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Procardia XL (nifedipine)

Indications

• Hypertension: Procardia XL is used to treat high blood pressure (hypertension).
• Angina: It is also used to treat chest pain (angina) due to coronary artery disease.

Dosage and Administration

• Take Procardia XL exactly as prescribed by your healthcare provider.
• Swallow the tablet whole; do not crush, chew, or break it, as it is specially formulated to release medication slowly over time.
• Take with a full glass of water.
• Follow a regular schedule to maintain an even level of medication in your body.
• Do not consume grapefruit or grapefruit juice while taking Procardia XL, as it can increase the levels of nifedipine in your blood, leading to potentially dangerous side effects.
• Avoid sudden discontinuation of Procardia XL without consulting your doctor, as this can cause a rapid increase in blood pressure or chest pain.
• Do not take more than the prescribed dose of Procardia XL unless directed by your doctor.
• Do not use Procardia XL if you have severe hypotension (low blood pressure) or aortic stenosis (narrowing of the aortic valve).

Mechanism of Action

Procardia XL belongs to a class of medications known as calcium channel blockers. It works by relaxing blood vessels and increasing the supply of blood and oxygen to the heart while reducing its workload. This helps lower blood pressure and relieve chest pain.

Contraindications

• Do not use Procardia XL if you have a known allergy to nifedipine or any other ingredients in the medication.
• Avoid use if you have severe hypotension or shock.
• Not recommended for individuals with aortic stenosis (narrowing of the aortic valve) or acute myocardial infarction (heart attack).

Side Effects

Common Side Effects

• Dizziness
• Flushing (warmth, redness, or tingly feeling)
• Headache
• Swelling in the ankles or feet
• Fatigue

Serious Side Effects

• Severe hypotension (low blood pressure)
• Irregular heartbeat
• Shortness of breath
• Fainting
• Severe allergic reactions (rash, itching, swelling of the face, lips, tongue, or throat)

Precautions

• Inform your doctor if you have a history of heart disease, liver disease, or kidney disease before starting Procardia XL.
• Monitor your blood pressure regularly as directed by your healthcare provider.
• Avoid driving or operating machinery until you know how Procardia XL affects you, as it may cause dizziness.
• Discuss with your doctor if you are pregnant, planning to become pregnant, or breastfeeding before using Procardia XL.
• Report any signs of allergic reactions or severe side effects to your healthcare provider immediately.

Storage Instructions

• Store Procardia XL tablets at room temperature, between 20°C to 25°C (68°F to 77°F).
• Keep the tablets in their original container, tightly closed, away from moisture and heat.
• Do not store it in the bathroom or near a sink.
• Keep out of reach of children and pets.

References

https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/019684s023lbl.pdf