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Drug interactions

Imatinib + Nifedipine

Severity: Moderate

Imatinib and Nifedipine: 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

Imatinib inhibits CYP3A4 and can raise nifedipine levels, which may cause hypotension and edema. Imatinib itself can cause fluid retention, which complicates assessment of edema.

What this interaction means in plain words

Imatinib and Nifedipine 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.

Imatinib belongs to Oncology; Nifedipine belongs to Cardiovascular.

Evidence level: Low

Why it happens

Imatinib inhibits CYP3A4 and may reduce nifedipine metabolism; nifedipine has little clinical effect on imatinib.

What to do

Monitor blood pressure and edema, and reduce the nifedipine dose if 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 Imatinib with Nifedipine?

MediHelp rates the interaction as moderate. Imatinib and Nifedipine 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. Imatinib inhibits CYP3A4 and can raise nifedipine levels, which may cause hypotension and edema. Imatinib itself can cause fluid retention, which complicates assessment of edema.

How serious is the interaction between Imatinib and Nifedipine?

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 edema, and reduce the nifedipine dose if hypotension occurs.

What other medicines interact with Nifedipine?

MediHelp also lists interactions of Nifedipine with, for example, Amifostine, Amlodipine-benazepril, Apalutamide. The full list is on the Nifedipine page.

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

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