always ask your family physician or whoever is prescribing you a new medication. Always make sure s/he knows about everything you're taking including natural organic supplements. You can also ask your pharmacist about your medications. Finally, if all else fails, check out www. Drugs. Com & online. Epocrates. Com (latter requires free registration). ...Read more
Don't stop abruptly: Stopping calcium channel blockers, particularly Nifedipine suddenly can not only cause withdrawal or "rebound" symptoms, it can dangerously elevate blood pressure and pulse to where it can cause harm. They should be tapered, or if you had a bad reaction, switched to another similar drug and that be tapered gradually. ...Read more
What do you mean?: I am not what are trying to ask, please rephrase your question. ...Read more
50/50: There is very little difference between the two. I would look at cost and use the cheapest. ...Read more
If yes, what are withdrawal symptoms of Procardia (nifedipine) other than possible rise in BP? Thank you.
Unlikely: BP may increase, but generally it does not cause the rebound effect (oral version of this drug). You may get headaches and chest tightness. Symptoms are from over expression of the receptor for this calcium channel blocker and are brief in duration. It also depends about indication (htn, premature labor, etc) ...Read more
Is it okay to not take procardia (nifedipine) XL every day? My dr said only take if morning systolic is over 150. Does this mean I mite not need it every day?
BP Meds Daily: As a rule if you have high blood pressure you need to take your BP meds every day and it is not to be taken as needed basis. To control your BP you need to take Procardia (nifedipine) every day, once you are started on it after life style modifications like weight loss if over weight, salt restriction, regular exercises and smoking cesation. ...Read more
I have been taking co diovon 160/12.5 and adalat (nifedipine) 30 for the past 8 years. My pressure is normally ok during the day and I wake up with it high. I?
Need evening dose: A dose at night will cover u for the morning. ...Read more
Ca++ channel blocker: The cause of edema in calcium channel blocker medications is due to the decrease in arteriolar resistance. The resistance change is not seen in the veins, so the pressure in the capillary beds is increased, thus causing fluid fluid shift into the tissues, resulting in edema. ...Read more
Nifedipine: When you have side effects speak to your doctor for a change in dose or medicine. There are lots of antihypertensives. ...Read more
Check your BP: I assume taking for hypertension, if you think you missed a dose, could check your blood pressure, if it is high, SBP > 140 or 150, probably could take a dose now. If your BP is OK, then wait til tomorrow and resume as usual. Perhaps a pillbox or a smartphone app may help you with med compliance in the future. ...Read more
Nifedipine: It is a pretty safe drug. Would make sure you are on the long acting form as the short acting can cause a sudden drop in your bp. ...Read more