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Drug interactions

Amlodipine-perindopril + Nicardipine

Severity: Moderate

Amlodipine-perindopril 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

Both amlodipine and nicardipine are dihydropyridine calcium channel blockers, so combining them duplicates therapy and adds to vasodilatory adverse effects such as hypotension, edema and tachycardia. There is little added benefit from using two agents of the same class.

What this interaction means in plain words

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

Evidence level: Moderate

Why it happens

Additive L-type calcium channel blockade causing vasodilation.

What to do

Avoid duplicate dihydropyridine therapy; use a single agent and adjust its dose. If both are temporarily used, monitor blood pressure closely.

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-perindopril with Nicardipine?

MediHelp rates the interaction as moderate. Amlodipine-perindopril 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. Both amlodipine and nicardipine are dihydropyridine calcium channel blockers, so combining them duplicates therapy and adds to vasodilatory adverse effects such as hypotension, edema and tachycardia. There is little added benefit from using two agents of the same class.

How serious is the interaction between Amlodipine-perindopril 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 duplicate dihydropyridine therapy; use a single agent and adjust its dose. If both are temporarily used, monitor blood pressure closely.

What other medicines interact with Amlodipine-perindopril?

MediHelp also lists interactions of Amlodipine-perindopril with, for example, Aliskiren, Protein a column, Sacubitril / valsartan. The full list is on the Amlodipine-perindopril page.

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