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Drug interactions

Felodipine + Tizanidine

Severity: Moderate

Felodipine and Tizanidine: 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

Felodipine is a potent vasodilating calcium channel blocker, and tizanidine adds central blood-pressure lowering. Together they can cause additive hypotension and dizziness.

What this interaction means in plain words

Felodipine and Tizanidine 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.

Felodipine belongs to Cardiovascular; Tizanidine belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive hypotension from central alpha-2 agonism and arteriolar vasodilation by calcium channel blockade.

What to do

Monitor blood pressure, especially during initiation and dose changes, and advise slow positional changes.

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 Tizanidine?

MediHelp rates the interaction as moderate. Felodipine and Tizanidine 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. Felodipine is a potent vasodilating calcium channel blocker, and tizanidine adds central blood-pressure lowering. Together they can cause additive hypotension and dizziness.

How serious is the interaction between Felodipine and Tizanidine?

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, especially during initiation and dose changes, and advise slow positional changes.

What other medicines interact with Tizanidine?

MediHelp also lists interactions of Tizanidine with, for example, Ciprofloxacin, Fluvoxamine, Pefloxacin. The full list is on the Tizanidine page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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