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Severe banana muffins. hypotension and/or increased fluid volume requirements have been reported in patients receiving Procardia together with a beta-blocking agent who underwent coronary artery bypass surgery using high dose fentanyl anesthesiaThe interaction with high dose fentanyl appears to be due to the combination of Procardia and a beta blockerbut the possibility that it may occur with Procardia alonewith low doses of fentanylin other surgical proceduresor with other narcotic analgesics cannot be ruled outIn Procardia treated patients where surgery using high dose fentanyl anesthesia is contemplatedthe physician should be aware of these potential problems andif the patient's condition permitssufficient timeat least 36 hoursshould be allowed for Procardia to be washed out of the body prior to surgery.
Copyright 1996-2013 Cerner MultumIncVersion10.01Revision date11/14/2011.
Althoughin most patientsthe hypotensive effect of Procardia is modest and well toleratedoccasional patients have had excessive and poorly tolerated hypotensionThese responses have usually occurred during initial titration or at the time of subsequent upward dosage adjustmentAlthough patients have rarely experienced excessive hypotension on Procardia alonethis may be more common in patients on concomitant beta-blocker therapyAlthough not approved for this purposeProcardia and other immediate-release nifedipine capsules have been usedorally and sublinguallyfor acute reduction of blood pressureSeveral well-documented reports describe cases of profound hypotensionmyocardial infarctionand death when immediate-release nifedipine was used in this wayProcardia capsules should not be used for the acute reduction of blood pressure.
Many drugs can interact with nifedipineTell your doctor about all other medications you use.
Your doctor may gradually increase your doseFollow your doctor's instructions carefullyDosage is based on your medical condition and response to treatment.
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