NFD Retard 20mg Tablet SR is a medicine used to treat high blood pressure (hypertension) and to prevent angina (heart-related chest pain). It belongs to a class of medicines known as calcium channel blockers. It lowers blood pressure and reduces the workload of the heart. This helps prevent heart attacks and strokes. NFD Retard 20mg Tablet SR may be prescribed alone or along with other medicines. The dose and how often you need it will be decided by your doctor so that you get the right amount to treat your condition. Your doctor may adjust the dose depending on how you respond to this medicine and your blood pressure levels. You can take it at any time of the day, with or without food, but it is best to take it at the same time each day. Take this medicine as soon as you have taken it out of the packet. It is sensitive to light and may not work properly if it is left out of the pack for too long. Keep taking it for as long as advised by your doctor. Even if you feel well, do not stop this medicine on your own because high blood pressure often has no symptoms. If you stop taking it, your condition may get worse. Keeping active with regular exercise, reducing your weight, and eating a healthy diet will also help control your blood pressure. Follow your doctor’s advice while taking this medicine. The most common side effects include fatigue, edema (swelling), dizziness, unusual heartbeat (palpitations), flushing, constipation, and headache. Consult your doctor if any of these bother you, or do not go away. Before taking it, let your doctor know if you have any heart, liver, or kidney problems. Pregnant or breastfeeding women should also consult their doctor for advice before taking this medicine. You also need to tell your doctor what other medicines you are taking, especially those used to treat high blood pressure or heart conditions. Avoid excessive alcohol intake while taking this medicine as it can significantly decrease your blood pressure and make you feel dizzy or light-headed. You should have your blood pressure checked regularly to make sure that this medicine is working properly.

• Fatigue
• Flushing (sense of warmth in the face, ears, neck and trunk)
• Headache
• Peripheral edema

If you miss a dose of NFD Retard 20mg Tablet SR, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Chemical Class::Dihydropyridinecarboxylic derivatives|Habit Forming::No|Therapeutic Class::CARDIAC|Action Class::Calcium channel blockers- Dihydropyridines (DHP)

• Q. Q. Is NFD Retard 20mg Tablet SR a diuretic??
  Ans: No, NFD Retard 20mg Tablet SR is not a diuretic medication. However, some evidence indicates that NFD Retard 20mg Tablet SR has a partial diuretic property which may result in increased sodium loss through urine. It is a medication which relaxes the blood vessels by directly acting on them. This helps to decrease the blood pressure of the individual. As a result, blood flows more easily and lowers blood pressure, which helps to reduce the strain or pressure on your heart.
• Q. Q. Is NFD Retard 20mg Tablet SR bad for kidneys??
  Ans: No, NFD Retard 20mg Tablet SR is not bad for kidneys. In few research studies, taking NFD Retard 20mg Tablet SR in recommended doses has in fact been shown to be beneficial for the kidneys. It is not advised to use this medicine without consulting the doctor. It should be used exactly as prescribed.
• Q. Q. Can NFD Retard 20mg Tablet SR cause liver damage??
  Ans: Yes,NFD Retard 20mg Tablet SR can cause liver damage in some cases, but this is very rare. However, some people may develop a rise in liver enzymes after taking NFD Retard 20mg Tablet SR. Let your doctor know if you notice any such changes in your recent lab tests. Do not start this medication without consulting your doctor and do inform him if you have any history of liver disease or liver damage. This is because, in case of liver damage, dose adjustment may be required.
• Q. Q. Does NFD Retard 20mg Tablet SR affect blood sugar??
  Ans: No, NFD Retard 20mg Tablet SR does not cause any change in blood sugar levels. It has been observed that NFD Retard 20mg Tablet SR has no effect on the release of insulin or change in blood sugar levels. However, before starting the medicine, inform the doctor if you are diabetic. This is done because the medicine for blood pressure is suggested accordingly when a patient is diabetic.
• Q. Q. Can NFD Retard 20mg Tablet SR be used in pregnancy and nursing mothers??
  Ans: It is advised that you should consult your doctor before taking this medicine if you are pregnant, planning to become pregnant or breastfeeding. It should be used only if prescribed by the doctor in case of pregnancy. Studies have shown significant risks to the developing baby and it is given only if the benefits are clearly more than the risks involved.
• Q. Q. Does NFD Retard 20mg Tablet SR cause palpitations??
  Ans: Yes. NFD Retard 20mg Tablet SR can cause palpitations as a side effect. However, this is usually not bothersome and resolves as you continue with the treatment. If the symptom persists for long, consult the doctor who will suggest the ways to prevent it.
• Q. Q. Do I need to change my diet while taking NFD Retard 20mg Tablet SR??
  Ans: Yes, making small changes to your diet can help your medicine work better. You must take a low sodium and low-fat diet, and adhere to the lifestyle changes as advised by your doctor. You should also avoid eating grapefruit (chakotra) or drinking grapefruit juice while taking NFD Retard 20mg Tablet SR.
• Q. Q. My blood pressure is now controlled. Can I stop taking NFD Retard 20mg Tablet SR now??
  Ans: No, do not stop taking it on your own as it may worsen your condition. You should take NFD Retard 20mg Tablet SR in the dose and duration advised by your doctor. Consult your doctor for any query or dose modification.

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