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Drug interactions

Crizotinib + Nimodipine

Severity: Moderate

Crizotinib and Nimodipine: 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

Crizotinib inhibits CYP3A4 and may raise nimodipine levels, causing hypotension, flushing, headache and edema.

What this interaction means in plain words

Crizotinib and Nimodipine 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.

Crizotinib belongs to Oncology; Nimodipine belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

CYP3A4 inhibition by crizotinib reduces nimodipine metabolism.

What to do

Monitor blood pressure and heart rate. Reduce the nimodipine dose or split dosing if hypotension occurs.

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 Crizotinib with Nimodipine?

MediHelp rates the interaction as moderate. Crizotinib and Nimodipine 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. Crizotinib inhibits CYP3A4 and may raise nimodipine levels, causing hypotension, flushing, headache and edema.

How serious is the interaction between Crizotinib and Nimodipine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure and heart rate. Reduce the nimodipine dose or split dosing if hypotension occurs.

What other medicines interact with Nimodipine?

MediHelp also lists interactions of Nimodipine with, for example, Apalutamide, Carbamazepine, Ceritinib. The full list is on the Nimodipine page.

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