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Drug interactions

Felodipine + Fosamprenavir

Severity: Moderate

Felodipine and Fosamprenavir: 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

Fosamprenavir, whose active metabolite amprenavir is a CYP3A4 inhibitor (more so with ritonavir), can raise felodipine levels. This may cause pronounced hypotension, edema and tachycardia.

What this interaction means in plain words

Felodipine and Fosamprenavir 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

Amprenavir inhibits CYP3A4-mediated felodipine metabolism.

What to do

Monitor blood pressure and edema, and begin felodipine at a low dose with downward adjustment if needed.

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 Felodipine with Fosamprenavir?

MediHelp rates the interaction as moderate. Felodipine and Fosamprenavir 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. Fosamprenavir, whose active metabolite amprenavir is a CYP3A4 inhibitor (more so with ritonavir), can raise felodipine levels. This may cause pronounced hypotension, edema and tachycardia.

How serious is the interaction between Felodipine and Fosamprenavir?

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 edema, and begin felodipine at a low dose with downward adjustment if needed.

What other medicines interact with Felodipine?

MediHelp also lists interactions of Felodipine with, for example, Itraconazole, Aldesleukin, Amifostine. The full list is on the Felodipine page.

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