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Drug interactions

Felodipine + Xipamide

Severity: Moderate

Felodipine and Xipamide: 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

Xipamide is a thiazide-like diuretic and felodipine is a vasodilating calcium channel blocker, so combining them lowers blood pressure further. This is often used intentionally but may cause hypotension, dizziness or electrolyte disturbance.

What this interaction means in plain words

Felodipine and Xipamide 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

Additive antihypertensive effects via diuresis/volume reduction and arterial vasodilation.

What to do

Monitor blood pressure and serum electrolytes, especially after initiation or dose changes. Reduce doses if symptomatic hypotension occurs.

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 Xipamide?

MediHelp rates the interaction as moderate. Felodipine and Xipamide 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. Xipamide is a thiazide-like diuretic and felodipine is a vasodilating calcium channel blocker, so combining them lowers blood pressure further. This is often used intentionally but may cause hypotension, dizziness or electrolyte disturbance.

How serious is the interaction between Felodipine and Xipamide?

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 serum electrolytes, especially after initiation or dose changes. Reduce doses if symptomatic hypotension occurs.

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.

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

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