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Atanaal (Nifedipine)

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Atanaal is a drug that performs by relaxing the muscles inside the heart and blood vessels in order to enable easier blood flow. This enables the heart to have an easier time pumping blood. The active ingredient is nifedipine and it a part of a class of drugs called calcium channel blockers. The primary use of this medication is to help stop chest pain (angina) and help treat high blood pressure problems (hypertension). In addition to this it can also be used in order to heighten the supply of oxygen and blood to the heart and help with a specific blood circulation condition called Raynaud’s phenomenon.

Other names for this medication:
Amarkor, Aprical, Bresben, Calcheck, Cardules, Cisday, Citilat, Conducil, Cordalat, Cordipin, Emaberin, Glopir, Herlat, Jutadilat, Milfadin, Myogard, Nifangin, Nifeclair, Nifed, Nifedel, Nifedine, Nifelat, Nifeslow, Nipin, Pabalat, Tensopin, Tredalat, Valni, Zenusin

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Floxin, Suprax, Abhigra, Motilium, Imdur, Decadron

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Also known as: Nifedipine


Nifedipine is used alone or together with other medicines to treat severe chest pain (angina) or high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled.

Nifedipine is a calcium channel blocker. It works by affecting the movement of calcium into the cells of the heart and blood vessels. As a result, nifedipine relaxes blood vessels and increases the supply of blood and oxygen to the heart while reducing its workload.

This medicine is available only with your doctor's prescription.


This section provides information on the proper use of a number of products that contain nifedipine. It may not be specific to Atanaal. Please read with care.

In addition to the use of this medicine, treatment for your high blood pressure may include weight control and changes in the types of foods you eat, especially foods high in sodium (salt). Your doctor will tell you which of these are most important for you. You should check with your doctor before changing your diet.

Many patients who have high blood pressure will not notice any signs of the problem. In fact, many may feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well.

Remember that this medicine will not cure your high blood pressure, but it does help control it. You must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure medicine for the rest of your life. If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, stroke, or kidney disease.

Swallow the extended release tablet whole. Do not break, crush, or chew it. It is best to take this tablet on an empty stomach.

If you are taking the extended-release tablets, part of the tablet may pass into your stool after your body has absorbed the medicine. This is normal and nothing to worry about.

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

For treatment of chest pain or high blood pressure: For oral dosage form (capsules): Adults—At first, 10 milligrams (mg) three times a day. Your doctor may increase your dose as needed. Children—Use and dose must be determined by your doctor. For oral dosage form (extended-release tablets): Adults—At first, 30 or 60 milligrams (mg) once a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 90 mg once a day. Children—Use and dose must be determined by your doctor.


If you overdose Atanaal and you don't feel good you should visit your doctor or health care provider immediately.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Detailed Nifedipine dosage information

Side effects

The most common side effects associated with Atanaal are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Appropriate studies have not been performed on the relationship of age to the effects of nifedipine in the pediatric population. Safety and efficacy have not been established.

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Scanning electron microscopy confirmed that initial elastin impregnation of the graft followed by further multilayer coating with elastin films filled in the fibril and node structure of the luminal surface of the ePTFE graft and was macroscopically smooth. String-plucking as a mechanism of chordal rupture during balloon mitral valvuloplasty using inoue balloon catheter. Growth of Clostridium difficile and production of toxins A and B in complex and defined media. E-mail communication may be an acceptable form of communication among patients, nurses, and other members of the support team. Further fractionation of T lymphocytes into Leu-2 and Leu-3 T-cell subpopulations showed that LCF production by antigen-challenged isolated subpopulations was limited to the Leu-2 suppressor/cytotoxic T-cell subset. However, a thrombus that grew around the catheter migrated into the left common carotid artery or the left vertebral artery.

