Nifedipine ER Coupons & Savings Card – Discount Prices from $5.40

The following information outlines crucial safety considerations for the use of Nifedipine ER (Procardia XL). It is important to understand these risks and precautions to ensure safe and effective use of the medication. If you have any questions or concerns, please consult your healthcare provider.

• Low Blood Pressure: Nifedipine ER may reduce your blood pressure, which can lead to dizziness and other symptoms, particularly when starting the medication or adjusting to a higher dosage. To mitigate these effects, rise slowly from sitting or lying positions. Be especially cautious if you are also taking beta-blockers.

• Worsening Chest Pain or Heart Attack Risk: In rare cases, especially in individuals with significant coronary artery disease, starting or increasing the dose of Nifedipine ER can exacerbate chest pain or trigger a heart attack. Seek immediate medical attention if you experience severe chest pain, pain radiating to the jaw, or an unusually fast heartbeat.

• Heart Failure Risk: There is a rare risk of heart failure associated with Nifedipine ER, particularly if used concurrently with beta-blockers or in patients with aortic stenosis. Be vigilant for symptoms such as unexpected weight gain, difficulty breathing (especially when lying down), or leg and foot swelling.

• Leg and Foot Swelling: This common side effect is generally minor but should be reported if it becomes troublesome or is suspected to indicate heart failure. Regular follow-ups with your healthcare provider are recommended to monitor your heart health.

• Gastrointestinal Injury (Extended-Release Only): Rarely, Nifedipine ER can cause severe stomach or intestinal issues, including blockages or ulcers, particularly in those with pre-existing digestive tract abnormalities. It is crucial to discuss any history of gastrointestinal problems with your provider before starting this medication. Report any persistent abdominal pain, bloating, or trouble with bowel movements promptly.

Please ensure you consult your healthcare provider for personalized advice and to address any specific health concerns related to the use of this medication.

Common side effects:

• headache
• dizziness
• nausea
• flushing
• fatigue
• lightheadedness
• swelling in the legs, feet, or hands

Less common but important to monitor:

• significant swelling of the ankles or feet
• shortness of breath
• unusual tiredness
• irregular heartbeat
• mental or mood changes
• swollen or tender gums
• vision changes

Serious side effects:

• worsening chest pain
• heart attack
• severe allergic reactions
• rash
• severe dizziness
• trouble breathing

Interactions with high risk of serious adverse effects and should be avoided:

• Apalutamide
• Enzalutamide
• Mitotane
• St. John's wort
• Rifamycins (such as Rifabutin, Rifampin)
• Carbamazepine
• Phenobarbital
• Phenytoin
• Abametapir
• Amobarbital
• Aprobarbital
• Armodafinil
• Atazanavir
• Boceprevir
• Bosentan
• Butabarbital
• Butalbital
• Ceritinib
• Clarithromycin
• Clobazam
• Clopidogrel
• Cobicistat
• Conivaptan
• Dantrolene
• Dexamethasone
• Digoxin
• Efavirenz
• Epirubicin
• Etravirine
• Fentanyl
• Fosnetupitant
• Fosphenytoin
• Idelalisib
• Itraconazole
• Ketoconazole
• Lacosamide
• Lopinavir
• Mephobarbital
• Methohexital
• Mibefradil
• Modafinil
• Nafcillin
• Nefazodone
• Nelfinavir
• Netupitant
• Nevirapine
• Oxcarbazepine
• Pentobarbital
• Phenobarbital
• Phenytoin
• Pioglitazone
• Posaconazole
• Prednisone
• Primidone
• Rifabutin
• Rifampin
• Rifapentine
• Ritonavir
• Rufinamide
• Saquinavir
• Secobarbital
• Telaprevir
• Telithromycin
• Thiopental
• Topiramate
• Voriconazole

Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:

• Cimetidine
• Dalfopristin
• Doxazosin
• Ginkgo
• Ginseng
• Magnesium
• Quinidine
• Quinupristin
• Tacrolimus
• Vincristine
• Vincristine Sulfate Liposome