What
is the most important information I should know about Adalat?
* Do not stop taking Adalat without first talking to your doctor,
even if you begin to feel better. If you stop taking the medication,
your condition could become worse.
* Do not crush, chew, or break any form of Adalat. Swallow the pills
whole.
* Do not consume grapefruit or grapefruit juice during treatment
with Adalat. Adalat can interact with grapefruit and grapefruit
juice, and the interaction may have dangerous effects. You should
discuss the use of grapefruit and grapefruit juice with your doctor.
What is Adalat?
* Adalat is in a class of drugs called calcium channel blockers.
Adalat relaxes (widens) your blood vessels (veins and arteries),
which makes it easier for the heart to pump and reduces its workload.
* Adalat is used to lower hypertension (high blood pressure) and
to treat angina (chest pain).
* Adalat may also be used for purposes other than those listed in
this medication guide.
What should I discuss with my healthcare provider before taking
Adalat?
* Before taking Adalat, tell your doctor if you have
o kidney disease;
o liver disease;
o another disease of the heart or blood vessels such as sick sinus
syndrome, aortic stenosis, heart failure, low blood pressure, or
coronary artery disease.
* You may not be able to take Adalat, or you may require a dosage
adjustment or special monitoring during treatment if you have any
of the conditions listed above.
* Adalat is in the FDA pregnancy category C. This means that it
is not known whether Adalat will be harmful to an unborn baby. Do
not take Adalat without first talking to your doctor if you are
pregnant or could become pregnant during treatment.
* Adalat passes into breast milk. Do not take Adalat without first
talking to your doctor if you are breast-feeding a baby.
* If you are over 65 years of age, you may be more likely to experience
side effects from Adalat. Your doctor may prescribe a lower dose
of this medication.
How should I take Adalat?
* Take Adalat exactly as directed by your doctor. If you do not
understand these directions, ask your pharmacist, nurse, or doctor
to explain them to you.
* Take each dose with a full glass of water.
* Adalat CC should be taken on an empty stomach.
* Do not crush, chew, or break any form of Adalat. Swallow the pills
whole.
* Do not consume grapefruit or grapefruit juice during treatment
with Adalat. Adalat can interact with grapefruit and grapefruit
juice, and the interaction may have dangerous effects. You should
discuss the use of grapefruit and grapefruit juice with your doctor.
* Occasionally, the Procardia XL tablet shell may be seen in the
stool. This is not harmful. The medicine has been absorbed by the
body and the tablet shell is designed to be eliminated in the stool.
* Do not stop taking Adalat without first talking to your doctor,
even if you begin to feel better. If you stop taking the medication,
your condition could become worse.
* Store Adalat at room temperature away from moisture and heat.
What happens if I miss a dose?
* Take the missed dose as soon as you remember. However, if it
is almost time for the next dose, skip the missed dose and take
only the next regularly scheduled dose. Do not take a double dose
of this medication.
What happens if I overdose?
* Seek emergency medical attention.
* Symptoms of a Adalat overdose include dizziness, weakness, chest
pain, shortness of breath, fainting, an unusually fast or slow heartbeat,
coma, slurred speech, and confusion.
What should I avoid while taking Adalat?
* Do not consume grapefruit or grapefruit juice during treatment
with Adalat. Adalat can interact with grapefruit and grapefruit
juice, and the interaction may have dangerous effects. You should
discuss the use of grapefruit and grapefruit juice with your doctor.
* Follow any recommendations your doctor makes about diet or exercise.
* Use caution when you stand or sit up from a lying position, especially
if you wake up during the night. You may become dizzy when changing
positions.
* Use alcohol cautiously. Alcohol may further lower blood pressure
and increase drowsiness or dizziness while taking Adalat.
What are the possible side effects of Adalat?
* If you experience any of the following serious side effects,
stop taking Adalat and contact your doctor immediately or seek emergency
medical treatment:
o an allergic reaction (difficulty breathing; closing of the throat;
swelling of the lips, tongue, or face; or hives);
o unusually fast or slow heartbeats;
o severe dizziness or fainting;
o psychosis;
o yellowing of the skin or eyes (jaundice); or
o swelling of the legs or ankles.
* Other, less serious side effects may be more likely to occur.
Continue to take Adalat and talk to your doctor if you experience
o headache, fatigue, or tiredness;
o flushing;
o insomnia;
o vivid or abnormal dreams;
o nausea or constipation; or
o increased urination.
* Side effects other than those listed here may also occur. Talk
to your doctor about any side effect that seems unusual or that
is especially bothersome.
What other drugs will affect Adalat?
* Before taking Adalat, tell your doctor if you are taking any
of the following drugs:
o another heart medication to treat the same or another condition;
o cimetidine (Tagamet, Tagamet HB);
o erythromycin (E-Mycin, E.E.S., Eryc, Ery-Tab, others);
o itraconazole (Sporanox) or ketoconazole (Nizoral);
o carbamazepine (Tegretol);
o phenytoin (Dilantin); or
o rifampin (Rifadin, Rimactane) or rifabutin (Mycobutin).
* You may not be able to take Adalat, or you may require a dosage
adjustment or special monitoring if you are taking any of the medicines
listed above.
* Drugs other than those listed here may also interact with Adalat
or affect your condition. Talk to your doctor and pharmacist before
taking any prescription or over-the-counter medicines, including
herbal products.
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