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Culture-independent methods were also able to directly detect leukotoxin (lktA) gene sequences in swab and lung tissue samples. Fluoxetine interacts with the lipid bilayer of the inner membrane in isolated rat brain mitochondria, inhibiting electron transport and F1F0-ATPase activity. Gemcitabine and protracted 5-fluorouracil infusion as third-line chemotherapy in refractory colorectal cancer patients. However, the mitogenic response is only to a minor extent dependent on Src kinase activity. Only approximately one fourth of residents with diabetes were projected to have stays in the facility of 90 days or less when admitted. The D2 mRNA was approximately 4-fold higher at 0900 h than at 2100 h, and the activity was approximately 6-fold higher at noon than at 2100 h. Southern hybridization suggested that the genes for primate Mn- and Cu,Zn-SOD exist as single copies. Apigenin induces both intrinsic and extrinsic pathways of apoptosis in human colon carcinoma HCT-116 cells. The methylation has been implicated in transcriptional regulation and RNA and protein trafficking and signal transduction, but the mechanism by which these functions are achieved has remained undetermined. Pre-treatment with PKC inhibitor could block the PKC-activating effects and proliferation-stimulating effects of SRF and PMA on the RPE cells, therefore no significant difference could be detected between different groups.

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Women from a poor rural population who were dependent on a moderately high-phytate diet had low TDZ and low plasma zinc concentrations in the third trimester of pregnancy. Although oronasopharyngeal squamous cell carcinoma has been reported as the main cause of lymph neck node metastasis, thyroid papillary carcinoma may be responsible for solitary cervical cystic masses as the initial manifestation of the disease. batavia was considered the etiologic agent in two of the children. Birefringence dispersions of two PANDA fibers at their operation wavelength are measured to be 0.011 ps/(km nm) and 0.018 ps/(km nm), respectively. 138 patients with gestational diabetes mellitus and 58 patients with pregestational diabetes mellitus received insulin four times daily, and 136 patients with gestational diabetes and 60 patients with pregestational diabetes received insulin twice daily. During this time, which is shorter than circulation delay, only changes in load-related reflex feedback were operating. Two female patients, ages 31 and 34 years, were evaluated for bilateral breast masses. While follicular development occurred in all women, and evidence of luteinization was apparent in three out of four, normal ovulation and luteal function did not occur. Suppression of Cell Wall Degrading Enzymes and their Encoding Genes in Button Mushrooms (Agaricus bisporus) by CaCl2 and Citric Acid. To isolate the carotenoid pigment, cells were suspended in acetone and broken using a homogenizer, followed by centrifugation, and supernatant was separated.

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Distamycin A also prevents starvation-induced differentiation of Acanthamoeba, in part due to complete prevention of cellulose production and cell wall formation. These studies have uncovered a role for vascular PPARgamma as a peripheral factor participating in regulation of cardiovascular rhythms. In general, there was no difference in stroke volume for beats preceded by a P wave having a PR interval within the range of 0.05-0.20 sec. The transgenic plants were subjected to treatments known to cause oxidative stress, such as the herbicide methyl viologen and a natural photosensitizer toxin produced by the fungus Cercospora beticola, namely cercosporin. His reflexions and experiences bring him to strongly criticize psychiatry which, in his view, is a repressive practice contributing to the murder of psychoanalysis as a practice which questions the truth of the subject. The immunoglobulins were higher in all types of leprosy patients than in normal persons. Whether these psychotherapies are equally effective in younger and older age groups has not been examined in meta-analytic research. The heterogeneous staining pattern detected in frozen tissue sections was similar to the pattern found in formalin-fixed, paraffin-embedded material, indicating a biological phenomenon and not a handling artefact. Leptin in children with newly diagnosed type 1 diabetes: effect of insulin therapy.

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In this article we also report SAR studies and the most important methods of synthesis of the quinoxalin-2(3)-(di)ones. Properly managed change can benefit the individual and the organization. On the contrary, soluble E- or L-selectin genes did not exert suppressive effects. Dendritic cells retained in immature stage induce direct and most importantly indirect cross-tolerance of alloantigen-specific T cells. In the case of hydrophilic surfaces, the analysis of the scattering length density profiles reveals an induced ordering of the oil and water domains perpendicular to the solid-liquid interface in both sets of microemulsions. To investigate the epidemiologic characteristics of potentially infectious occupational exposures to blood among emergency medicine (EM) residents. Implementation and case-study results of potentially better practices for family-centered care: the family-centered care map. A one-stage clotting assay for VIII:C has been developed where heparin is neutralized by Polybrene, a synthetic polymerized quaternary ammonium salt. We show mPGES-1 protein located predominantly in myometrial and vascular smooth muscle cells (SMCs), whilst mPGES-2 protein is largely in stromal cells surrounding the SMC and cPGES is diffusely located throughout the myometrium. Age-related dynamics and interrelationship between lymphocyte enzymes in healthy children of Evenkia natives.

