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Active substance(s): NIFEDIPINE

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This medicine will be referred to as Adalat retard throughout the
remainder of this leaflet.
Read all of this leaflet carefully before you start taking this
medicine because it contains important information for you.
Keep this leaflet. You may need to read it again.
If you have any further questions, ask your doctor or pharmacist.
This medicine has been prescribed for you only.
Do not pass it on to others. It may harm them, even if their signs
of illness are the same as yours.
If you get any side effects, talk to your doctor or pharmacist. This
includes any possible side effects not listed in this leaflet. See
section 4.
What is in this leaflet
1. What Adalat retard is and what it is used for
2. What you need to know before you take Adalat retard
3. How to take Adalat retard
4. Possible side effects
5. How to store Adalat retard
6. Contents of the pack and other information

What Adalat retard is and what it is used for

Adalat retard contains nifedipine, which belongs to a group of
medicines called calcium antagonists.
Adalat retard is used to treat high blood pressure or angina
(chest pain).
For high blood pressure: Adalat retard works by relaxing and
expanding the blood vessels. This makes the blood flow more
easily and lowers blood pressure. Lower blood pressure reduces
the strain on your heart.
For angina: Adalat retard works by relaxing and expanding the
arteries supplying the heart. This allows more blood and oxygen
to reach the heart and decreases the strain on it. Your angina
attacks will be less severe and less frequent if there is less strain
on the heart.

What you need to know before you take Adalat retard

Do not take Adalat retard:
If you have had a heart attack within the last month.
If you get a sudden angina attack. Adalat retard will not help
relieve symptoms of angina quickly.
 If you have unstable angina.
 If you are allergic to nifedipine, any other similar medicines
(known as dihydropyridines) or any of the other ingredients of
this medicine (listed in section 6).
 If you are taking rifampicin, an antibiotic.
 If you have been told that you have a narrowing of the
aortic heart valve (stenosis).
 If you have ever had a collapse caused by a heart problem
(cardiogenic shock), during which you became breathless,
pale and had a cold sweat and dry mouth.
 If your blood pressure continues to rise despite treatment
(malignant hypertension).
 If you have been told to avoid lactose, that you have a
hereditary condition called Lapp lactase deficiency or
glucose-galactose malabsorption.

Tell your doctor and do not take Adalat retard if any of
these apply to you.
Warnings and precautions
Talk to your doctor before taking Adalat retard
 If you have low blood pressure and you were prescribed
Adalat retard for your angina. Your blood pressure may be
decreased further by this treatment.
 If you have a heart condition where your heart cannot cope
with increased strain (poor cardiac reserve).
 If you are pregnant.
 If you are breast-feeding. If you need to take Adalat retard,
you should stop breast-feeding before you start to take this
 If you are a diabetic. The treatment for your diabetes may
need to be adjusted. If you have any questions about this, ask
your doctor.
 If you are on kidney dialysis. If you have a very high blood
pressure and a low blood volume, you might experience a
sudden drop in blood pressure when you take Adalat retard.
 If your liver is not working properly. Your doctor may need
to do some blood tests. You may also be given a lower dose
of Adalat retard.
Talk to your doctor before you take Adalat retard if any of
these apply to you.
Tell your doctor:
 If your chest pain (angina) gets worse (comes on more often
or more severely) over a matter of hours or days. You may be
advised not to take Adalat retard.
 If you have chest pains after taking your first dose of
Adalat retard. Your doctor may wish to change your treatment.
 If you notice increased breathlessness.
 If you notice swelling of the ankles.
Tell your doctor before you take the next dose if any of
these apply to you.
Also tell your doctor:
If you are giving a urine sample. Adalat retard may interfere
with the results of certain urine tests.



If you are a man who has been unable to father a child by
in vitro fertilisation. Drugs like Adalat retard have been shown
to impair sperm function.

Other medicines and Adalat retard
Tell your doctor if you are taking, have recently taken or might
take any other medicines.
Some medicines may affect the way Adalat retard works.
Tell your doctor if you are taking:
 Other medicines to treat high blood pressure.
 Rifampicin (an antibiotic).
 Cimetidine (to treat stomach ulcers).
 Digoxin, diltiazem, quinidine or beta-blockers (to treat
heart conditions).
 Quinupristin/dalfopristin (a combination antibiotic).
 Phenytoin, carbamazepine or valproic acid (to treat
 Cisapride (to treat reduced movements of the gullet and
 Magnesium sulphate injections during pregnancy (may
cause a severe fall in blood pressure).
 Erythromycin (an antibiotic).
 Ketoconazole, itraconazole or fluconazole (antifungal
 Indinavir, nelfifinavir, ritonavir, saquinavir or amprenavir
(to treat HIV).
 Fluoxetine or nefazodone (to treat depression).
 Tacrolimus (to prevent the rejection of transplanted organs).
 Phenobarbital (usually used to treat insomnia or anxiety).
Adalat retard with food and drink
You can take Adalat retard either with or without food.
Do not drink grapefruit juice or eat grapefruit while taking
Adalat retard.
Do not start taking Adalat retard within 3 days of drinking
grapefruit juice or eating grapefruit. Tell your doctor if you have
had grapefruit or grapefruit juice in this time. Also, do not drink
grapefruit juice or eat grapefruit whilst taking Adalat retard.
Grapefruit juice is known to increase the blood levels of the active
ingredient, nifedipine. This effect can last for at least 3 days.
Pregnancy and breast-feeding
If you are pregnant, think you may be pregnant or are planning to
have a baby, ask your doctor for advice before taking this
You may be able to use Adalat retard but only after special
consideration and agreement by your doctor.
Do not take Adalat retard if you are breast-feeding.
If you need to take Adalat retard, you should stop breast-feeding
before you start taking this medicine.
Driving and using machines
Adalat retard may make you feel dizzy, faint, extremely tired or
have visual disturbances. Do not drive or operate machinery if
you are affected in this way.
This may be more likely when you first start treatment, if you
change tablets, or if you have drunk alcohol.
Adalat retard contains lactose monohydrate
If you have been told by your doctor that you have an intolerance
to some sugars, contact your doctor before taking this medicinal

How to take Adalat retard

Always take this medicine exactly as your doctor has told you.
Check with your doctor if you are not sure.



To start with, you may be given a lower strength (10 mg)
tablet called Adalat retard 10 mg. This allows your doctor to
monitor how you are responding so that the best long-term
dose can be identified.
The usual maintenance dose of Adalat retard (20 mg
strength) is 1 tablet, every 12 hours (i.e. twice per day), but
your doctor may increase or decrease the dose depending on
how well your blood pressure or angina is being controlled.
The maximum dose is 2 tablets (40 mg) every 12 hours.
Lower doses may be prescribed for older people.
If you have problems with your liver you are likely to be
given Adalat retard 10 mg, at least to begin with.
Swallow the tablets whole with a little water.
Continue to take the tablets for as long as your doctor has
told you to.

Do not take them with grapefruit juice.
You can take Adalat retard either with or without food.
Use in children and adolescents: Adalat retard is not
recommended for use in children and adolescents below 18 years
of age, because there are only limited data on the safety and
efficacy in this population.
If you take more Adalat retard than you should
Get medical help immediately. If possible, take your tablets
or the box with you to show the doctor.
Taking too many tablets may cause your blood pressure to
become too low and your heartbeats to speed up or slow down. It
may also lead to an increase in your blood sugar level or an
increase in the acidity of your blood, swelling in the lungs, low
blood oxygen levels and disturbances in consciousness, possibly
leading to unconsciousness.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.