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Pronunciation

nye-FED-i-peen audio

Indications

BEERS REMS

Unlabeled Use:

Action

Therapeutic Effects:

Pharmacokinetics

Absorption: Well absorbed after oral administration, but large amounts are rapidly metabolized (primarily by CYP3A4 enzyme system), resulting in bioavailability (45–70%); bioavailability is (80%) with extended-release forms.

Distribution: Unknown.

Protein Binding: 92–98%.

Metabolism/Excretion: Mostly metabolized by the liver.

Half-life: 2–5 hr.

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: ARRHYTHMIAS, HF, peripheral edema, bradycardia, chest pain, hypotension, palpitations, syncope, tachycardia.

Derm: STEVENS-JOHNSON SYNDROME, flushing, dermatitis, erythema multiforme, sweating, photosensitivity, pruritus/urticaria, rash.

EENT: blurred vision, disturbed equilibrium, epistaxis, tinnitus.

Endo: gynecomastia, hyperglycemia.

Neuro: headache, abnormal dreams, anxiety, confusion, dizziness, drowsiness, dysgeusia, jitteriness, nervousness, psychiatric disturbances, weakness.

GI: liver enzymes, anorexia, constipation, diarrhea, dry mouth, dyspepsia, GI obstruction, nausea, ulcer, vomiting.

GU: dysuria, nocturia, polyuria, sexual dysfunction, urinary frequency.

Hemat: anemia, leukopenia, thrombocytopenia.

Metab: weight gain.

MS: joint stiffness, muscle cramps.

Neuro: paresthesia, tremor.

Resp: cough, dyspnea, shortness of breath.

Misc: gingival hyperplasia.

Interactions

Drug-Drug:

Drug-Natural Products:

Drug-Food:

Route/Dosage

Implementation

US Brand Names

Adalat CC, Afeditab CR, Procardia, Procardia XL

Canadian Brand Names

Adalat XL

Classifications

Therapeutic Classification: antianginals, antihypertensives

Pharmacologic Classification: calcium channel blockers

Availability

(Generic available)

Time/Action Profile

ROUTEONSETPEAKDURATION
PO20 minunknown6–8 hr
PO–ERunknown6 hr24 hr

Assessment

Lab Test Considerations:

Patient/Family Teaching

Evaluation/Desired Outcomes

Code

NDC Code*