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All were more reliable than pure-tone audiometry which had a standard deviation of 4.9 dB. Study group was further subdivided into 100 pregnant women in first trimester and 100 pregnant women in third trimester of pregnancy. Low between-species variability suggests that this group of species may have diverged recently. Out of 19 lung cancer cell lines, we found that 13 exhibited c-myc/APC mRNA ratio of more than two. Oxysterol binding protein-related protein-5 is related to invasion and poor prognosis in pancreatic cancer. A 1.5-year-old girl presented with a failure to thrive caused by coeliac disease. Non-dilated coronary arterial wall abnormality is one of the forms of coronary artery wall lesions which could reduce myocardial flow perfusion. Intensified multifactorial intervention in patients with type 2 diabetes and microalbuminuria: rationale and effect on late-diabetic complications. Owing to intrinsic and acquired resistance to these therapeutic approaches, both the better molecular understanding of tumor biology and the consideration of alternative and complementary therapeutic support are warranted and open up broader and novel possibilities for therapy personalization.

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anthracis isolates, the genomes of five strains from Switzerland belonging to lineages B.Br.CNEVA and A.Br.Aust94 were sequenced. Prophylactic cranial irradiation (PCI) in patients with extensive-disease small-cell lung cancer (ED-SCLC) leads to significantly fewer symptomatic brain metastases and improved survival. Chlamydial LPS and high-sensitivity CRP levels in serum are associated with an elevated body mass index in patients with cardiovascular disease. High-affinity Src-SH2 ligands which do not activate Tyr(527)-phosphorylated Src in an experimental in vivo system. The absence of hepatitis acute exacerbation in this patient may be correlated to the absence of significant variations of the viral load, which was independent of the presence of mutations in the HBV DNA polymerase. The protective effects of the tuberculosis vaccine Bacillus Calmette-Guerin (BCG) on unrelated infections are thought to be mediated by long-term metabolic changes and chromatin remodeling through histone modifications in innate immune cells such as monocytes, a process termed trained immunity. Although docetaxel has a marginal objective activity in pancreatic cancer, it seems to have an important effect on tumor growth control, conferring a clinical benefit.

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The dominant-negative cullin 5 protein stabilized p53 and the MRN complex, indicating that it inhibited the viral ubiquitin-protein ligase but had no effect on viral early mRNA synthesis, early protein synthesis, or viral DNA replication. Changes in adipose tissue cellular composition during obesity and aging as a cause of metabolic dysregulation. The increase in airway responsiveness induced by O3 exposure in dogs is associated with airway epithelial inflammation, as evidenced by an increase in the number of neutrophils (polymorphonuclear leukocytes) found in epithelial biopsies and in bronchoalveolar lavage fluid. For some bacteria and algae, it has been proposed that inorganic polyphosphates and transport of metal-phosphate complexes could participate in heavy metal tolerance. Characteristics including age, sex, histology, and length of disease were recorded. Vertebral body compression fracture after removal of pedicle screws: a report of two cases. These findings suggest that the NMMHC-IIA mutated in position 1424 is able to interact with the WT form in living cells, despite part of the mutant protein precipitates in non-functional aggregates. 1, 1994, to June 30, 2013, to compare health services provided by recent graduates and established ophthalmologists.

