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Drug interactions

Felodipine + Vecuronium

Severity: Minor

Felodipine and Vecuronium: minor 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

Calcium channel blockers may modestly enhance and prolong the neuromuscular blockade produced by non-depolarising agents such as vecuronium. The effect is usually small but can lengthen recovery time after surgery.

What this interaction means in plain words

Felodipine and Vecuronium have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Felodipine belongs to Cardiovascular; Vecuronium belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Calcium channel blockade reduces presynaptic calcium-dependent acetylcholine release, adding to postsynaptic nicotinic receptor blockade.

What to do

Monitor neuromuscular function with train-of-four during anaesthesia and titrate vecuronium to effect; expect possibly slower recovery.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Vecuronium?

MediHelp rates the interaction as minor. Felodipine and Vecuronium have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Calcium channel blockers may modestly enhance and prolong the neuromuscular blockade produced by non-depolarising agents such as vecuronium. The effect is usually small but can lengthen recovery time after surgery.

How serious is the interaction between Felodipine and Vecuronium?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor neuromuscular function with train-of-four during anaesthesia and titrate vecuronium to effect; expect possibly slower recovery.

What other medicines interact with Vecuronium?

MediHelp also lists interactions of Vecuronium with, for example, Amikacin, Bacitracin-neomycin-polymyxin, Capreomycin. The full list is on the Vecuronium 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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