Buy Adalat
Adalat

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Adalat (Nifedipine) is a calcium channel blocker used to treat high blood pressure and chronic stable angina. In adults, it works by relaxing the muscular walls of the heart and blood vessels. This mechanism improves blood flow and reduces the workload on the heart, helping Adalat lower the risk of cardiovascular complications.


Ingredient
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Nifedipine
Reference Brand
Adalat Retard / Adalat LA
Manufacturer
Bayer plc
Product Form
Prolonged-release tablet, Capsule
Regulatory Classification
Rx
Primary Category
Blood Pressure, Heart Health
Product Category
Cardiovascular System, Calcium Channel Blockers, Selective Calcium Channel Blockers with Mainly Vascular Effects, Dihydropyridine Derivatives
Pharmacological Class
Dihydropyridine Calcium Channel Blocker
Manufacturer Description
A medication used to treat high blood pressure and prevent chest pain (angina) by relaxing blood vessels.
Mechanism of Action
Adalat relaxes the muscle cells in the walls of your blood vessels. This allows the vessels to widen, which reduces your blood pressure and makes it easier for your heart to pump blood around your body.
Route of Administration
Oral
Onset Time
30-60 minutes (immediate release); several hours (LA/Retard)
Duration
12-24 hours depending on formulation
Contraindications
Cardiogenic shock, Within 1 month of a myocardial infarction, Unstable angina, Porphyria
Severe Adverse Events
Severe hypotension, Chest pain (paradoxical angina), Allergic reaction, Jaundice
Common Side Effects
Headache, Flushing, Constipation
Uncommon Side Effects
Ankle swelling (oedema), Dizziness, Palpitations
Drug Interactions
Grapefruit juice, Rifampicin, Digoxin, Quinidine, Cimetidine
Pregnancy Safety Warnings
Not recommended before week 20 of pregnancy. Avoid while breastfeeding.
Age Restrictions
Safety and effectiveness in children has not been established
Storage Guidelines
Keep in the original container to protect from light. Store below 30°C.
Related Products
Amlodipine, Felodipine, Lercanidipine

Adalat FAQ

Can Adalat be taken with other blood-pressure medicines?

Adalat may be combined with other antihypertensives, but the overall effect on blood pressure can be additive. Your prescriber will monitor blood pressure and may adjust doses to avoid excessive hypotension.

What should I do if I experience sudden swelling of my ankles?

Peripheral edema is a common side effect; however, sudden or severe swelling warrants a medical review to rule out heart failure or other complications.

Is it safe to travel internationally with Adalat pills?

Yes, provided you carry the medication in its original packaging with a copy of your prescription. Some countries may require a doctor’s note for controlled-substance travel, so check local regulations before departure.

How does Adalat differ from other calcium-channel blockers like amlodipine?

Both drugs belong to the same class, but nifedipine (Adalat) has a shorter half-life and may require more frequent dose adjustments. Amlodipine offers once-daily dosing with a longer duration of action.

Can grapefruit juice affect my Adalat therapy?

Grapefruit juice inhibits CYP3A4 enzymes, potentially increasing nifedipine plasma levels and the risk of low blood pressure. Moderation or avoidance is advisable.

Do I need to have regular blood tests while on Adalat?

Routine liver function tests are recommended if you are on long-term therapy or using medications that affect CYP3A4 metabolism. Blood pressure checks are essential at each visit.

Store the pills in a cool, dry place away from direct sunlight. If ambient temperatures exceed 30 °C, keep the medication in a climate-controlled area or a refrigerator (do not freeze).

Is Adalat approved for use in pregnancy?

Adalat is classified as Category C in the UK, meaning it should only be used if the potential benefit justifies the possible risk to the fetus. Discuss any pregnancy plans with your healthcare provider.

Can I crush or split Adalat tablets?

Nifedipine pills are formulated for whole-tablet ingestion to ensure proper absorption. Crushing or splitting may alter the drug’s release profile and should be avoided unless directed by a pharmacist.

How long does it take to see blood-pressure improvement after starting Adalat?

Blood-pressure reduction often begins within a few days, with maximal effect typically observed after 2-4 weeks of consistent dosing. Ongoing monitoring helps confirm therapeutic response.

What is Adalat?

Adalat is a brand-name medication that contains the active ingredient nifedipine. Nifedipine belongs to the calcium-channel blocker class and is used to manage conditions related to blood pressure and heart health. The medication is supplied as an oral pill in strengths of 10 mg, 20 mg, and 30 mg. In the United Kingdom, Adalat is a prescription-only product regulated by the Medicines and Healthcare products Regulatory Agency (MHRA).

How Adalat Works in the Body

Nifedipine blocks L-type calcium channels located on vascular smooth muscle and cardiac cells. By inhibiting calcium influx, the drug causes relaxation of arterial walls, leading to vasodilation and reduced peripheral resistance. This effect lowers systolic and diastolic blood pressure and eases the workload of the heart. The onset of action after an oral dose typically occurs within 30 minutes, with peak plasma concentrations reached in about 2 hours. Nifedipine is extensively metabolised in the liver, primarily by the CYP3A4 enzyme.

