Urge him to immediately report chest tightness or difficulty breathing. Instruct him to chew it slowly until he feels a tingling sensation, then store it between cheek and gum until tingling disappears.
Remind him not to sniff, swallow, or inhale through nose. Calcium channel blocker Therapeutic class: Antianginal, anti-hypertensive Action Inhibits calcium transport into myocardial and vascular smooth muscle cells, suppressing contractions. Do not take Adalat retard: Adalat retard will not help relieve symptoms of angina quickly. Tell your doctor and do not take Adalat retard if any of these apply to you.
If you are pregnant, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine. Your blood pressure may be decreased further by this treatment. If you need to take Adalat retard, you should stop breast-feeding before you start to take this medicine. The treatment for your diabetes may need to be adjusted. If you have any questions about this, ask your doctor.
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 Adalat retard.
Your doctor may need to do some blood tests. Upon co-administration of tacrolimus and nifedipine, the tacrolimus plasma concentrations should be monitored and, if necessary, a reduction in the tacrolimus dose considered.
Interactions shown not to exist - Concomitant administration of nifedipine and pantoprazole does not significantly affect the pharmacokinetics of nifedipine.
Other forms of Interactions - Nifedipine may cause falsely increased spectrophotometric values of urinary vanillyl-mandelic acid. However, measurement with HPLC is unaffected.
Flushing, headaches, lowering of blood pressure, tachycardia or bradycardia, hyperglycaemia, metabolic acidosis, hypoxia, cardiogenic shock with pulmonary oedema, disturbances of consciousness to the point of coma. If these symptoms are observed in time, the first therapeutic measure to be considered is gastric lavage with added medicinal charcoal if necessary in combination with irrigation of the small intestine. Haemodialysis serves no purpose, as nifedipine is not dialysable, but plasmapheresis is advisable.
No specific antidote is available. Treatment is symptomatic and supportive. Bradycardiac heart rhythm disturbances may be treated symptomatically with beta-sympathomimetics, and in life-threatening bradycardiac disturbances of heart rhythm, temporary pacemaker therapy is advisable.
The chest pain of angina is caused by insufficient oxygen supply to the heart. As nifedipine improves this oxygen supply and also reduces the effort the heart has to make to pump blood, it is used to prevent angina attacks.
They are designed to release the nifedipine slowly and continuously over 12 hours. This produces a steady blood level of the medicine throughout the day. How do I take it? Adalat retard tablets in Kenya are designed to be taken twice a day every 12 hours.
They will decide what dose is suitable for your specific condition and will monitor your response to the drug. They will also determine how long you should be treated with this medication. You should not cease the medication unless specifically told by your doctor or if you experience severe side effects. If you forget to take your usual dose of Adalat Oros at the correct time, you can still take it within 12 hours, then continue with the normal dose the next day.
Typical starting doses for Adalat Oros for treatment of high blood pressure is mg given once daily usually in the morning.
Your doctor will then slowly adjust the dose over week, sometimes to up to mg, depending on your response. For treatment of angina doses of mg daily are used. If you have severe liver disease you may require lower doses than usual. In addition, if you are from a South Asian country you may also need to start on lower doses as some studies have shown that people from some ethnic backgrounds have trouble eliminating the drug from the body.
Therefore if too high doses are used the drug could accumulate and cause side effects. Schedule Schedule 4 Common side effects Like all medication Adalat Oros can cause some side effects as it is altering the normal chemicals within the body.
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