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Calcium channel blockers

Nifedipine

Also sold as: Adalat

Prescription neededCalcium channel blockers
Comes as:TabletCapsule

Usual adult dose

For blood pressure use long-acting tablets only: retard tablets 10 to 40 mg twice a day, or once-daily (XL) tablets 30 to 90 mg once a day. Short-acting capsules should not be used for high blood pressure.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • swollen ankles
  • flushing
  • headache
  • dizziness
  • fast heartbeat

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • chest pain that gets worse
  • fainting
  • severe allergic reaction

Do not take it, or take care, if

  • Cardiogenic shock or very low blood pressure
  • Within 1 month of a heart attack
  • Unstable angina (chest pain at rest)
  • Short-acting capsules must not be used to lower high blood pressure

Interactions

Medicines that can react with this one.

Serious1 medicineDo not take these together unless your doctor says so.
  • Rifampicin

    Rifampicin strongly lowers nifedipine levels so blood pressure may not be controlled.

Moderate1 medicineTake together only with care. Ask your doctor or pharmacist.
  • Magnesium sulfate

    Together in pre-eclampsia they can cause very low blood pressure; monitor closely.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Amlodipine
  • Diltiazem
  • Verapamil
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.