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Drug interactions

Felodipine + Indinavir

Severity: Moderate

Felodipine and Indinavir: 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

Indinavir inhibits CYP3A4 and can substantially increase felodipine exposure, risking marked hypotension, flushing and edema.

What this interaction means in plain words

Felodipine and Indinavir 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

Indinavir inhibits CYP3A4-mediated first-pass and systemic metabolism of felodipine.

What to do

Start felodipine at a low dose and monitor blood pressure and edema. Reduce the dose if adverse effects appear.

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 Indinavir?

MediHelp rates the interaction as moderate. Felodipine and Indinavir 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. Indinavir inhibits CYP3A4 and can substantially increase felodipine exposure, risking marked hypotension, flushing and edema.

How serious is the interaction between Felodipine and Indinavir?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start felodipine at a low dose and monitor blood pressure and edema. Reduce the dose if adverse effects appear.

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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