Description
Procardia is a medication prescribed primarily for hypertension and angina. Hypertension is abnormally high blood pressure, and angina is chest pain.
Hypertension, a leading cause of cardiac mortality globally, often remains undetected due to its lack of overt symptoms, while angina manifests as chest pain, making it easier for individuals to recognize.
Nifedipine, the active component of Procardia, works by blocking cardiac calcium channels, which lowers the pressure exerted on blood vessel walls. By relaxing and dilating blood vessels, Procardia facilitates smoother blood flow to reduce blood pressure and alleviate chest discomfort.
Procardia is also sometimes prescribed for Raynaud’s phenomenon.
Fact Table
|
Formula
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C17H18N2O6
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License
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US FDA
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Bioavailability
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45-68%
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Legal status
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Prescription only (?)
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Chemical Name
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3,5-Pyridinedicarboxylic acid, 1,4-dihydro-2,6-dimethyl-4-(2-nitrophenyl)-, dimethyl ester
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Elimination half-life
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2-5 hours (immediate-release)
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Dosage (Strength)
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10 mg, 20 mg capsules (immediate-release); 30 mg, 60 mg, 90 mg tablets (extended-release)
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Pregnancy
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Consult a doctor
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Brands
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Procardia, Adalat, Nifedical
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Protein binding
|
92-98%
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PubChem CID
|
4485
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MedlinePlus
|
a684028
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ChEBI
|
CHEBI:7572
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ATC code
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C08CA05
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DrugBank
|
DB01115
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KEGG
|
D00451
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Routes of administration
|
Oral
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Directions
The starting dosage of Procardia is 30-60 mg by mouth once daily, which can be increased to a maximum of 120 mg once daily.
Ingredients
The active ingredient is nifedipine.
Interactions
Common drug-drug interactions include:
- Abametapir
- Amobarbital
- Aprobarbital
- Armodafinil
- Atazanavir
- Boceprevir
- Bosentan
- Butabarbital
- Butalbital
- Carbamazepine
- Ceritinib
- Clarithromycin
- Clobazam
- Clopidogrel
- Cobicistat
- Conivaptan
- Cyclosporine
- Dantrolene
- Darunavir
- Dexamethasone
- Digoxin
- Efavirenz
- Enzalutamide
- Epirubicin
- Erythromycin
- Etravirine
- Fedratinib
- Fentanyl
- Fexinidazole
- Fluconazole
- Fluoxetine
- Fosnetupitant
- Fosphenytoin
- Idelalisib
- Itraconazole
- Ketoconazole
- Lacosamide
- Lonafarnib
- Mavacamten
- Melphalan
- Mephobarbital
- Methohexital
- Mibefradil
- Micafungin
- Mifepristone
- Modafinil
- Nafcillin
- Nefazodone
- Nelfinavir
- Netupitant
- Nevirapine
- Omaveloxolone
- Oxcarbazepine
- Pentobarbital
- Phenobarbital
- Phenytoin
- Pioglitazone
- Posaconazole
- Prednisone
- Primidone
- Quinidine
- Repotrectinib
- Ribociclib
- Rifabutin
- Rifampin
- Rifapentine
- Ritonavir
- Rufinamide
- Saquinavir
- Secobarbital
- St John's Wort
- Tacrolimus
- Telaprevir
- Telithromycin
- Thiopental
- Topiramate
- Troleandomycin
- Tucatinib
- Voriconazole
Cautions
Individuals with a history of heart conditions, liver disease, or kidney issues should notify their healthcare provider before starting Procardia.
Closely monitor blood pressure and heart rate when starting treatment initiation or making dose adjustments to mitigate the risk of significant blood pressure drops.
Side Effects
Adverse reactions to Procardia may include:
- Aplastic anemia
- Cough
- Dyspnea
- Dizziness
- Feeling nervous
- Flushing
- Gastrointestinal obstruction
- Gastrointestinal ulcer
- Headache
- Hypotension
- Myocardial infarction
- Nausea
- Palpitations
- Peripheral edema
- Ventricular arrhythmia
References
Procardia [package insert]. New York, NY: Pfizer; July 2013.
About Dr. Conor Sheehy (Page Author)
Dr. Sheehy (BSc Molecular Biology, PharmD) works a clinical pharmacist specializing in cardiology, oncology, and ambulatory care. He’s a board-certified pharmacotherapy specialist (BCPS), and his experience working one-on-one with patients to fine tune their medication and therapy plans for optimal results makes him a valuable subject matter expert for our pharmacy. Read More....
IMPORTANT NOTE:
The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.
Product Code : 9493