Adalat (Nifedipine)
Class and Category of Drug
Before you buy Adalat (Nifedipine) online, read common information about the medication.
Chemical class: Dihydropyridine derivative
Therapeutic class: Antianginal, antihypertensive
Pregnancy category: C
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Drug Indications and Dosages
Before purchase Adalat (Nifedipine) online , you must read how it works.
To manage angina
Capsules (Adalat, Apo-Nifed, Novo-nifedin, Nu-Nifed, Procardia)
Adults. Initial: 10 mg t.i.d., increased oveк 1 to 2 wk as needed. Maintenance: 10 to 20 mg t.i.d. Maximum: 180 mg daily, 30 mg/dose.
E.R. Tablets (Adalat XL, Procardia XL)
Adults. Initial: 30 to 60 mg daily, increase or decreased over 7 to 14 days based on patient response. Maximum: 90 mg daily.
To manage hypertension
E.R. Tablets (Adalat CC)
Adults. Initial: 30 mg daily. Maintenance: 30 to 60 mg daily, increased or decrease over 7 to 14 days based on patient response. Maximum: 90 mg daily.
E.R.Tablets (Adalat PA)
Adults. Initial: 10 to 20 mg b.i.d., increased every 3 wk based on patient response. Maintenance: 20 mg b.i.d. Maximum: 80 mg daily.
E.R. Tablets (Adalat XL)
Adults. Initial: 30 to 60 mg daily, increased or decreased over 7 to 14 days based on patient response. Maintenance: 60 to 90 mg daily. Maximum: 120 mg daily.
E.R.Tablets (Procardia XL)
Adults. 30 to 60 mg daily, increased or decreased over 7 to 14 days based on patient response. Maximum: 120 mg daily.
Dosage Adjustment
Dosage may be reduced for elderly patients and those with heart failure or impaired hepatic or renal function.
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Contraindications of Drug
Read contraindications if you want cheap Adalat (Nifedipine) online.
Hypersensitivity to a calcium channel blocker, second- or third-degree atrioventricular block without artificial pacemaker, sick sinus syndrome
Generic Drug Interactions
Drugs
anesthetics (hydrocarbon inhalation): Possibly hypotension
antiviral drugs, cimetidine, dalfopristin, diltiazem, erythromycin, fluconazole, itraconazole, ketoconazole, nefazodone, other antihypertensives, prazocin, quinupristin, timolol, valproic acid, verapamil: Increased risk of hypotension
benazepril: Possibly increased heart rate and hypotensive effect
beta blockers: Increased risk of profound hypotension, heart failure, and worsening of angina
calcium supplements: Possibly interference with action of nifedipine carbamazepine, nonsteroidal anti-inflammatory drugs (NSAIDs), phenobarbitone, phenytoin, rifampin, rifapentine, St. John's wort, sympathomimetics: Possibly decreased therapeutic effects of nifedipine
digoxin: Transiently increased blood digoxin level, increased risk of digitalis toxicity disopyramide, flecainide: Increased risk of bradycardia, conduction defects, and heart failure
doxazocin: Decreased doxazocin effectiveness; increased nifedipine effectiveness estrogens: Possibly increased fluid retention and decreased nifedipine effects
lithium: Increased risk of neurotoxicity
metformin: Increased metformin absorption and plasma level
tacrolimus: Decreased tacrolimus metabolism
Foods
grapefruit, grapefruit juice: Possibly increased bio availability of nifedipine high-fat meals: Possibly delayed nifedipine absorption
Activities
alcohol use: Additive hypotensive effect
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Drugs Adverse Reactions
Central Nervous System: Anxiety, ataxia, confusion, dizziness, drowsiness, headache, nervousness (possibly extreme), nightmares, paresthesia, psychiatric disturbance, syncope, tremor, weakness
Cardiovascular: Arrhythmias (bradycardia, tachycardia), chest pain, heart failure, hypotension, palpitations, peripheral edema
Eyes, Ears, Nose, And Throat: Altered taste, blurred vision, dry mouth, epistaxis, gingival hyperplasia, nasal congestion, pharyngitis, sinusitis, tinnitus
Endocrine: Gynecomastia, hyperglycemia
Gastrointestinal: Anorexia, constipation, diarrhea, dyspepsia, elevated liver function test results, hepatitis, nausea, vomiting
Genitourinary: Dysuria, nocturia, polyuria, sexual dysfunction, urinary frequency
Hematologic: Anemia, leukopenia, positive Coombs' test, thrombocytopenia
Musculoskeletal: Joint stiffness, muscle cramps
Respiratory: Chest congestion, cough, dyspnea, respiratory tract infection, wheezing
Skin: Dermatitis, diaphoresis, erythema multiforme, flushing, photosensitivity, pruritus, rash, urticaria
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Nursing Considerations for Generic Drugs
• When starting and stopping nifedipine therapy, taper it, as prescribed, over 7 to 14 days.
