Nifedipin Alternova
Nifedipin Alternova treats angina (chest pain) and high blood pressure by relaxing blood vessels.
Form
depottabletti
Strength
30 mg
Active Ingredient
Nifedipine
Manufacturer
Alternova A/S
How to Use
Dosage
Usually, adults start with one 30 mg tablet once a day. Your doctor might change the dose. Elderly patients and those with liver problems may start with a lower dose.
Method
Swallow the tablet whole with enough liquid. Do not chew, crush, or break the tablet. Avoid grapefruit juice.
Important
Your doctor will decide your maximum daily dose based on your needs.
Possible Side Effects
COMMON
- •Flushing
- •Dizziness
- •Feeling faint
- •Feeling of pressure in the head
- •Increased or worsened chest pain attacks
- •Chest pain if you suddenly stop taking nifedipine
- •Worsening lack of oxygen to the heart muscle, including heart attack
- •Heart failure
- •Constipation
- •Swelling (fluid buildup) in parts of the body, like hands and feet
- •Widened blood vessels
- •General unwell feeling
- •Headache
- •Low blood pressure when standing up
RARE
- •Irregular heartbeat, fast heart rate
- •Palpitations (pounding heart)
- •Poor circulation in fingers (Raynaud's syndrome)
- •Acid reflux into the food pipe (esophagus)
- •Allergic liver inflammation
- •Temporary increase in liver enzymes (seen in blood tests)
- •Insomnia (trouble sleeping)
- •Nervousness
- •Weakening of the uterine lining
- •Vision problems
- •Fever during the first days of treatment
- •Allergic reactions, including swelling under the skin or in the throat (which can be serious)
- •Anxiety
- •Sleep problems
- •Spinning sensation (vertigo)
- •Migraine
- •Tremor (shaking)
- •Low blood pressure
- •Fainting
- •Nosebleed
- •Blocked nose
- •Abdominal pain (stomach or gut pain)
- •Nausea (feeling sick)
- •Heartburn (indigestion)
- •Gas (flatulence)
- •Dry mouth
- •Skin redness
- •Muscle cramps
- •Joint swelling
- •Painful or difficult urination, increased need to urinate
- •Erectile dysfunction
- •Unspecified pain
- •Chills
- •Abnormal skin sensations like tingling or numbness
- •Gum inflammation and thickening
- •Breast growth in men over 50 years old
- •Itching, rashes, or hives
- •Heart block (a problem with the heart's electrical system)
- •Depression
- •Anemia (low red blood cell count)
- •Increased blood potassium levels (when taken with propranolol)
- •Skin inflammatory reactions
- •Need to urinate often at night
- •Sudden worsening of kidney function (especially in severe kidney problems)
- •Swelling around the eyes
- •Ringing in the ears (tinnitus)
- •Lumps forming in the stomach or intestines (bezoars)
- •Severe decrease in white blood cells (making you prone to infections, fever)
- •Severe, life-threatening allergic reaction (anaphylaxis), with breathing difficulties, low blood pressure, rapid pulse, and swelling (even in airways)
- •High blood sugar levels
- •Sensory disturbances
- •Drowsiness
- •Eye pain
- •Chest pain (angina)
- •Shortness of breath or difficulty breathing (can be severe)
- •Difficulty swallowing
- •Severe abdominal pain, or stomach pain due to blocked bowels or ulcers
- •Vomiting
- •Heartburn or digestive problems (e.g., acid reflux)
- •Yellowing of the whites of your eyes or skin (jaundice)
- •Severe skin reactions like blisters, peeling skin, or reactions on mucous membranes (e.g., in mouth, nose)
- •Red spots on the skin (palpable purpura)
- •Skin sensitivity to light due to allergy
- •Muscle pain
- •Fluid buildup in the lungs (pulmonary edema)
Important Warnings
- Do not use if you are allergic to nifedipine or any other ingredient in this medicine.
- Do not use if you have very low blood pressure.
- Do not use if you are taking rifampicin (a medicine for tuberculosis).
- Do not use if you have had a heart attack or stroke recently (within the last month).
- Do not use if you have severe heart failure or unstable chest pain.
Show 6 more warnings
- Do not use if you have ever had a severe heart problem causing collapse (cardiogenic shock).
- Do not use if you have a specific bowel condition called 'Kock's pouch' or other intestinal obstructions.
- Do not use if you are pregnant or breastfeeding.
- Avoid grapefruit and grapefruit juice as they can increase the medicine's effect.
- This medicine may affect your ability to drive or use machines, especially when starting treatment or if you drink alcohol.
- Tell your doctor if you have liver problems, narrowing of the aorta, or are on dialysis with high blood pressure.
Use in Elderly Patients
Category A
Suitable for older adults. Applies to long-acting preparations. Significant adverse effects include ankle oedema and orthostatic hypotension. Consider potential interactions. Avoid grapefruit. (updated 17.2.2025)