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Melanocytomas, although rare, must be included in the differential diagnosis of intramedullary spinal cord tumors. The present study demonstrated its short-term, direct influence on lipogenesis, lipolysis and the antilipolytic action of insulin in freshly isolated rat adipocytes. Instead, we provide evidence that FAK may stimulate JNK through a novel pathway involving the recruitment of paxillin to the plasma membrane and the subsequent activation of a biochemical route dependent on small GTP-binding proteins of the Rho family. Photoacoustic imaging successfully localized PJI in this proof-of-concept study and demonstrates potential for clinical translation in orthopaedics. The Constipation Subcommittee, consisting of two primary care pediatricians, a clinical epidemiologist, and pediatric gastroenterologists, based its recommendations on an integration of a comprehensive and systematic review of the medical literature combined with expert opinion. In addition, Ad-IFN appeared to produce strong bystander effects. Colonoscopy revealed a polypoidal lesion in the ascending colon. The patient was treated with penicillin G (10 million U/day) for three months, followed by 3 g/day oral penicillin for six months. Asian ethnicity is associated with reduced pregnancy outcomes after assisted reproductive technology.

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Patient perception of treatment benefit, bladder diary variables, International Prostate Symptom Scores, and safety and tolerability were assessed. The objective parameters, such as open quotient and asymmetry index, could be obtained easily using this technique. Allergen injection immunotherapy is effective for summer hay fever and reduces cutaneous sensitivity to grass pollen. The conditional strategy model provides a powerful explanation for the evolution and persistence of such tactics, as it allows alternative tactics to be perpetuated even if there is tactic inheritance and tactics yield unequal mean fitness. The authors collected cross-sectional data from 19,061 health risk appraisals completed by employees of a large financial services corporation from 2000-2002. Assessment of renal vasoconstriction in vivo after intra-arterial administration of the isosmotic contrast medium iodixanol compared to the low-osmotic contrast medium iopamidol.

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Nanoscale PEG/DNA complex (approximately 100 nm) was produced in dimethylsulfoxide (DMSO) phase. In 4 experiments, switch costs in task-switching performance were perturbed by sequence initiation times that varied with sequence complexity, preparation time, and type of sequence transition (repetition or switch). Recommendations of the French Society for the zyprexa medication generic name Control of Cancers and Leukemias in Children for the treatment of tumor lysis syndrome: results of a pediatric survey. Prevalence and infection risks of zoonotic enteropathogenic bacteria in Swiss cow-calf farms. The multidimensional phase unwrapping integral and applications to microwave tomographical image reconstruction. It is possible to detect infection with paratuberculosis at different stages of disease by means of various diagnostic test strategies. In this study, the authors propose an informed consent form for orthognathic surgery. Healthcare financials: survey of FIS vendors represents diverse group. New treatment strategies in ankylosing spondylitis: Proceedings of the Ankylosing Spondylitis Workshop, Berlin, Germany, 18-19 January 2002.

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A concentration-dependent effect of lovostatin was seen on cell growth and angiogenesis in the experimental groups. End-expiratory carbon dioxide measurement as an estimate of alveolar carbon dioxide tension. This in vitro study was undertaken to investigate the relation between the mobility of the TMT 1 joint in these two planes and to investigate the correlation of the mobility with morphological variables. Age and sex related differences in some rat renal NADPH-consuming detoxification enzymes. Negative mood and hunger were significantly higher at prebinge than at nonbinge times, but negative mood was even higher at postbinge. Nystagmus what medicine is similar to celebrex while recumbent in horizontal canal benign paroxysmal positional vertigo. In contrast, the type 1 insulin-like growth factor receptor, thought to play a role in PCa development, was lost in metastatic PCa.

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PPs mediate their biological responses via activation of the transcription factor PPAR alpha (peroxisome proliferator activated receptor alpha), a member of the nuclear hormone receptor superfamily. Improved workup for glycosaminoglycan disaccharide analysis using CE with LIF detection. Follow-up survival studies in patients with acute type B aortic dissection have been restricted to a small number of patients in single centers. Noninvasive, high-resolution magnetic resonance has the potential to image coronary plaque and to determine its composition and microanatomy. At the EGP, the testosterone effect on linear growth is not mediated through changes in mRNA abundance of IGF-I and IGF-I receptor.

