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Drug interactions

Amlodipine-valsartan + Nicardipine

Severity: Moderate

Amlodipine-valsartan 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

Nicardipine is a second dihydropyridine calcium channel blocker, so adding it to amlodipine duplicates the same therapeutic class. This can cause excessive vasodilation with hypotension, dizziness, flushing, peripheral edema and reflex tachycardia, with no added benefit.

What this interaction means in plain words

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

Evidence level: Moderate

Why it happens

Additive L-type calcium channel blockade and vasodilation from two dihydropyridines.

What to do

Avoid combining two dihydropyridine calcium channel blockers; choose a single agent and titrate it. If both are briefly co-administered, monitor blood pressure, heart rate 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-valsartan with Nicardipine?

MediHelp rates the interaction as moderate. Amlodipine-valsartan 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. Nicardipine is a second dihydropyridine calcium channel blocker, so adding it to amlodipine duplicates the same therapeutic class. This can cause excessive vasodilation with hypotension, dizziness, flushing, peripheral edema and reflex tachycardia, with no added benefit.

How serious is the interaction between Amlodipine-valsartan 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 combining two dihydropyridine calcium channel blockers; choose a single agent and titrate it. If both are briefly co-administered, monitor blood pressure, heart rate and edema.

What other medicines interact with Amlodipine-valsartan?

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

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