Patient was educated on contraindications for using Norvasc as follows:
- Avoid using Norvasc along with any other medications that can cause slowdown of heart rate, such as, Beta-blockers. Using them together can result in extreme slowdown of heart rate and can present an emergency.
- Avoid or use extreme caution using Norvasc along with any other medications that cause vasodilation, such as, Isosorbide and Hydralazine. Using them together can result in episodes of extremely low blood pressure and can present an emergency.
- Avoid using Norvasc with grapefruit juice, as some component in the grapefruit juice will inhibit the metabolism of Norvasc. This can lead to increased blood levels of the medication for longer periods of time, resulting in toxicity and severe side effects.
- Norvasc is mainly metabolized in the liver. If liver function is deficient, the metabolism of Norvasc can suffer. This can lead to increased blood levels of the medication for longer periods of time, resulting in toxicity and severe side effects. So, Norvasc should be used with caution in individuals with hepatic dysfunction.
- Norvasc is mainly excreted by the kidneys. Individuals with renal disease cannot excrete Norvasc normally. So, this medication can stay in circulation for longer time and can be toxic. So, Norvasc should be used with caution in individuals with compromised renal function.