• For closely monitored hospitalized patient with angina, dosage may be increased 10 mg every 4 to 6 hours to control chest pain.
• Because of drug's negative inotropic effect on some patients, frequently monitor heart rate and rhythm and blood pressure in patients who take a beta blocker or have heart failure or significant left ventricular dysfunction.
• Monitor fluid intake and output and daily weight; fluid retention may lead to heart failure. Also assess for signs of heart failure, such as crackles, dyspnea, jugular vein distention, peripheral edema, and weight gain.
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Nifedipine
Preparations
International Brand Drug Names
The information about drugs (tablets, pills, capsules, creams, solution, nasal spray, inhaler) around the world.
British Pharmacopoeia, 2008 edition: Nifedipine Capsules;
The United States Pharmacopeia 31, 2008: Nifedipine Capsules; Nifedipine Extended-release Tablets.
Proprietary Preparations
Argentina: Adalat; Nifecor; Nifed Sol; Nifedel; Nifelat; Prudencial;
Australia: Adalat; Addos; Adefin; Nifecard; Nifehexal; Nyefax; Nypine;
Austria: Adalat; Buconif; Fedip; Majolat; Nifal; Nifebene; Nifehexal; Nifestad; Ospocard;
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Belgium: Adalat; Hypan;
Brazil: Adalat; Adalex; Cardalin; Dilaflux; Dipinal; Loncord; Neo Fedipina; Nifadil; Nifedax; Nifedicard; Nifedin; Nifehexal; Nioxil; Normopres; Oxcord; Prodopina;
Canada: Adalat; Apo- Nifed; Novo-Nifedin; Nu-Nifed;
The pharmaceutical companies our pharmacies buy from follow strict WHO standards for GMP.
Chile: Adalat; Carbloc; Cardicon; Coronovo; Nipress; Pabalat; Sulotil;
Czech Republic: Adalat; Aprical; Cordafen; Cordipin; Corinfar; Nifecard; Nifehexal; Sponif; Supracordin;
Denmark: Adalat; Hexadilat; Nifecodan;
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Finland: Adalat; Nifangin; Nifdemin; Nifecor;
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France: Adalate; Chronadalate;
Germany: Adalat; Aprical; Cordicant; Corinfar; Dignokonstant; duranifin; Jedipin; Jutadilat; Nife; nife uno; Nifeclair; Nifecor; Nifedipat; Nifehexal; Nifelat; Nifical; Pidilat;
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Greece: Adalat; Antiblut; Coracten; Flecor-N; Glopir; Macorel; Nefelid; Nifedicor; Nifedipat; Viscard;
Hong Kong: Adalat; Cardilate MR; Coracten; Fenamon; Nadipinia; Nifecard; Nifelat; Vidalat; Waridipin;
Hungary: Adalat; Cordaflex; Cordipin; Corinfar; Nifecard;
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India: Calcigard; Calnif; Cardules; Depicor; Depin; Edip; Myogard; Nicardia; Nifedine; Nifelat;
Indonesia: Adalat; Calcianta; Carvas; Cordalat; Coronipin; Farmalat; Fedipin; Ficor; Nifedin; Vasdalat; Xepalat;
Ireland: Adalat; Nifed; Nifelease; Pinifed; Systepin; Vasofed; Israel: Megalat; Osmo-Adalat; Pressolat;
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Italy: Adalat; Bionif; Citilat; Coral; Euxat; Fenidina; Nifedicor; Nifedicron; Nifedin; Nifesal; Nipin;
