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Procardia may be safely co-administered with nitratesbut there have been no controlled studies to evaluate the antianginal effectiveness of this combination.

Grapefruit and grapefruit juice may interact with nifedipine and lead to potentially dangerous effectsDiscuss the use of grapefruit products with your doctorDo not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor.

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.

Your doctor may gradually increase your doseFollow your doctor’s instructions carefullyDosage is based on your medical condition and response to treatment.

Drinking alcohol can lower your blood pressure further and may increase certain side effects of nifedipine.

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therefore, dosage adjustments are not necessary when flomax capsules are administered concomitantly with procardia xl , atenolol, or enalapril.