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Operational Medicine 2001
Nifedipine (Procardia, Adalat, Procardia XL, Adalat CC)

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Category:

  • Miscellaneous

Description:

  • Antihypertensive, antianginal (calcium channel blocker)

Indications:

  • Vasospastic (Prinzmetal’s or variant) angina

  • Chronic stable angina

  • Hypertension

Contraindications:

  • Use of sustained-release preparations in patients with severe obstructive coronary artery disease or recent MI

  • Hypertensive emergencies

Precautions:

  • Pregnancy category C; has been used in pregnant women; compatible with breast feeding

Adverse Reactions (Side Effects):

  • CNS: anxiety, asthenia, depression, dizziness, headache, insomnia, somnolence, tremor

  • CV: bradycardia, dysrhythmia, hypotension, palpitations, peripheral edema, syncope, tachycardia

  • GI: abdominal cramps, constipation, diarrhea, flatulence, dry mouth, nausea, vomiting

  • GU: Nocturia, polyuria

  • SKIN: hair loss, pruritus, rash, urticaria

  • MISC: cough, epistaxis, flushing, muscle cramps, nasal congestion, sexual dysfunction, shortness of breath, sweating, tinnitus, weight gain

Dosage:

Administered orally (capsule, sustained release tablet)

  • Adult:   

    • PO 10mg 3 times daily initially, usual range 10-20mg 3 times daily; doses > 120 mg/day are rarely necessary

    • PO XL 30-60mg daily, titration to doses >90 mg/day not recommended

  • Child: 

    • Hypertensive urgencies: 

      • PO 0.25-.5 mg/kg/dose

Special Considerations:

  •  Administer Adalat CC on an empty stomach

  •  Do not crush or chew sustained release dosage formes

  •  Procardia XL tablets may appear in stool, this is no cause for concern

 

 

Approved for public release; Distribution is unlimited.

The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. 

Operational Medicine 2001

Health Care in Military Settings

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

 United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323

*This web version is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense.

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