Conditions Treated by Adalat

Adalat is approved in the UK for the following indications:

  • Hypertension - to lower elevated blood pressure when other first-line agents are unsuitable or insufficient.
  • Chronic stable angina - to reduce the frequency of chest pain episodes by improving coronary blood flow.
  • Management of certain cardiac arrhythmias - as part of a broader therapeutic plan under specialist supervision.

These uses reflect the drug’s ability to dilate coronary and peripheral arteries, thereby improving oxygen delivery to the heart muscle and decreasing systemic vascular resistance.

Who Should Not Use Adalat?

Absolute Contraindications

  • Known hypersensitivity to nifedipine or any other calcium-channel blocker.
  • Severe aortic stenosis or uncontrolled heart failure (NYHA class IV).
  • Cardiogenic shock or hemodynamic instability.

Relative Contraindications

  • Moderate hepatic impairment (dose adjustment may be required).
  • Pregnancy (Category C) - use only if the potential benefit outweighs the risk.
  • Breast-feeding - nifedipine is excreted in milk; consult a healthcare professional.
  • Concurrent use of strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin) without dose modification.

Special populations such as the elderly may be more sensitive to the blood-pressure-lowering effect and often start with the lowest available dose.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Headache (often transient)
  • Flushing or warmth sensation, especially on the face and neck
  • Peripheral edema (swelling of ankles or feet)
  • Dizziness or light-headedness, particularly after the first dose

Most of these effects are mild and may improve with continued therapy or by taking the pill with food.

Serious Adverse Events

  • Severe hypotension (dangerously low blood pressure)
  • Myocardial infarction or worsening angina
  • Bradycardia (abnormally slow heart rate)
  • Allergic reactions such as rash, itching, or swelling of the face and throat (seek emergency care)

A black-box warning is not present for nifedipine, but patients should be aware of signs requiring urgent medical attention.

Drug Interactions

  • Major: Co-administration with potent CYP3A4 inhibitors (e.g., itraconazole, ritonavir) can raise nifedipine levels and increase the risk of hypotension.
  • Moderate: Concurrent use of other antihypertensives (beta-blockers, ACE inhibitors) may produce additive blood-pressure-lowering effects; monitoring is advised.
  • Caution: Grapefruit juice can inhibit CYP3A4 and elevate plasma concentrations.

Food and Lifestyle Interactions

  • High-fat meals may increase the rate of absorption; taking the pill with a light snack is acceptable.
  • Alcohol can enhance the vasodilatory effect and increase dizziness; moderation is recommended.
  • Nifedipine does not impair cognition, but patients should assess how they feel before driving or operating machinery.

If you are taking multiple medications, inform your prescriber or pharmacist to evaluate potential interactions.

How to Take Adalat

  • Standard dosing: The usual starting dose for hypertension is 10 mg once daily. If blood pressure control is inadequate, the dose may be increased to 20 mg or 30 mg, based on clinical response.
  • Administration: Swallow the pill whole with a glass of water. It may be taken with or without food, but consistency helps maintain stable blood levels.
  • Renal or hepatic impairment: Lower starting doses (10 mg) are preferred, with cautious titration.
  • Missed dose: Take the missed dose as soon as remembered unless it is near the time of the next scheduled dose; do not double-dose.
  • Overdose: Symptoms may include profound hypotension, fainting, or rapid heart rate. Seek emergency medical assistance or contact the UK Poisons Information Centre.
  • Discontinuation: Do not stop abruptly without medical advice, as sudden withdrawal can cause a rapid rise in blood pressure.

Monitoring and Follow-Up

Patients on Adalat should have regular follow-up appointments to:

  • Measure blood pressure and heart rate (initially after 1-2 weeks, then every 3-6 months).
  • Review symptoms for side effects such as edema or dizziness.
  • Assess liver function if long-term therapy is anticipated, especially when combined with CYP3A4 inhibitors.
  • Adjust dosage based on therapeutic response and tolerability.

Storage and Handling

  • Store the pills at room temperature, between 15 °C and 30 °C (59 °F-86 °F).
  • Keep the container tightly closed and protect from moisture and direct sunlight.
  • Do not use the medication after the expiry date printed on the package.
  • Dispose of unused pills via a pharmacy take-back program or according to local waste-disposal guidelines; keep them out of reach of children.

Medication-Specific Glossary

Calcium-channel blocker
A class of drugs that inhibit calcium entry into cardiac and smooth-muscle cells, causing vasodilation and reduced cardiac workload.
First-pass metabolism
The rapid breakdown of a medication by the liver after oral ingestion, before it reaches systemic circulation.
Therapeutic window
The dosage range in which a drug provides optimal efficacy with minimal adverse effects.

Medical Disclaimer

This article provides educational information about Adalat and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Adalat is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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