Nicardipine
(Nicardipine)Nicardipine Overview
Nicardipine is used with or without other medications to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Nicardipine is called a calcium channel blocker. It works by relaxing blood vessels so blood can flow more easily. Nicardipine is also used to prevent certain types of chest pain (angina). It may help to increase your ability to exercise and decrease the frequency of angina attacks. Nicardipine must be taken regularly to be effective. It should not be used to treat attacks of chest pain when they occur. Use other medications (such as sublingual nitroglycerin) to relieve attacks of chest pain as directed by your doctor. Consult your doctor or pharmacist for details.
How to Use Nicardipine
Take Nicardipine by mouth with or without food as directed by your doctor, usually 3 times daily. The Dosage of Nicardipine is based on your medical condition and response to treatment. Your doctor may gradually increase your dose. Follow your doctor's instructions carefully. Use Nicardipine regularly to get the most benefit from it. To help you remember, take it at the same times each day. Keep taking Nicardipine even if you feel well. Most people with high blood pressure do not feel sick. Tell your doctor if your condition lasts or gets worse (for example, your routine blood pressure readings remain high or increase, your chest pain is more frequent or severe).
Nicardipine Precautions
Before taking nicardipine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. Nicardipine may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using Nicardipine, tell your doctor or pharmacist your medical history,a certain structural heart problem (aortic stenosis), liver disease, kidney disease. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Nicardipine may make you dizzy. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis). During pregnancy, Nicardipine should be used only when clearly needed. Discuss the risks and benefits with your doctor. It is unknown if Nicardipine passes into breast milk. Consult your doctor before breast-feeding.
Nicardipine Misdose
If you miss a dose of Nicardipine, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
Nicardipine Interactions
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Other medications can affect the removal of nicardipine from your body, which may affect how nicardipine works. Examples include cimetidine, azole antifungals (such as itraconazole), macrolide antibiotics (such as erythromycin), rifamycins (such as rifabutin), St. John's wort, drugs used to treat seizures (such as phenytoin), among others. Some products have ingredients that could raise your heart rate or blood pressure. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen).
Nicardipine Side Effects
Dizziness, lightheadedness, headache, flushing, or swelling ankles/feet may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. To reduce dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Remember that Nicardipine has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using Nicardipine do not have serious side effects. Tell your doctor right away if you have any serious side effects,fainting, fast/irregular/pounding heartbeat, vision changes. Although Nicardipine is effective in preventing chest pain (angina), some people who already have severe heart disease may rarely develop worsening chest pain or a heart attack after starting Nicardipine or increasing the dose.worsening chest pain, symptoms of a heart attack (such as chest/jaw/left arm pain, shortness of breath, unusual sweating). A very serious allergic reaction to Nicardipine is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction,rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Nicardipine Storage
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard Nicardipine when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
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