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Nifedipine XR® Tablets for Hypertension
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This extended-release calcium channel blocker helps lower blood pressure and prevent chest pain. We make it simple to access Canadian pricing with US delivery from Canada, even without insurance.
What Nifedipine XR Is and How It Works
Nifedipine XR® is an extended-release form of a dihydropyridine calcium channel blocker. It relaxes vascular smooth muscle, which decreases peripheral resistance and eases the workload on the heart. The tablet releases medicine over 24 hours to provide steady control.
YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
This treatment may reduce blood pressure and help prevent episodes of angina. It should not be used for immediate relief of chest pain. For sudden symptoms, follow your clinician’s instructions and emergency guidance.
Who It’s For
This medicine is used in adults for hypertension and for chronic stable or vasospastic angina. It may be part of single or combination therapy when additional control is needed. People with very low blood pressure, shock, or known hypersensitivity to components should avoid it.
Tell your healthcare professional if you have heart failure, liver problems, or have recently had a heart attack. Share a complete list of all medicines and supplements to help prevent interactions. Discuss use during pregnancy or breastfeeding with your prescriber.
Learn more about related conditions: Hypertension and Angina.
Dosage and Usage
Nifedipine extended-release tablets 30 mg are commonly used as a typical starting dose per many labels, taken once daily. Always follow the exact directions on your prescription label. Swallow the tablet whole with water; do not split, crush, or chew. Take at the same time each day to maintain consistent levels.
You may take it with or without food, but be consistent day to day. Avoid grapefruit and grapefruit juice, which can change medicine levels. If your prescriber adjusts the dose, changes are usually made gradually. Do not alter your regimen without medical guidance.
For education on lifestyle measures alongside therapy, consider reading Treat Hypertension.
Strengths and Forms
This treatment is supplied as extended-release oral tablets. Common strengths include nifedipine xr 30 mg tablets, plus 60 mg and 90 mg options. Availability may vary by manufacturer and inventory.
Equivalent brand products include Adalat CC or Procardia XL in some markets; we dispense approved generics when appropriate. Your final product may differ in appearance depending on the manufacturer.
Missed Dose and Timing
If you miss a dose, take it when you remember the same day. If it is close to your next scheduled dose, skip the missed one and resume your regular schedule. Do not take two doses at the same time. Setting phone reminders or using a pill organizer can help support steady use.
Storage and Travel Basics
Store tablets at room temperature in the original container, away from excess moisture and light. Keep out of reach of children and pets. Do not use tablets that are damaged or past the labeled date.
When traveling, carry your medicine in hand luggage with a copy of your prescription. Keep the bottle labeled with your name. Time-zone changes usually do not require complex adjustments for once-daily dosing; maintain approximate 24-hour intervals and consult your prescriber if unsure. As a micro-trust note, checkout is encrypted on our site.
Benefits
As a long-acting calcium channel blocker, this therapy supports blood pressure control over 24 hours. Once-daily dosing can simplify routines. For angina, it may help reduce the frequency of episodes during routine activities. Many people tolerate it well, though some effects can occur, especially when first starting.
Side Effects and Safety
- Headache
- Flushing or warmth
- Dizziness or lightheadedness
- Swelling in ankles or feet
- Fatigue
- Nausea
- Palpitations
Serious effects can include very low blood pressure, worsening chest pain in rare cases, or signs of heart failure such as shortness of breath and rapid weight gain. Seek immediate care for severe chest pain, fainting, or allergic reactions. If used with beta blockers or other blood pressure therapies, the risk of low blood pressure can increase.
Drug Interactions and Cautions
Important interactions involve medicines that affect CYP3A, the enzyme that processes this drug. Strong inhibitors (for example, certain azole antifungals, macrolide antibiotics, and some HIV protease inhibitors) may raise levels. Strong inducers (such as rifampin, carbamazepine, phenytoin, and St. John’s wort) may reduce levels and effectiveness.
Grapefruit and grapefruit juice can increase exposure and should be avoided. Combining with other blood pressure medicines may increase dizziness or fainting risk. Use caution with beta blockers and consult your prescriber. For a broader view of heart therapies, see our Cardiovascular category.
