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Drug interactions

Dronedarone + Nitrendipine

Severity: Moderate

Dronedarone and Nitrendipine: 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

Dronedarone inhibits CYP3A4 and can increase nitrendipine exposure, enhancing its blood pressure lowering effect. Additive effects on heart rate and AV conduction may also occur.

What this interaction means in plain words

Dronedarone and Nitrendipine 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.

Evidence level: Moderate

Why it happens

Dronedarone inhibits CYP3A4 metabolism of nitrendipine, with additive hemodynamic effects.

What to do

Begin with a low nitrendipine dose and monitor blood pressure and heart rate. Check ECG for conduction abnormalities.

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 Dronedarone with Nitrendipine?

MediHelp rates the interaction as moderate. Dronedarone and Nitrendipine 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. Dronedarone inhibits CYP3A4 and can increase nitrendipine exposure, enhancing its blood pressure lowering effect. Additive effects on heart rate and AV conduction may also occur.

How serious is the interaction between Dronedarone and Nitrendipine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Begin with a low nitrendipine dose and monitor blood pressure and heart rate. Check ECG for conduction abnormalities.

What other medicines interact with Dronedarone?

MediHelp also lists interactions of Dronedarone with, for example, Adagrasib, Amiodarone, Arsenic trioxide. The full list is on the Dronedarone page.

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

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