Adalat LA 60mg Tablet
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Prescription Required
Overview
Adalat LA 60mg Tablet contains nifedipine 60mg in an extended-release (long-acting) formulation, a dihydropyridine calcium channel blocker used to treat high blood pressure (hypertension) and chronic stable angina (exercise-related chest pain). The long-acting formulation provides smooth, once-daily blood pressure control.
Nifedipine works by blocking calcium channels in the smooth muscle walls of blood vessels, preventing calcium from entering these cells. This relaxes and widens the blood vessels (particularly arteries), lowering blood pressure and improving blood flow to the heart muscle.
How it Works
Nifedipine selectively blocks L-type calcium channels in vascular smooth muscle, reducing calcium influx and causing arterial vasodilation. The extended-release tablet shell releases the drug gradually over 24 hours, avoiding the sharp peaks and troughs, and the reflex fast heartbeat, seen with older short-acting nifedipine formulations.
Directions for Use
Take Adalat LA 60mg Tablet once daily, at about the same time each day, with or without a light meal. Swallow the tablet whole – do not crush, chew, or split it, as this destroys the extended-release mechanism and can cause the full dose to be released at once. You may occasionally notice what looks like an intact tablet shell in your stool; this is expected and does not mean the medicine was not absorbed.
Dosage
The usual starting dose of Adalat LA 60mg Tablet is 30-60mg once daily, which your doctor may adjust up to a maximum of 90mg daily depending on your blood pressure or angina control. Dose changes should only be made by your doctor, usually no more often than every 7-14 days.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Dizziness or lightheadedness
- Swelling in the ankles or feet
- Headache
- Flushing (warmth or redness in face)
- Nausea
- Constipation
- Fatigue
Contraindications
- Known hypersensitivity to nifedipine or any ingredient in this product
- Cardiogenic shock
- Unstable angina or within about one month of a heart attack
- Severe aortic stenosis (narrowing of the aortic heart valve)
Drug / Food Interactions
- Grapefruit and grapefruit juice significantly increase nifedipine blood levels and must be avoided
- Rifampicin markedly reduces nifedipine’s effectiveness and should generally not be combined
- Other blood-pressure-lowering medicines or beta-blockers may increase the risk of excessively low blood pressure
- CYP3A4 inhibitors such as ketoconazole or erythromycin can increase nifedipine levels and side effects
Quick Tips
- Swallow the tablet whole – never crush, chew, or split it
- Avoid grapefruit and grapefruit juice completely while on this medicine
- Take at the same time each day to maintain steady blood levels
- Elevate your feet if you notice ankle swelling and mention it to your doctor
- Do not stop this medicine abruptly without medical advice
Frequently Asked Questions
What is Adalat LA 60mg Tablet used for?
Adalat LA 60mg Tablet is used to treat high blood pressure and chronic stable angina (chest pain triggered by exertion). Your doctor will confirm the specific reason it has been prescribed for you.
Why can’t I crush or split the tablet?
This tablet has a special shell designed to release nifedipine slowly over 24 hours. Crushing, chewing, or splitting it destroys this mechanism and can release the full dose at once, which may cause a sudden and excessive drop in blood pressure.
Is it normal to see something like a tablet shell in my stool?
Yes, the outer shell of the tablet is not fully absorbed and may appear intact in the stool after the medicine has been released – this is expected and does not mean you missed your dose.
Can I drink grapefruit juice with this medicine?
No, grapefruit and grapefruit juice should be avoided completely, as they can significantly raise nifedipine levels in your blood and increase the risk of side effects such as very low blood pressure.
What should I do if I miss a dose of Adalat LA 60mg Tablet?
Take the missed dose as soon as you remember, unless it is almost time for your next dose – in that case, skip the missed dose and continue your regular schedule. Do not double the dose.
Can I buy Adalat LA 60mg Tablet from DoctorOnCall?
Yes, Adalat LA 60mg Tablet is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Adalat LA 60mg Tablet according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Adalat LA 60mg Tablet?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Adalat LA 60mg Tablet cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Adalat LA 60mg Tablet?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Adalat LA 60mg Tablet?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Nifedipine 60mg (extended-release/prolonged-action tablet)
Safety Advice
Pregnancy
This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.
Breastfeeding
Limited data on excretion in breast milk. Consult a doctor before use.
Kidney
Generally safe, but caution may be required in some patients.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
Caution is advised when consuming alcohol with this medicine.
Driving
Use caution while driving until you know how this medicine affects you.
Medical Review
