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  Nicardipine

Nicardipine

Pronunciation

(nye KAR de peen)

Brand Names

Cardene®; Cardene® SR

Canadian/Mexican Brand Names

Ridene (Mexico)

Therapeutic Categories

Antianginal Agent; Antihypertensive Agent; Antimigraine Agent; Calcium Channel Blocker

What is this medicine used for?

  • This medicine is used for the treatment of high blood pressure and/or chest pain from the heart. This is called angina.
  • It can also be used to prevent migraine headaches.

How does it work?

  • Nicardipine blocks certain channels in blood vessels that cause relaxation. This results in a lowering of blood pressure and an increased blood flow to the heart, resulting in less chest pain.

How is it best taken?

  • Take on an empty stomach.
  • Swallow sustain release capsules whole. Do not chew, break, or crush.
  • Avoid grapefruit and grapefruit juice within 2 hours of using medicine.

What do I do if I miss a dose?

  • Take a missed dose as soon as possible.
  • If it is almost time for the next dose, skip the missed one. Return to your regular schedule.
  • Do not take a double dose or extra doses.
  • Do not change dose or stop taking medicine without talking with healthcare provider.

What are the precautions when taking this medicine?

  • Wear disease medical alert identification for heart disease.
  • If you are are taking this medicine for heart disease, limit alcohol intake (includes wine, beer, and liquor). Can increase blood pressure.
  • Do not use over-the-counter products that increase blood pressure. These include cough or cold remedies, diet pills, stimulants, ibuprofen or like products, and certain herbs or supplements. Talk with healthcare provider.
  • Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
  • Tell healthcare provider if you are pregnant or plan on getting pregnant.
  • Tell healthcare provider if you are breast-feeding.

What are the common side effects of this medicine?

  • Feeling tired or lightheaded. Avoid driving, doing other tasks or hobbies that require you to be alert until you see how this medicine affects you.
  • Dizziness is common. Rise slowly over several minutes from sitting or lying position. Be careful climbing stairs.
  • Headache. Mild pain medicine may help.
  • Swelling of legs.
  • Flushing.

What should I monitor?

  • Check blood pressure regularly.
  • Follow diet plan and exercise program as recommended by healthcare provider. If medicine is for high blood pressure (low salt).
  • Follow up with healthcare provider.

Reasons to call healthcare provider immediately

  • Signs of a life-threatening reaction. These include wheezing; tightness in the chest; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, or throat.
  • Severe headaches.
  • Passing out, fainting, dizziness, or lightheadedness.
  • Chest pains, fast heartbeats, shortness of breath, or decreased ability to walk.
  • Any rash.

How should I store this medicine?

  • Store in a tight container at room temperature.

General statements

  • Do not share your medicine with others and do not take anyone else's medicine.
  • Keep all medicine out of the reach of children and pets.
  • Keep a list of all your medicines (prescription, herbal/supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, pharmacist, physician assistant)
  • Talk with healthcare provider before starting any new medicine, including over-the-counter or natural products (herbs, vitamins).

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