felodipine

Before taking felodipine, tell your doctor if you have

• liver disease; or

• another disease of the heart or blood vessels such as sick sinus syndrome, aortic stenosis, heart failure, low blood pressure, or coronary artery disease.

You may not be able to take felodipine, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Felodipine is in the FDA pregnancy category C. This means that it is not known whether felodipine will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment.

It is not known whether felodipine passes into breast milk. Do not take felodipine without first talking to your doctor if you are breast-feeding a baby.

If you are over 65 years of age, you may be more likely to experience side effects from felodipine. Your doctor may prescribe a lower dose of this medication.

Take felodipine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Take each dose consistently either without food or with a light meal.

Do not crush, chew, or break the tablets. Swallow them whole.

Do not stop taking felodipine without first talking to your doctor, even if you begin to feel better. If you stop taking the medication, your condition could become worse.

Grapefruit and grapefruit juice may interact with felodipine. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

Brush and floss your teeth regularly as directed by your dentist. Rarely, swelling of the gums may be a side effect from treatment with felodipine. Proper oral hygiene may alleviate these symptoms.

Store felodipine at room temperature away from moisture and heat.

Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

If you experience any of the following serious side effects, stop taking felodipine and contact your doctor immediately or seek emergency medical treatment:

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);

• unusually fast or slow heartbeat;

• chest pain;

• severe dizziness or fainting;

• abnormal behavior or psychosis;

• jaundice (yellowing of the skin or eyes), or

• swelling of the legs, ankles, or face.

Other, less serious side effects may be more likely to occur. Continue to take felodipine and talk to your doctor if you experience

• fatigue or tiredness;

• headache;

• insomnia or difficulty sleeping;

• swelling of your gums;

• nausea or diarrhea;

• increased or difficult urination;

• muscle or joint discomfort; or

• flushing (redness).

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Do not stop taking felodipine without first talking to your doctor, even if you begin to feel better. If you stop taking the medication, your condition could become worse.

Brush and floss your teeth regularly as directed by your dentist. Rarely, swelling of the gums may be a side effect from treatment with felodipine. Proper oral hygiene may alleviate these symptoms.

Do not crush, chew, or break the tablets. Swallow them whole.

Grapefruit and grapefruit juice may interact with felodipine. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

Grapefruit and grapefruit juice may interact with felodipine. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

Follow any recommendations your doctor makes about diet or exercise.

Use caution when you stand or sit up from a lying position, especially if you wake up during the night. You may become dizzy when changing positions.

Use alcohol cautiously. Alcohol may further lower blood pressure and increase drowsiness or dizziness while taking felodipine.

Before taking felodipine, tell your doctor if you are taking any of the following drugs:

• another heart medication to treat the same or another condition;

• erythromycin (E-Mycin, E.E.S., Eryc, Ery-Tab, others);

• itraconazole (Sporanox) or ketoconazole (Nizoral);

• cimetidine (Tagamet, Tagamet HB);

• carbamazepine (Tegretol);

• phenytoin (Dilantin); or

• rifampin (Rifadin, Rimactane) or rifabutin (Mycobutin).

You may not be able to take felodipine, or you may require a dosage adjustment or special monitoring if you are taking any of the medicines listed above.

Drugs other than those listed here may also interact with felodipine or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Seek emergency medical attention.

Symptoms of a felodipine overdose include dizziness, weakness, chest pain, shortness of breath, fainting, an unusually fast or slow heartbeat, coma, slurred speech, and confusion.