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Felodipine: Comprehensive Medication Guide

What is Felodipine and what is it used for?

Felodipine is a calcium channel blocker primarily prescribed to manage high blood pressure (hypertension). By relaxing the blood vessels, it eases the workload on the heart, making it easier to pump blood. It is also used to treat angina (chest pain) by increasing blood flow to the heart.

Important Information Before Taking Felodipine

Before starting Felodipine, inform your healthcare provider about the following:

  • Pre-existing Heart Conditions: Specifically, any heart problems, low blood pressure, or slow/irregular heartbeat.
  • Liver Disease: As Felodipine is processed by the liver, liver disease can affect how the medication works.
  • Previous Heart Attack: A history of heart attack needs careful consideration when prescribing Felodipine.
  • Allergies: Any unusual or allergic reactions to felodipine itself, other medicines, foods, dyes, or preservatives.
  • Pregnancy and Breastfeeding: If you are pregnant, trying to get pregnant, or currently breastfeeding. Felodipine's effects during pregnancy are not fully established, and it can pass into breast milk.

How to Take Felodipine for Best Results

Follow these instructions for optimal use:

  • Dosage: Take Felodipine exactly as prescribed by your doctor. Do not change the dose or stop taking it without consulting your physician.
  • Administration: Swallow the tablet whole with a glass of water. Do not crush or chew the tablet, as this can affect how the medication is released.
  • Timing: Felodipine should be taken either on an empty stomach or with a light meal.
  • Frequency: Take your doses at regular intervals, ideally at the same time each day.
  • Discontinuation: Do not abruptly stop taking Felodipine, as this can cause a sudden increase in blood pressure or angina symptoms. Your doctor will advise on how to gradually reduce the dosage.

Consult your pediatrician before administering this medication to children, as special precautions may be required.

What To Do If You Miss A Dose?

If you miss a dose, take it as soon as you remember. However, if it is less than four hours until your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

Possible Drug Interactions with Felodipine

Felodipine can interact with several medications and substances. Be aware of the following:

Do not combine with:

  • Grapefruit Juice: It can significantly increase the levels of Felodipine in your blood, leading to increased side effects.

Exercise Caution with:

  • Cimetidine: A medication used to reduce stomach acid.
  • Antifungal Medications: Such as fluconazole, itraconazole, ketoconazole, and voriconazole.
  • High Blood Pressure Medications: Other antihypertensive drugs, as they can have additive effects.
  • Anti-Seizure Medications: Like carbamazepine, phenobarbital, and phenytoin, which can decrease the effectiveness of Felodipine.
  • Certain Antibiotics: Including clarithromycin and erythromycin.
  • Heart Rhythm Medications: Some medicines used to treat heart rhythm problems.
  • Tacrolimus: An immunosuppressant drug.

Provide your healthcare provider with a complete list of all medications, herbs, over-the-counter drugs, and dietary supplements you are taking. Also, inform them about your smoking habits, alcohol consumption, and any illicit drug use, as these can also interact with Felodipine.

Important Precautions While Using Felodipine

Take the following precautions while taking Felodipine:

  • Regular Check-ups: Visit your doctor for regular check-ups to monitor your blood pressure and overall health.
  • Blood Pressure Monitoring: Regularly monitor your blood pressure and pulse rate at home. Ask your healthcare provider about target ranges and when to seek medical attention.
  • Drowsiness and Dizziness: Felodipine can cause drowsiness or dizziness. Avoid driving, operating machinery, or performing tasks that require mental alertness until you know how the medication affects you.
  • Orthostatic Hypotension: Stand up slowly from a sitting or lying position, especially if you are an older patient, to reduce the risk of dizziness or fainting.
  • Alcohol: Limit or avoid alcohol consumption, as it can increase drowsiness and dizziness.
  • Dental Health: Felodipine may cause dental problems in some individuals. Maintain good oral hygiene, including regular brushing, flossing, and dental check-ups. Report any gum swelling or inflammation to your dentist.

Possible Side Effects of Felodipine

Like all medications, Felodipine can cause side effects. Not everyone experiences them, and they are usually mild.

Side effects that require immediate medical attention:

  • Fainting spells or severe lightheadedness
  • Irregular heartbeat, chest pain, or palpitations
  • Significant swelling of the legs and ankles

Common side effects that usually do not require immediate medical attention (but should be reported if persistent or bothersome):

  • Constipation
  • Decreased sexual function or desire
  • Facial flushing
  • Headache
  • Nausea
  • Weakness or tiredness

How to Store Felodipine

Store Felodipine properly to maintain its effectiveness:

  • Keep out of the reach of children.
  • Store at room temperature below 30 degrees C (86 degrees F).
  • Keep the container tightly closed and protect it from light and moisture.
  • Do not use Felodipine after the expiration date printed on the package. Dispose of any unused medication properly.

Felodipine: Frequently Asked Questions (FAQ)

Can I take Felodipine with other medications?

It is crucial to inform your healthcare provider about all medications you are taking, including over-the-counter drugs and supplements, to avoid potential interactions.

How long does it take for Felodipine to start working?

Felodipine starts working within a few hours, but it may take several weeks to achieve its full effect on blood pressure or angina.

Can I drink alcohol while taking Felodipine?

Alcohol can increase the risk of side effects such as dizziness and drowsiness. It is best to limit or avoid alcohol consumption while taking Felodipine.

What should I do if I experience severe side effects?

If you experience severe side effects such as chest pain, irregular heartbeat, or severe dizziness, seek immediate medical attention.

Is Felodipine safe during pregnancy?

The safety of Felodipine during pregnancy is not fully established. Consult your healthcare provider if you are pregnant or planning to become pregnant.

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