Indications
Adalat XL is a medication used to treat high blood pressure and angina (chest pain) caused by coronary artery disease. It contains the active ingredient nifedipine, which belongs to the class of medications called calcium channel blockers.
Adalat XL works by relaxing the blood vessels, allowing blood to flow more easily, and reducing blood pressure. Adalat XL is an extended-release tablet that is designed to release the medication slowly over a period. It is taken once a day, usually at the same time each day.
Use and Dosage
Adalat XL comes in the form of extended-release tablets that are designed to release the medication nifedipine slowly over a period. Adalat XL should be taken exactly as prescribed by your doctor. It is usually taken once a day, with or without food. Swallow the tablet whole with water and do not crush or chew it.
The recommended doses of Adalat XL (nifedipine extended-release tablets) may vary depending on the condition being treated and other individual factors. The recommended starting dose for hypertension or angina is 30 or 60 mg taken once daily orally. Your doctor may adjust your dose based on your response and any side effects that you experience. The maximum recommended daily dose of Adalat XL is 90 mg. However, you should always follow your doctor's instructions and take Adalat XL exactly as prescribed.
Do not stop taking Adalat XL without talking to your doctor as suddenly stopping the medication can cause your blood pressure to rise quickly and may lead to other health problems.
Side Effects
Common Side Effects of Adalat XL (Nifedipine ER):
- Anxiety
- Decreased sexual ability
- Dizziness or lightheadedness
- Dry mouth
- Headache
- Leg cramps
- Nausea
- Nervousness
- Trouble sleeping
- Unusual tiredness or weakness
- Upset stomach
- Vomiting
Serious Side Effects of Adalat XL (Nifedipine ER):
- Abdominal cramps
- Back pain
- Breathing difficulty, coughing, or wheezing
- Breast enlargement (men)
- Chest tightness
- Chest pain (may appear about 30 minutes after medication is taken)
- Confusion
- Constipation
- Diarrhea
- Dizziness when rising from a sitting or lying position
- Enlarged gums
- Eye pain
- Fainting
- Increased urination
- Irregular or fast, pounding heartbeat
- Menstrual changes
- Muscle or joint pain
- Rash
Forms and Strength
Adalat XL (Nifedipine ER) is available in the following forms and strength:
Adalat XL: ER Tablet
- 30 mg
- 60 mg
Nifedipine ER: ER Tablet
- 30 mg
- 60 mg
Cautions
- Do not take Adalat XL if you are allergic to nifedipine or any ingredients in the medication.
- Adalat XL should not be used to manage acute attacks of angina.
- Tell your doctor if you have liver or kidney disease, heart disease, or if you are pregnant or breastfeeding, as Adalat XL may not be safe to use in these circumstances.
- Adalat XL may cause dizziness or drowsiness, so avoid driving or doing hazardous activities until you know how the medication affects you.
- If you experience any signs of an allergic reaction, such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat, seek medical attention immediately.
- Adalat XL may interact with other medications, so inform your doctor about any other prescription or over-the-counter medications, vitamins, or herbal supplements you are taking before starting Adalat XL.
- Adalat XL may cause changes in your heart rate or rhythm, so inform your doctor if you have a history of heart rhythm problems or if you experience any irregular heartbeat while taking the medication.
- Adalat XL may cause an increase in fluid retention, which can worsen certain conditions such as congestive heart failure or kidney disease.
- Adalat XL may cause headaches, flushing, or swelling in the feet or ankles as common side effects.
- Adalat XL may interact with grapefruit juice and increase the medication's concentration in your bloodstream, which can lead to potentially serious side effects.
- Adalat XL should be taken exactly as prescribed by your doctor, and you should never adjust the dose or stop taking the medication without first consulting your doctor.
Frequently Asked Questions (FAQ)
How long does it take for Adalat XL (Nifedipine ER) to start working?
Adalat XL typically takes several hours to start working, and its effects can last up to 24 hours. However, the medication may take several days or weeks to reach its full effect.
Can Adalat XL (Nifedipine ER) cause low blood pressure?
Yes, Adalat XL can cause hypotension (low blood pressure), especially if the medication is started at a high dose or if you have underlying heart disease.
Can Adalat XL (Nifedipine ER) be crushed or chewed?
No, Adalat XL should not be crushed or chewed, as this can destroy the extended-release properties of the medication.
What should I do if I miss a dose of Adalat XL (Nifedipine ER)?
If you miss a dose of Adalat XL, you should take it as soon as you remember. If it is close to the time of your next dose, skip the missed dose and resume your usual dosing schedule. Do not take a double dose to make up for a missed dose.
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