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Information on dosage, usage, side effects, interactions, and drug comparisons of Norvasc.



 

Norvasc

This page contains drug information on Norvasc.
The information provided includes the following:
  • what is Norvasc
  • the possible side effects of Norvasc
  • what happens if you miss a dose of Norvasc
  • what happens if you overdose with Norvasc
  • the most important information about Norvasc
  • how to use Norvasc
  • other drugs that may affect Norvasc
  • what to avoid while using Norvasc


Generic Name: Norvasc
Brand Names: Norvasc


What is the most important information I should know about Norvasc?

? Rare cases of muscle problems and liver problems have been associated with the use of Norvasc and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness, Norvasc especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes, abdominal pain, unexplained fatigue, dark colored urine or pale colored stools. These may be early symptoms of muscle or liver problems.
? Do not take Norvasc without first talking to your doctor if you have liver disease.
? Alcohol and Norvasc can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined.
? Do not take Norvasc if you are pregnant, could become pregnant during treatment, or if you are breast-feeding a baby.


What is Norvasc?

? Norvasc is an HMG CoA reductase inhibitor. Norvasc blocks the production of cholesterol (a type of fat) in the body.
? Norvasc is used to reduce the total amounts of cholesterol, LDL (bad) cholesterol, triglycerides (another type of fat), and apolipoprotein B (a protein needed to make cholesterol) in your blood. Norvasc (Norvasc) is also used to increase the level of HDL (good) cholesterol in your blood. These actions may reduce the risk of hardening of the arteries, which can lead to heart attacks, stroke, and peripheral vascular disease.
? Norvasc may also be used for purposes other than those listed in this medication guide.


What should I discuss with my healthcare provider before taking Norvasc?

? Do not take Norvasc without first talking to your doctor if you have liver disease.
? Before taking Norvasc, tell your doctor if you
? have kidney disease,
? drink alcoholic beverages,
? have a chronic muscular disease, or
? have a blood disorder.
? You may not be able to take Norvasc, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
? Norvasc is in the FDA pregnancy category X. This means that Norvasc is known to cause birth defects if it is taken during pregnancy. Do not take Norvasc if you are pregnant or could become pregnant during treatment.
? It is not known whether Norvasc passes into breast milk. Do not take Norvasc without first talking to your doctor if you are breast-feeding a baby.


How should I take Norvasc?

? Take Norvasc 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.
? For the greatest effect, Norvasc is usually taken at bedtime or with an evening meal. Follow your doctor's instructions.
? Your doctor may want to monitor your liver function with blood tests before starting treatment with Norvasc and every six months after both the start of your treatment and any increase in dose. Depending on the results of these tests, your doctor can determine how much monitoring you will require.
? Grapefruit and grapefruit juice may interact with Norvasc. 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.
? Eat a low-fat, low-cholesterol diet. To realize beneficial effects from Norvasc, avoid fatty, high-cholesterol foods.
? It is important to take Norvasc regularly to get the most benefit.
? Do not stop taking Norvasc without first talking to your doctor. Norvasc may need to be taken on a long-term basis for the treatment of high cholesterol.
? Your doctor may want you to have blood tests or other medical evaluations during treatment with Norvasc to monitor progress and side effects.
? Store Norvasc at room temperature away from moisture and heat.


What happens if I miss a dose?

? 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.


What happens if I overdose?

? Seek emergency medical attention if an overdose is suspected.
? Symptoms of a Norvasc overdose include nausea, diarrhea, stomach distress, and indigestion.


What should I avoid while taking Norvasc?

? Grapefruit and grapefruit juice may interact with Norvasc. 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.
? Alcohol and Norvasc can both be damaging to the liver. Alcohol should be used only in moderation. Discuss the use of alcohol with your doctor so that the potential for liver problems can be determined.


What are the possible side effects of Norvasc?

? Rare cases of muscle problems and liver problems have been associated with the use of Norvasc and other similar medicines. Contact your doctor immediately if you experience unexplained muscle pain, tenderness, or weakness, especially if accompanied by a fever or flulike symptoms or yellowing of the skin or eyes, abdominal pain, unexplained fatigue, dark colored urine or pale colored stools. These may be early symptoms of muscle or liver problems.
? If you experience any of the following serious side effects, stop taking Norvasc and seek emergency medical attention or contact your doctor immediately:
? an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
? decreased urine or rust-colored urine; or
? blurred vision.
? Other, less serious side effects may be more likely to occur. Continue to take Norvasc and talk to your doctor if you experience
? gas, bloating, nausea, stomach upset, heartburn, abdominal pain, constipation, or diarrhea;
? cough;
? headache; or
? insomnia.
? 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.


What other drugs will affect Norvasc?

? Do not take Norvasc without first talking to your doctor if you are taking any of the following medicines:
? cyclosporine (Sandimmune, Neoral);
? gemfibrozil (Lopid), clofibrate (Atromid-S), or fenofibrate (Tricor);
? niacin (Nicolar, Nicobid, Slo-Niacin, others);
? erythromycin (E-Mycin, E.E.S., Ery-Tab, others) or clarithromycin (Biaxin);
? cholestyramine (Questran) or colestipol (Colestid);
? an antifungal medication such as itraconazole (Sporanox), fluconazole (Diflucan), or ketoconazole (Nizoral);
? nefazodone (Serzone);
? digoxin (Lanoxin, Lanoxicaps);
? warfarin (Coumadin);
? a protease inhibitor such as amprenavir (Agenerase), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), lopinavir-ritonavir (Kaletra), or saquinavir (Invirase, Fortovase);
? amiodarone (Cordarone, Pacer one); or
? verapamil (Calan, Covera-HS, Isoptin, Verelan).
? You may not be able to take Norvasc, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
? Drugs other than those listed here may also interact with Norvasc. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.


Where can I get more information?

? Your pharmacist has additional information about Norvasc written for health professionals that you may read.
? Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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? Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/ or to serve consumers viewing this service as a supplement to, andNorvasc side effects not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
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