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Nisoldipine extended-release tablets

Generic Name: nisoldipine (nye-SOL-di-peen)
Brand Name: Sular

Nisoldipine extended-release tablets is used for:

Treating high blood pressure. It may be used alone on in combination with other high blood pressure medicines. It may also be used for other conditions as determined by your doctor.

Nisoldipine extended-release tablets is a calcium channel blocker. It works by dilating (widening) the arteries.

Do NOT use nisoldipine extended-release tablets if:

  • you are allergic to any ingredient in nisoldipine extended-release tablets or to other dihydropyridines (eg, amlodipine)
  • you are taking phenytoin

Contact your doctor or health care provider right away if any of these apply to you.

Before using nisoldipine extended-release tablets:

Some medical conditions may interact with nisoldipine extended-release tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you are allergic to salicylates (eg, aspirin)
  • if you have chest pain, heart blood vessel disease, heart problems (eg, heart failure, ventricle problems), liver problems (eg, cirrhosis), or a history of low blood pressure

Some MEDICINES MAY INTERACT with nisoldipine extended-release tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Cimetidine or HIV protease inhibitors (eg, ritonavir) because they may increase the risk of nisoldipine extended-release tablets's side effects
  • Phenytoin because it may decrease nisoldipine extended-release tablets's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if nisoldipine extended-release tablets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use nisoldipine extended-release tablets:

Use nisoldipine extended-release tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take nisoldipine extended-release tablets by mouth on an empty stomach at least 1 hour before or 2 hours after eating.
  • Swallow nisoldipine extended-release tablets whole. Do not break, crush, or chew before swallowing.
  • Do not eat grapefruit or drink grapefruit juice while you use nisoldipine extended-release tablets.
  • Taking nisoldipine extended-release tablets at the same time each day will help you remember to take it.
  • If you miss a dose of nisoldipine extended-release tablets, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use nisoldipine extended-release tablets.

Important safety information:

  • Nisoldipine extended-release tablets may cause dizziness, drowsiness, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use nisoldipine extended-release tablets with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
  • Nisoldipine extended-release tablets may contain tartrazine dye (FD&C Yellow No. 5). This may cause an allergic reaction in some patients. If you have ever had an allergic reaction to tartrazine, ask your pharmacist if your product has tartrazine in it.
  • Lab tests, including blood pressure checks, may be performed while you use nisoldipine extended-release tablets. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use nisoldipine extended-release tablets with caution in the ELDERLY; they may be more sensitive to its effects.
  • Nisoldipine extended-release tablets should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using nisoldipine extended-release tablets while you are pregnant. It is not known if nisoldipine extended-release tablets is found in breast milk. Do not breast-feed while taking nisoldipine extended-release tablets.

If you stop taking nisoldipine extended-release tablets suddenly, you may have WITHDRAWAL symptoms. These may include chest pain.

Possible side effects of nisoldipine extended-release tablets:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; flushing; headache; lightheadedness; mild swelling of the arms, legs, feet, or hands.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fainting; fast or irregular heartbeat; fever, chills, or persistent sore throat; loss of vision or other vision changes; mood or mental changes; severe or persistent dizziness or headache; severe or persistent swelling of the arms, legs, feet, or hands; shortness of breath; sudden unusual weight gain; tender, bleeding, or swollen gums; unusual tiredness or weakness.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include confusion; drowsiness; slowed or irregular heartbeat; slurred speech; weakness.

Proper storage of nisoldipine extended-release tablets:

Store nisoldipine extended-release tablets at room temperature, between 68 and 77 degrees F (20 and 25 degrees C), in a tightly closed container. Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep nisoldipine extended-release tablets out of the reach of children and away from pets.

General information:

  • If you have any questions about nisoldipine extended-release tablets, please talk with your doctor, pharmacist, or other health care provider.
  • Nisoldipine extended-release tablets is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take nisoldipine extended-release tablets or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about nisoldipine extended-release tablets. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to nisoldipine extended-release tablets. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using nisoldipine extended-release tablets.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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