Sular
Generic Name: Nisoldipine
What is Sular?
Sular is a calcium channel blocker, which are drugs that help the heart work better by relaxing the artery walls. This improves blood flow through the heart and body, and reduces blood pressure. Sular is used alone or with other medications to control high blood pressure.What is the most important information I should know about Sular?
You must take Sular regularly for it to be effective. Since blood pressure declines gradually, it may be several weeks before you get the full benefit of Sular, and you must continue taking it even if you are feeling well. Sular does not cure high blood pressure; it only keeps it under control.Who should not take Sular?
Do not take Sular if you are sensitive to it or to similar drugs such as felodipine or nifedipine.What should I tell my doctor before I take the first dose of Sular?
Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Sular. Also, talk to your doctor about your complete medical history, especially if you have heart disease, coronary artery disease, angina (chest pain or discomfort), low blood pressure, congestive heart failure, or liver disease.What is the usual dosage?
The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.Adults: The usual starting dose is 17 milligrams (mg) once daily. Your doctor may increase the dose by 8.5 mg per week or longer intervals until your blood pressure is controlled.
The usual maintenance dosage is 17-34 mg once daily. The maximum dose should not exceed 34 mg daily.
If you are >65 years old or if you have liver disease, the usual starting dose is 8.5 mg.
How should I take Sular?
Take Sular exactly as directed by your doctor. It should not be chewed or crushed, only swallowed whole on an empty stomach 1 hour before or 2 hours after a meal.What should I avoid while taking Sular?
Avoid taking Sular with high-fat meals. Fatty foods may increase the amount of Sular in the blood.Do not bite, divide, or crush Sular tablets. Swallow the tablets whole. The tablets are specially formulated to release the medication slowly in the body.
Use caution when you stand or sit up after laying down. You may become dizzy when changing positions.
What are possible food and drug interactions associated with Sular?
If Sular is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Sular with the following: alcohol, atenolol, carbamazepine, cimetidine, grapefruit, grapefruit juice, high-fat foods, phenobarbital, phenytoin, rifampin, quinidineWhat are the possible side effects of Sular?
Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.Side effects may include: Dizziness, flushing, headache, heart palpitations, sinus inflammation, sore throat, swelling of the hands and feet
Sular may cause an excessive drop in blood pressure, especially when you are first taking the medication or when the dosage is increased. Low blood pressure can also become a problem if you are taking other blood pressure medications.
Can I receive Sular if I am pregnant or breastfeeding?
The effects of Sular during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.What should I do if I miss a dose of Sular?
If you miss a dose of Sular, take the missed dose as soon as you remember it. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at the same time. If you are unsure, ask your doctor or pharmacist for advice.How should I store Sular?
Store at room temperature in a tight, light-resistant container. Protect from moisture.
I'm Beth Isaac, PharmD. Welcome to PDR Health!