What to Expect Over Time
Blood pressure typically improves gradually with steady use. Some people notice early side effects that ease as the body adjusts. Angina prevention effects depend on regular dosing and your overall treatment plan. Keeping a log of readings and symptoms can help your healthcare professional assess progress and adjust other therapies if needed.
Consistency matters. Take your dose at the same time daily, avoid grapefruit, and monitor for dizziness when standing up. If you feel unwell after changes in dose or other medicines, contact your prescriber for guidance.
Explore additional educational content like How Bystolic Works for more insight into blood pressure management.
Compare With Alternatives
Several options are used for blood pressure and angina control. An equivalent brand of the same active ingredient is Adalat XL. A commonly used once-daily calcium channel blocker for hypertension is Amlodipine. Other alternatives include diltiazem in extended-release forms. Your prescriber can help select the right therapy based on your history and response.
Pricing and Access
We offer Canadian pricing with transparent checkout. Many patients paying out of pocket look for ways to manage monthly costs. See current options, compare manufacturers, and review what your prescriber has written. We provide US shipping from Canada to support access for eligible prescriptions.
Looking for deals? See our current offers on Promotions. For broader condition support, explore our Hypertension resources.
Availability and Substitutions
We source approved generics from reputable manufacturers. If a specific maker is unavailable, your prescriber may authorize an equivalent extended-release product. We do not guarantee exact pill appearance, as it may vary by supplier. When an item is out of stock, your healthcare professional can suggest an alternative or a short-term substitute from the same class.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults needing once-daily blood pressure control, or those with chronic stable or vasospastic angina. It might not be appropriate for people with very low baseline blood pressure or severe aortic stenosis. Always review your full history with your prescriber.
To manage costs, consider 60- to 90-day refills if appropriate. Align refill dates with appointments to avoid gaps. Compare manufacturers for value, and review your plan’s options if you have coverage. If you pay a cash price, setting reminders and consolidating orders can reduce repeat fees. For comprehensive options in heart care, browse Cardiovascular.
Questions to Ask Your Clinician
- Is this the right calcium channel blocker for my goals?
- How should I time doses with my other heart medicines?
- What side effects should prompt a call or visit?
- Should I monitor blood pressure at home, and how often?
- Are there foods or supplements I should avoid?
- When should we reassess my treatment plan?
Authoritative Sources
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How long does it take for the medicine to start working?
Effects on blood pressure generally develop with steady daily use. Some people may feel dizziness or flushing early on as the body adjusts. Angina prevention depends on regular dosing and your overall plan. Because individual responses vary, your healthcare professional will guide follow-up and monitoring rather than a fixed timeline.
Can I split or crush the tablets?
No. The tablets are designed to release medicine slowly over 24 hours. Splitting, crushing, or chewing can release the dose too quickly and increase side effects. Swallow each tablet whole with water. If you have trouble swallowing, speak with your prescriber about options that may suit you better.
What foods or drinks should I avoid?
Avoid grapefruit and grapefruit juice, which can increase medicine levels. Limit alcohol to reduce dizziness or fainting risk. Maintain a consistent routine with meals if possible. A balanced diet and salt intake guidance may also support blood pressure goals. If you use supplements or herbal products, tell your clinician to check for interactions.
Is it safe with my other heart medications?
This calcium channel blocker is often used with other therapies. Interactions may occur with beta blockers, other blood pressure medicines, and drugs that affect CYP3A. Share a complete list of prescriptions, OTC products, and supplements with your clinician. They will decide if combinations are appropriate for you and whether monitoring is needed.
What should I do if I feel dizzy after a dose?
Sit or lie down until the feeling passes, and rise slowly to prevent falls. Avoid driving or using machinery if you feel lightheaded. If symptoms persist or are severe, contact your healthcare professional for advice. Very low blood pressure is uncommon but can occur, especially when starting or when combined with other therapies.
Can I stop taking it once my blood pressure improves?
Do not stop this treatment without speaking to your prescriber. Blood pressure often rises again if therapy is stopped. Your clinician may adjust or change medicines based on your readings and symptoms. Follow the plan on your prescription label and attend scheduled reviews to discuss progress and goals.
What if I see an empty shell in my stool?
Some extended-release tablets use a shell that does not dissolve completely. Seeing a ghost tablet is expected with certain designs and does not mean the dose was not delivered. Continue taking your medicine as directed. If you are concerned about effectiveness or symptoms, contact your healthcare professional.
