Friday, April 27, 2012

For High BP


Dilofen ER is a brand of felodipine - Patient Medicine Information

Why do I need this medicine?
How do I take this medicine?
What should I do if I have forgotten to take this medicine?
When should I not use this medicine?
What should I take note of while taking this medicine?
What side effects could I experience?
Can I take this with other medicines?
Are there any restrictions on the type of food I can take?
How should I store this medicine?

Related Information 
 

Why do I need this medicine?Dilofen ER helps to keep your blood pressure under control. Dilofen ER relaxes your blood vessels and this helps to lower your blood pressure. It may be used on its own or together with other medicines.

Dilofen ER may also be used in other conditions, for example, to prevent chest pain.
How do I take this medicine?Take Dilofen ER exactly as directed by your doctor. Do not take more or less than instructed by your doctor.

Dilofen ER must be taken regularly for it to work well. Continue taking Dilofen ER even when you feel better. Do not stop taking it unless instructed by your doctor.

Take Dilofen ER without food or with a light meal. Try to take it at the same time each day. Swallow the tablet whole, do not chew or crush it.
What should I do if I have forgotten to take this medicine?Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal schedule.

DO NOT double a dose under any circumstances.

Remember to take your medicine regularly. Dilofen ER must be taken exactly as directed for it to be effective. If you often forget to take your medicine, let your doctor and pharmacist know.
When should I not use this medicine?Alert your doctor if you have liver, kidney or heart disease, especially if you have suffered a heart attack less than 1 month ago, or if you have any other heart conditions.

Alert your doctor if you are pregnant or breastfeeding. Do not breastfeed while you are being treated with Dilofen ER.
What should I take note of while taking this medicine?If you are going for an operation, including minor surgery and dental work, inform your doctor or dentist that you are taking Dilofen ER.

Why is it important to keep my appointments with the doctor?

Your blood pressure may rise to unsafe levels without you noticing it. Your doctor needs to monitor your condition and check your response to the medication regularly. He may also need to do routine blood tests while you are being treated with Dilofen ER.

What lifestyle changes can I make to improve my blood pressure?

Regular exercise will help lower your blood pressure and improve your overall health. Speak to your doctor about what type of exercise would be suitable for you. If you have not exercised for a long time, start with light exercises such as slow walks. Regular exercise will also help you to maintain a healthy weight and this is important in helping you control your blood pressure.

If you smoke, you should try to quit. Smoking is harmful to your blood pressure, heart and overall health. Speak to your doctor or pharmacist about ways to kick your smoking habit.

Try to keep stress levels under control as stress will cause your blood pressure to go up.
What side effects could I experience?Dizziness, headache, swelling of the ankles, feet or hand are common side effects with Dilofen ER. If you feel dizzy, do not drive or take part in any activity in which you need to be alert. Dilofen ER may also make you feel dizzy when you get up from a sitting or lying down position. To minimise this problem, stand up slowly.

Dilofen ER may also cause nausea, stomach discomfort, tiredness and gum swelling. Practise good oral hygiene by regularly brushing and flossing your teeth. This will help to minimise the swelling of the gums.

Alert your doctor if these side effects are severe or do not go away.

Some side effects may be serious, although they are not common. Alert your doctor quickly if you experience:

- fast or irregular heartbeat
- worsening chest pain
- breathlessness
- swelling of the ankles, feet or hand that does not go away
- severe or worsening dizziness
Can I take this with other medicines?Inform your doctor and pharmacist if you are taking any other medicines, especially those listed here:

- any other medicines for high blood pressure or heart disease
- antiviral medicines such as ritonavir
- a gastric medicine called cimetidine
- antifungal medicines such as itraconazole, ketoconazole
- antibiotics such as erythromycin, clarithromycin
- epilepsy medicines such as carbamazepine, phenytoin, phenobarbital
- a transplant medicine called tacrolimus

Always inform your doctor and pharmacist if you are taking any other medicines, including herbal tonics, supplements and medicines that you buy without a prescription.
Are there any restrictions on the type of food I can take?Avoid grapefruit or grapefruit juice.

Avoid alcohol.
How should I store this medicine?Store in a cool, dry place away from the reach of children.

Medicines must not be used past the expiry date.

Metoprolol

Metoprolol pronunciation
Generic Name: metoprolol (me TOE pro lol)
Brand names: Lopressor, metoprolol succinate ER, Toprol-XL, metoprolol tartrate
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What is metoprolol?

Metoprolol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).
Metoprolol is used to treat angina (chest pain) and hypertension (high blood pressure). It is also used to treat or prevent heart attack.
Metoprolol may also be used for other purposes not listed in this medication guide.

