Zanidip
Zanidip is a medicine that lowers high blood pressure in adults over 18.
Form
tabletti, kalvopäällysteinen
Strength
20 mg
Active Ingredient
Lercanidipine hydrochloride
Manufacturer
Recordati Ireland Ltd.
How to Use
Dosage
The usual dose is 10 mg once a day, taken in the morning at least 15 minutes before breakfast.
Method
Swallow the tablets whole with a little water.
Important
Your doctor may increase the dose to a maximum of 20 mg per day.
Possible Side Effects
COMMON
- •Headache
- •Fast heartbeat
- •Palpitations (feeling your heart beat fast or unevenly)
- •Sudden flushing of the face, neck, or upper chest
- •Ankle swelling
RARE
- •Dizziness
- •Drop in blood pressure
- •Heartburn
- •Nausea
- •Stomach pain
- •Rash
- •Itching
- •Muscle pain
- •Increased or frequent urination
- •Weakness
- •Tiredness
- •Chest pain (angina pectoris), a crushing feeling in the chest
- •Allergic reactions such as hives
- •Fainting
- •Sleepiness
- •Vomiting
- •Diarrhea
Important Warnings
- Do not use Zanidip if you are allergic to lerkanidipine hydrochloride or any other ingredients in this medicine.
- Avoid if you have certain heart problems like narrowing of the heart valve, untreated heart failure, unstable chest pain (angina pectoris), or if you had a heart attack in the last month.
- Do not use if you have severe liver problems or severe kidney problems, or if you are on dialysis.
- Do not use with certain medications that affect liver enzymes, such as antifungal medicines (e.g., ketoconazole), macrolide antibiotics (e.g., erythromycin), or antiviral medicines (e.g., ritonavir).
- Do not use if you are taking ciclosporin (a medicine used after organ transplants).
Show 4 more warnings
- Avoid grapefruit or grapefruit juice, as it can make Zanidip work too strongly.
- Do not drink alcohol during Zanidip treatment, as it can increase the medicine's effects.
- Not recommended during pregnancy or breastfeeding.
- If you feel dizzy, weak, or sleepy, do not drive or use machines.
Use in Elderly Patients
Category A
Suitable for older adults. Do not use in severe renal impairment. Significant adverse effects include ankle oedema and orthostatic hypotension. Consider potential interactions. Avoid grapefruit. (updated 17.2.2025)