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Drug interactions

Ambrisentan + Nicardipine

Severity: Minor

Ambrisentan and Nicardipine: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Nicardipine can inhibit P-glycoprotein, and ambrisentan is a P-gp substrate, so exposure could rise slightly. Ambrisentan labeling does not describe a clinically meaningful effect from P-gp inhibitors.

What this interaction means in plain words

Ambrisentan and Nicardipine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Ambrisentan belongs to Miscellaneous; Nicardipine belongs to Cardiovascular.

Evidence level: Low

Why it happens

Possible P-glycoprotein inhibition by nicardipine reducing ambrisentan efflux.

What to do

No dose adjustment is required. Monitor for hypotension, edema and headache when starting the combination.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Ambrisentan with Nicardipine?

MediHelp rates the interaction as minor. Ambrisentan and Nicardipine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Nicardipine can inhibit P-glycoprotein, and ambrisentan is a P-gp substrate, so exposure could rise slightly. Ambrisentan labeling does not describe a clinically meaningful effect from P-gp inhibitors.

How serious is the interaction between Ambrisentan and Nicardipine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose adjustment is required. Monitor for hypotension, edema and headache when starting the combination.

What other medicines interact with Nicardipine?

MediHelp also lists interactions of Nicardipine with, for example, Amifostine, Amlodipine-olmesartan-hydrochlorothiazide, Betrixaban. The full list is on the Nicardipine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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