Nicardia Retard 20Mg Tablet Sr

Nicardia Retard 20Mg Tablet Sr aids in the effective treatment of high blood pressure (hypertension) as well as pain in the chest (angina). This medicine belongs to a drug group that effectively slows down the calcium activity in the blood vessels. Therefore, it helps in relaxing the heart muscles by increasing the flow of blood.

This drug should only be taken if it is prescribed by a doctor. Detailed information on current health problems, allergies as well as medication should be provided before the drug is prescribed.

For instance, patients suffering from a severe case of coronary artery disease are generally not prescribed with this medication. It is also not prescribed to the patients who have recently had a heart attack.

As it is not yet clear that this medication harms a fetus, women who are pregnant or are planning to conceive should inform their medical practitioner before starting this drug. In case this medication needs to be discontinued, it should be done gradually. Stopping the drug suddenly can aggravate the condition resulting in severe consequences.

The primary cardiac symptoms of calcium blocker overdose include hypotension and bradycardia. The hypotension is caused by peripheral vasodilation, myocardial depression, and bradycardia. Bradycardia results from sinus bradycardia, second- or third-degree atrioventricular block, or sinus arrest with junctional rhythm. Intraventricular conduction is usually not affected so QRS duration is normal.

In a few reported cases, overdose with calcium channel blockers has been associated with hypotension and bradycardia, initially refractory to atropine but becoming more responsive to this agent when larger doses (approaching 1 g/hour for more than 24 hours) of calcium chloride was administered.

Take as directed; do not alter dosage regimen or increase, decrease, or discontinue without consulting prescriber. Do not crush or chew tablets or capsules. Consult prescriber before increasing exercise routine (decreased angina does not mean it is safe to increase exercise).

Change position slowly to prevent orthostatic events. May cause dizziness or fatigue; use caution when driving or engaging in tasks that require alertness until response to drug is known. Maintain good oral care and inspect gums for swelling or redness.

May cause frequent urination at night. Report irregular heartbeat, swelling, difficulty breathing or new cough, unresolved fatigue, unusual weight gain, unresolved dizziness or constipation, and swollen or bleeding gums.

• Hypertension

• Angina Pectoris

• heart attack

• Stroke

• Allergy

• Flushing

• Peripheral Edema

• Dizziness

• Light Headedness

• Headache

• Nausea

• Heartburn

• Weakness

• Palpitations

• Nervousness

• Cramps

• Flatulence

• Gingival Hyperplasia

• Tremor

• Wheezing

• Sore Throat

• Blurred Vision

• Dermatitis

• Pruritus

• Urticaria

• Sweating

• How long is the duration of effect?

  This effect of this medicine lasts for a duration of approximately 6 to 8 hours.

• What is the onset of action?

  The peak effect of this medicine can be observed in 30 to 120 minutes for a conventional tablet and 6 hours for an extended release tablet.

• Are there any pregnancy warnings?

  Nicardia Retard 20 Mg Tablet should be avoided by pregnant women unless suggested by the doctor. The effect of this medicine on fetus is not clearly established and hence, doctor consultation is recommended before consumption.

• Is it habit forming?

  No habit forming tendency has been reported.

• Are there any breast-feeding warnings?

  Nicardia Retard 20Mg Tablet is not recommended for use in breastfeeding women unless absolutely necessary. Consult your doctor about the potential benefits and risks before deciding to take this medicine.

• Does this affect kidney function?

  This medicine is found to be safe to use in patients with kidney disease. Adjustment of the dose is not needed. However, consult to your doctor before taking it, whereas supplemental dose is not necessary.

• Does this affect liver function?

  Caution must be taken in a patient with liver disease. Adjustment of dose must be needed. Kindly consult your doctor before taking it. Reduce oral dose by 50% to 60% in patients with cirrhosis.

• Is It safe with alcohol?

  Consumption of alcohol must be avoided while taking this medicine.

• Is it safe to drive while on this medicine?

  This medicine affects the consciousness of the patient. Thus driving must be avoided while taking it.

Below is the list of medicines, which have the same composition, strength and form as Nicardia Retard 20Mg Tablet Sr , and hence can be used as its substitute.

• Nepin 20 MG Tablet SR

  Lincoln Pharmaceuticals Ltd

• Nifedine 20 MG Tablet SR

  Abbott Healthcare Pvt. Ltd

• Missed Dose instructions

  The missed dose should be taken as soon possible. It is advisable to skip the missed dose if it's already time for your next scheduled dose.

• Are there any overdose instructions?

  Seek emergency medical treatment or contact the doctor in case of overdose.

Nicardia Retard 20Mg Tablet is a calcium channel blockers. It works by inhibiting the entry of calcium into the cardiac and vascular smooth muscles and prevents the contraction of the muscles and thereby reduces the blood pressure.

Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

test

• Interaction with Alcohol

  Ethanol increased Nifedipine AUC by 53%; watch for a greater hypotensive effect.

• Interaction with Medicine

  • Beta-blockers may have increased pharmacokinetic or pharmacodynamic interactions with nifedipine.
  • Calcium may reduce the calcium channel blocker's effects, particularly hypotension.
  • Cimetidine reduced diltiazem's metabolism; consider an alternative H2 antagonist.
  • Cisapride increases nifedipine's effects; monitor blood pressure.
  • Nafcillin decreases plasma concentration of nifedipine; avoid this combination.
  • Phenobarbital reduces the plasma concentration of nifedipine. May require much higher dose of nifedipine.
  • Protease inhibitor like amprenavir and ritonavir may increase nifedipine's serum concentration.
  • Quinidine's serum concentration is reduced and nifedipine's is increased; adjust doses as needed.
  • Rifampin increases the metabolism of the calcium channel blocker; adjust the dose of the calcium channel blocker to maintain efficacy.
  • Tacrolimus's serum concentrations are increased by verapamil; avoid the combination. Use another calcium channel blocker or monitor tacrolimus trough levels and renal function closely.
  • Vincristine's half-life is increased by nifedipine; monitor closely for vincristine dose adjustment.

• Interaction with Food

  Consumption of grapefruit juice is not recommended as it increases the concentration of Nicardia Retard 20Mg Tablet Sr. Grapefruit juice increases the bioavailability of nifedipine; monitor for altered nifedipine effects. Inform the doctor if you experience dizziness, headache, swelling of hands and feet is necessary.

• Interaction with Disease

  Blood pressure lowering should be done at a rate appropriate for the patient's condition. Rapid drops in blood pressure can lead to arterial insufficiency. Increased angina and/or MI has occurred with initiation or dosage titration of calcium channel blockers. Use caution in severe aortic stenosis. Use caution in patients with severe hepatic impairment (may need dosage adjustment). Abrupt withdrawal may cause rebound angina in patients with CAD. Use caution in CHF (may cause worsening of symptoms).

• Ques : What is Nicardia retard 20mg tablet sr?

  Ans : Nicardia retard 20mg tablet belongs to a medicine group that contains Penicillin Antibacterial as main ingredient present. It is used for the treatment of Cystitis and Pyelonephritis. Nicardia retard 20mg tablet is prescribed to the patients having infection in Bladder wall. It also controls kidney inflammation and pneumonia.

• Ques : What is the use of Nicardia retard 20mg tablet sr?

  Ans : Nicardia retard 20mg tablet sr is used for the treatment of high blood pressure and heart complications. It is also used to cure hypertension and chest pain. Nicardia retard 20 mg tablet sr helps in Angina Pectoris. This medicine improves heart diseases caused by emotional stress and smoking.

• Ques : What are the side effects of Nicardia retard 20mg tablet sr?

  Ans : Nicardia retard 20 mg tablet sr has many common side effects such as Nausea and Belching. There are some serious side effects of this medicine like Chest congestion, Abnormal ejaculation and Indigestion. In case of patients having any of the side effects or issues like trouble sleeping and swollen eyes, legs and hands. It is advised to stop the consumption of Nicardia retard 20 mg tablet sr and contact to doctor as soon as possible.

• Ques : For what treatment Nicardia retard 20mg tablet sr used for?

  Ans : Nicardia retard 20mg tablet sr is used for the treatment of hypertension and chest pain. It is also used to cure high blood pressure and heart complications. Nicardia retard 20 mg tablet sr helps in Angina Pectoris. This medicine improves heart diseases caused by emotional stress and smoking.

• Ques : How long do I need to use nicardia retard 20mg tablet sr before I see improvement in my condition?

  Ans : This medication should be consumed, until the complete eradication of the disease. Thus it is advised to use, till the time directed by your doctor. Also taking this medication longer than it was prescribed, can cause an inadequate effect on the patient's condition. So please consult your doctor.

• Ques : At what frequency do I need to use nicardia retard 20mg tablet sr?

  Ans : The duration of effect for this medicine is dependent on the severity of the patient’s condition. Therefore the frequency of usage of this medication will vary from person to person. It is advised to follow the proper prescription of the doctor, directed according to the patient's condition.

• Ques : Should I use nicardia retard 20mg tablet sr empty stomach, before food or after food?

  Ans : This medication is common to be taken orally and the action of salts involved in this medication, do not depend on whether taking it pre-meal or post-meal. It is advised to consult a doctor before use and take it at a fixed time in a day.

• Ques : What are the instructions for the storage and disposal of nicardia retard 20mg tablet sr?

  Ans : This medication contains salts which are suitable to store only at room temperature, as keeping this medication above or below that, can cause an inadequate effect. Protect it from moisture and light. Keep this medication away from the reach of children. It is advised to dispose of the expired or unused medication, for avoiding its inadequate effect.