Japan: Adalat;
Malaysia: Adalat; Adifen; Fenamon; Nifecip;
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Mexico: Adalat; Apo-Fedipisal; Atenses; Cordilat; Corogal; Corotrend; Fusepina; Gelprim; Nifedigel; Nifedipres; Nifezzard; Nifser; Noviken;
Netherlands or Holland: Adalat;
Norway: Adalat;
New Zealand: Adalat; Adefin; Nyefax;
Philippines: Adalat; Calcheck; Calcibloc; Calcigard; Cardicap; Darat; Heblopin; Nelapine; Nifestad; Normadil; Odipin; Tensibloc;
Poland: Adalat; Cordafen; Cordipin;
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Portugal: Adalat; Angipina; Meborilan; Medipina; Nifedate; Zenusin;
Russia: Adalat (Адалат); Calcigard (Кальцигард); Cordafen (Кордафен); Cordaflex (Кордафлекс); Cordipin (Кордипин); Corinfar (Коринфар); Depin-E (Депин-Е); Fenamon (Фенамон); Nicardia (Никардия); Nifecard (Нифекард); Osmo-Adalat (Осмо-Адалат);
South Africa:
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France: Adalat; Cardifen; Cardilat; Cipalat; Nifedalat; Vascard;
Singapore: Adalat; Apo-Nifed; Calcigard; Cordipin; Fenamon; Nifecard; Nifedi-Denk; Nifelat; Nipin; Stada Uno; Vasdalat;
Spain: Adalat; Dilcor; Pertensal;
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Sweden: Adalat;
Switzerland: Adalat; Aldipin; Cardipin; Corotrend; Ecodipine; nife-basan; Nifedicor;
Thailand: Adalat; Calcigard; Coracten; Fenamon; Nelapine; Nifecard; Nifelat; Nifiran; Nyefax; Stada Uno;
Turkey: Adalat; Kardilat; Nidicard; Nidilat; UAE: Cardiopine;
UK or Britain: Adalat; Adipine; Angiopine; Calchan; Cardilate MR; Coracten; Coroday; Fortipine; Hypolar Retard; Nifedipress; Nifopress; Slofedipine; Tensipine;
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US or USA: Adalat; Afeditab; Nifediac; Nifedical; Procardia;
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Venezuela: Adalat; Conducil; Fedilex; Nifal; Tensomax; Tensopin.
Multi-ingredient
Argentina: Atel N;
Austria: Beta-Adalat; Nif-Ten; Pontuc;
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Belgium: Beta-Adalat; Tenif;
Brazil: Nifelat;
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Finland: Nif-Ten;
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France: Beta-Adalate; Tenordate;
Germany: AteNif beta; Belnif; Bresben; duranifin Sali; Nif-Ten; Nifatenol; Sali-Adalat; Tredalat;
Hong Kong: Nif-Ten;
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India: Beta Nicardia; Cardules Plus; Depten; Nifetolol; Presolar; Tenofed;
Indonesia: Nif-Ten;
Ireland: Beta-Adalat; Nif-Ten;
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Italy: Antrolin; Mixer ; Nif-Ten;
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Mexico: Plenacor;
Netherlands or Holland: Nif-Ten;
Philippines: Nif-Ten;
Singapore: Beta Nicardia; Nif-Ten; Nifetex;
Switzerland: Beta-Adalat; Nif-Atenil; Nif-Ten;
UK or Britain: Beta-Adalat; Tenif.
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