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Drug interactions

Amlodipine-olmesartan + Nicardipine

Severity: Moderate

Amlodipine-olmesartan and Nicardipine: moderate 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

Amlodipine and nicardipine are both dihydropyridine calcium channel blockers, so combining them duplicates therapy. This adds hypotension, peripheral edema, flushing and reflex tachycardia without clear benefit.

What this interaction means in plain words

Amlodipine-olmesartan and Nicardipine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amlodipine-olmesartan belongs to Cardiovascular; Nicardipine belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Duplicate L-type calcium channel blockade causing additive vasodilation.

What to do

Avoid concurrent long-term use of two dihydropyridines and use a single agent. If overlap is unavoidable, such as during a switch, monitor blood pressure and edema.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Amlodipine-olmesartan with Nicardipine?

MediHelp rates the interaction as moderate. Amlodipine-olmesartan and Nicardipine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Amlodipine and nicardipine are both dihydropyridine calcium channel blockers, so combining them duplicates therapy. This adds hypotension, peripheral edema, flushing and reflex tachycardia without clear benefit.

How serious is the interaction between Amlodipine-olmesartan and Nicardipine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent long-term use of two dihydropyridines and use a single agent. If overlap is unavoidable, such as during a switch, monitor blood pressure and edema.

What other medicines interact with Amlodipine-olmesartan?

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

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