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Drug interactions

Felodipine + Quinupristin / dalfopristin

Severity: Moderate

Felodipine and Quinupristin / dalfopristin: 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

Quinupristin/dalfopristin inhibits CYP3A4 and may raise felodipine levels. This could produce hypotension, edema and flushing during the course of intravenous therapy.

What this interaction means in plain words

Felodipine and Quinupristin / dalfopristin 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: Low

Why it happens

Quinupristin/dalfopristin inhibits CYP3A4, reducing felodipine metabolism.

What to do

Monitor blood pressure and for edema during treatment, and reduce the felodipine dose if hypotension develops.

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 Quinupristin / dalfopristin?

MediHelp rates the interaction as moderate. Felodipine and Quinupristin / dalfopristin 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. Quinupristin/dalfopristin inhibits CYP3A4 and may raise felodipine levels. This could produce hypotension, edema and flushing during the course of intravenous therapy.

How serious is the interaction between Felodipine and Quinupristin / dalfopristin?

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 for edema during treatment, and reduce the felodipine dose if hypotension develops.

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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