Important information about metoprolol

You should not use this medication if you are allergic to metoprolol, or if you have a serious heart problem such as heart block, sick sinus syndrome, or slow heart rate.
Before taking metoprolol, tell your doctor if you have congestive heart failure, low blood pressure, circulation problems, pheochromocytoma, asthma or other breathing problems, diabetes, depression, liver or kidney disease, a thyroid disorder, or severe allergies.
Metoprolol may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Drinking alcohol can increase certain side effects of this medicine. Do not stop taking metoprolol without first talking to your doctor. Stopping suddenly may make your condition worse. If you need surgery, tell the surgeon ahead of time that you are using metoprolol.
Metoprolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.
If you are being treated for high blood pressure, keep using metoprolol even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.

Before taking metoprolol

You should not use this medication if you are allergic to metoprolol, or if you have a serious heart problem such as heart block, sick sinus syndrome, or slow heart rate.
If you have any of these other conditions, you may need a dose adjustment or special tests to safely use metoprolol:
  • congestive heart failure;
  • low blood pressure;
  • pheochromocytoma;
  • problems with circulation (such as Raynaud's syndrome);
  • asthma, bronchitis, emphysema;
  • diabetes;
  • depression;
  • liver or kidney disease;
  • a thyroid disorder; or
  • severe allergies.
FDA pregnancy category C. It is not known whether metoprolol will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Metoprolol can pass into breast milk and may harm a nursing baby. Do not use this medicine without telling your doctor if you are breast-feeding a baby.
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How should I take metoprolol?

Take metoprolol exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
Take metoprolol at the same time every day.
Metoprolol should be taken with food or just after a meal. A Toprol XL tablet can be divided in half if your doctor has told you to do so. The half tablet should be swallowed whole, without chewing or crushing. Chewing or crushing the pill could cause too much of the drug to be released at one time. Do not skip doses or stop taking metoprolol without first talking to your doctor. Stopping suddenly may make your condition worse.
Your blood pressure will need to be checked often. Visit your doctor regularly.
If you need surgery, tell the surgeon ahead of time that you are using metoprolol.
Metoprolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.
If you are being treated for high blood pressure, keep using metoprolol even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.
Store metoprolol at room temperature away from moisture and heat.
See also: Metoprolol dosage (in more detail)

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include slow or uneven heartbeats, shortness of breath, bluish-colored fingernails, dizziness, weakness, or fainting.

What should I avoid while taking metoprolol?

Metoprolol may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Drinking alcohol can increase certain side effects of metoprolol.
See also: Metoprolol and alcohol (in more detail)
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Metoprolol side effects

Get emergency medical help if you have any of these signs of an allergic reaction to metoprolol: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
  • chest pain, pounding heartbeats or fluttering in your chest;
  • feeling light-headed, fainting;
  • feeling short of breath, even with mild exertion;
  • swelling of your hands or feet;
  • nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
  • easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;
  • wheezing, trouble breathing;
  • depression, confusion, memory problems, hallucinations; or
  • cold feeling in your hands and feet.
Less serious metoprolol side effects may include:
  • dry mouth, constipation, heartburn, vomiting, diarrhea;
  • decreased sex drive, impotence, or difficulty having an orgasm;
  • headache, drowsiness, tired feeling;
  • sleep problems (insomnia); or
  • anxiety, nervousness.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Metoprolol side effects (in more detail)

What other drugs will affect metoprolol?

Tell your doctor about all other medicines you use, especially:
  • digoxin (digitalis, Lanoxin);
  • clonidine (Catapres);
  • ritonavir (Norvir);
  • terbinafine (Lamisil);
  • a diuretic (water pill);
  • cold medicines, stimulant medicines, or diet pills;
  • anti-malaria medications such as chloroquine (Aralen) or hydroxychloroquine (Plaquenil, Quineprox);
  • medicine to treat depression or mental illness, such as bupropion (Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem), paroxetine (Paxil), thioridazine (Mellaril), and others;
  • a MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate);
  • a diabetes medication such as insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage);
  • a heart medication such as nifedipine (Procardia, Adalat), quinidine (Quin-G), propafenone (Rythmol), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cartia, Cardizem); or
  • medicine for asthma or other breathing disorders, such as albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Theo-Dur, Theolair).
This list is not complete and other drugs may interact with metoprolol. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about metoprolol.













1 comment:

  1. Excellent blog very nice and unique information related to High BP. Thanks for sharing this information.
    Brethine | Beclovent

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