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Human carbonic anhydrase XIV (CA14): cDNA cloning, mRNA expression, and mapping to chromosome 1. Socioeconomic deprivation was a strong predictor of participation. Responses of benthic invertebrates to combined toxicant and food input in floodplain lake sediments. Practitioners, researchers and educators share the goal of delivering excellence in wound care and the journal aims to ensure its articles are relevant and interesting to all concerned professionals. We report an infant with transposition, with the circumflex artery arising from the right coronary artery, who was diagnosed with cystic fibrosis following the occurrence of meconium ileus in the postoperative period. The clinical improvement eliminated the differences in salivary composition.

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Overall, considerable success can be expected from fasciotomy of the involved compartments followed by a rigorous rehabilitation program, though recurrence of symptoms is a reported complication. During the next 24 h the patient recovered and after 11 days was successfully operated on under general anaesthesia. Rational design of inhibitors for drug-resistant HIV-1 aspartic protease trileptal 60 mg mutants. The data were analyzed using the Student t test and multiple logistic regression analysis. Polygraphic all-night sleep records of 11 children with typical benign epilepsy of childhood with rolandic spikes (BERS) and those of eight nonepileptic controls were investigated with regard to sleep pathology. Two cohorts were recruited, corresponding to the fall and spring semesters. The analysis included the association of mtDNA haplogroups with the rate of incident knee OA in subjects from both cohorts followed by a subsequent meta-analysis. Both LY294002 and wortmannin cause apoptotic death of mES cells and downregulate the growth of population.

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Bioavailability, bioaccumulation and tolerance of chromium: consequences in the food chain of freshwater ecosystems. These findings suggest that the CBS domains play an important role in AMP-binding within the complex. Ferumoxide-enhanced magnetic resonance (MR) imaging revealed residual Kupffer cell function in liver parenchyma in and surrounding the inflammatory pseudotumor involvement, which suggested the diagnosis of inflammatory pseudotumor of the liver. Modifications of a single saturating non-linearity account for post-onset changes in 2f1-f2 distortion product otoacoustic emission. Vice versa, the immunoprecipitation of APC from nuclear lysates results in co-precipitation of genomic DNA. After remodeling, what drug classification is norfloxacin MN-1 output could be influenced rapidly by sensory inputs during evoked cardiac reversal.

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In addition, a second type IV system, with high sequence similarity to the Agrobacterium tumefaciens VirB system for conjugal transfer of oncogenic DNA, is present. This in vitro study investigated material property changes of 2 new resilient denture lining materials that represent 2 different curing modes: autopolymerization and conventional laboratory processing. Fluoroscopy has made endourology possible, but its two dimensionality and poor tissue contrast limit its applications. A review of the literature concerning 37 cases of long-standing dislocation of the temporomandibular joint is presented. They use either amphiphilic cyclodextrin nanoparticles or polymeric nanoparticles containing cyclodextrins. Benign lymphangiomatous papules of the skin are considered reactive lymphatic proliferations either caused by disruption of the lymphatic flow or tissue damage produced by operation or radiation therapy. aeolicus LeuRS carries editing properties that seem more primitive than those of IleRS and ValRS.

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Radioimmunotherapy using vascular targeted 213Bi: the role of tumor necrosis factor alpha in the development of pulmonary fibrosis. Efficient computational algorithms for docking and for generating and matching a library of functional epitopes I. Further, a variety of indirect evidence supports the hypothesis that in rats, estradiol exerts its negative feedback action on LH secretion in part by inhibiting noradrenergic neurotransmission diflucan dosage yeast infection women that is stimulatory to LH release, but there is no direct evidence to support this hypothesis. ITAM-based interaction of ERM proteins with Syk mediates signaling by the leukocyte adhesion receptor PSGL-1. The increased understanding of the molecular mechanisms and signalling pathways connected to the GH1/IGF-1 axis has provided important insights into aetiology, prevention and therapy for breast cancer. Six analogues with different side chains at rings A or B are active substrates, seven analogues with different side chains at rings D or E are not accepted as substrates by POR. Transfusion-related acute lung injury: epidemiology and a prospective analysis of etiologic factors. The arterial supply of the human patellar ligament has been systematized on 20 knee joints. The most important consequence of the reflux into the larynx is laryngeal cancer.

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