Adalat XL® Extended-Release Tablets for Hypertension

Extended-release nifedipine is used to manage hypertension and help prevent angina symptoms. This page explains how the treatment works, who it suits, and key safety points so you can use it correctly. You can access proven therapy with US delivery from Canada, even if you need Nifedipine ER without insurance.

What Adalat XL Is and How It Works

Adalat XL® contains nifedipine, a dihydropyridine calcium channel blocker. It relaxes the muscle in blood vessel walls, lowering vascular resistance so the heart pumps against less pressure. That helps reduce blood pressure and may lessen chest discomfort from stable angina. Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.

Adalat XL extended-release tablets are designed for steady 24-hour nifedipine exposure. The formulation releases medicine slowly as the tablet moves through the gut. This helps smooth peaks and troughs and supports once-daily dosing. It does not replace fast-acting drugs used for sudden chest pain; keep rescue therapies as instructed by your prescriber.

Because this class primarily widens arteries, it can cause a brief drop in pressure after a dose. Rising slowly from sitting or lying positions may reduce lightheadedness. Avoid grapefruit or grapefruit juice, which can raise nifedipine levels and increase side effects. For condition education and support, see our guides on Hypertension and Angina.

Who It’s For

This medicine is used in adults for the treatment of high blood pressure. It may also be used for chronic stable angina when a long-acting calcium channel blocker is appropriate. People with severe aortic stenosis, ongoing cardiogenic shock, or known hypersensitivity to nifedipine should not use it. Use during pregnancy or breastfeeding only if the potential benefit justifies the potential risks, as directed by your prescriber.

Tell your prescriber about heart failure, recent heart attack, liver issues, or if you are on other blood pressure therapies. Your regimen may need closer monitoring when starting or adjusting doses. Learn more in our cardiovascular category: Cardiovascular.

Dosage and Usage

Take the tablet once daily exactly as prescribed. Swallow whole with water. Do not crush, chew, or split the tablet, as that can release the full dose at once. Take it at about the same time each day to maintain even exposure. You can take it with or without food, but be consistent with your routine to limit variability.

If your prescriber uses it for angina, daily use helps prevent episodes. It is not for sudden chest pain. Keep any rescue medication your clinician recommended and follow your emergency plan.

Avoid grapefruit products. Limit alcohol until you know how you feel on treatment. Measure blood pressure at home if advised, and share your readings during follow-up. If you notice new or worsening chest pain, seek medical help right away.

Strengths and Forms

Available presentations typically include extended-release tablets in 20 mg, 30 mg, and 60 mg strengths. Availability can vary by manufacturer and country. Your prescriber will select the strength and titration plan based on your response and tolerability. For country-of-origin details, see Canada.

Missed Dose and Timing

If you miss a dose, take it when you remember on the same day. If it is almost time for your next dose, skip the missed dose. Do not take two doses at the same time. Keeping a daily alarm or using a pill organizer can help you stay on schedule.

Storage and Travel Basics

Store tablets at room temperature in a dry place away from excess heat and humidity. Keep medicine in the original container with the label intact, especially when traveling. Carry a copy of your prescription or a photo of the label in your wallet or phone. Pack enough for your trip plus a small buffer in case of delays. Keep out of reach of children and pets.

Benefits

As a long-acting calcium channel blocker, this therapy may help:

• Steady control: once-daily dosing supports consistent blood pressure reduction.
• Angina prevention: fewer exertional symptoms when used routinely.
• Tolerability: class effects often avoid cough or electrolyte changes seen with other agents.
• Combination use: can be paired with other classes when a single agent is insufficient.

Side Effects and Safety

Common effects can include:

• Headache or flushing
• Dizziness or lightheadedness
• Swelling in ankles or feet
• Nausea or stomach discomfort
• Fast heartbeat or palpitations
• Fatigue

Serious reactions are uncommon but can occur. Seek urgent care for severe dizziness, fainting, chest pain that worsens or is new, signs of allergic reaction, or shortness of breath. Rare gum changes have been reported with chronic use; good dental hygiene and regular checkups help. If you also use beta-blockers, do not stop them abruptly without medical advice.

Drug Interactions and Cautions

Tell your prescriber and pharmacist about all medicines and supplements you take. Strong CYP3A4 inhibitors (for example, certain azoles, macrolides, or protease inhibitors) may raise nifedipine levels. Strong inducers (such as rifampin or some anticonvulsants) may reduce its effect. Grapefruit can increase exposure and should be avoided. Using with other blood pressure medicines can enhance lowering effects and may require monitoring.

Discuss potential interactions with statins, especially simvastatin, and with antianginal regimens. If you are curious about calcium channel blocker comparisons, explore our overview: Verapamil Uses.

What to Expect Over Time

Blood pressure responds gradually as the daily dose reaches a steady level. Many people feel fine on therapy and do not notice daily changes. Keep taking it as directed, even when you feel well, because high blood pressure often has no symptoms. Your prescriber may adjust the strength to balance effect and tolerability. Report persistent ankle swelling, headaches, or dizziness if they do not improve after your body adjusts.

For background on chest symptoms that prompt evaluation, see Understanding Angina Symptoms. General education on cardiac emergencies is available here: What Is A Heart Attack.

Compare With Alternatives

Some prescribers may consider a generic nifedipine extended-release option. See Nifedipine Xr for a comparable class choice when appropriate. Beta-blockers are another pathway for blood pressure and angina control; your clinician may choose one for rate control needs. An example is Atenolol. Your therapy should reflect your medical history and goals.

Pricing and Access

We display transparent, cash-pay pricing so you can compare options. If you are evaluating total out-of-pocket amounts, you may find Adalat XL cost varies by strength and supply. Generic nifedipine ER price can offer additional savings when your prescriber agrees. We support simple refills and discreet packaging. Ships from Canada to US, with tracking provided after your order is processed.

Looking for seasonal deals? Check our Promotions page for current offers when available. For broader condition pages to compare choices, browse Hypertension and Angina.

Availability and Substitutions

Supply can vary by strength and manufacturer. If Adalat XL is unavailable, your prescriber may recommend a therapeutically suitable alternative. We cannot promise restock dates. Your clinician’s guidance determines whether to continue, switch strength, or use a different class for your goals.

Patient Suitability and Cost-Saving Tips

• Good candidates: adults needing once-daily control and steady blood pressure support.
• May not suit: severe aortic stenosis, unstable cardiac status, or significant hypersensitivity.
• Smart savings: ask about multi-month fills to reduce refill frequency and per-fill costs.
• Plan refills: set reminders a week before running out to avoid missed doses.
• Payment planning: compare branded and generic options with your prescriber’s input.
• Secure checkout: our encrypted checkout helps protect your information during purchase.

Searching for added value? An Adalat XL coupon may occasionally be listed on our promotions page. Your prescriber can also advise if a generic option fits your therapy and budget.

Questions to Ask Your Clinician

• Blood pressure goals: what readings should I aim for at home?
• Dosing plan: what strength will I start, and how will we adjust?
• Combination therapy: will I also need a diuretic, ACE inhibitor, or beta-blocker?
• Side effects: which symptoms should prompt a call or visit?
• Lifestyle: what diet and activity changes support this treatment?
• Interactions: which medicines or supplements should I avoid?
• Follow-up: when should I check in to review progress and labs?

Authoritative Sources

FDA DailyMed

Health Canada DPD

Manufacturer (Bayer)

To start therapy confidently, Buy nifedipine ER at Borderfreehealth with US shipping from Canada and prompt, express shipping; temperature-controlled handling when required. This content is informational and not a substitute for medical advice. Always follow your prescriber and the official label.