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Drug interactions

Nevirapine + Nitrendipine

Severity: Moderate

Nevirapine and Nitrendipine: 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

Nevirapine may reduce nitrendipine exposure, leading to weaker blood pressure control. This is expected because nitrendipine undergoes extensive CYP3A4 first-pass metabolism.

What this interaction means in plain words

Nevirapine and Nitrendipine 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

Nevirapine induces CYP3A4, increasing the metabolism of nitrendipine.

What to do

Monitor blood pressure when nevirapine is started or stopped and increase the nitrendipine dose if needed.

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 Nevirapine with Nitrendipine?

MediHelp rates the interaction as moderate. Nevirapine and Nitrendipine 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. Nevirapine may reduce nitrendipine exposure, leading to weaker blood pressure control. This is expected because nitrendipine undergoes extensive CYP3A4 first-pass metabolism.

How serious is the interaction between Nevirapine and Nitrendipine?

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 when nevirapine is started or stopped and increase the nitrendipine dose if needed.

What other medicines interact with Nevirapine?

MediHelp also lists interactions of Nevirapine with, for example, Elbasvir / grazoprevir, Ranolazine, St john's wort. The full list is on the Nevirapine page.

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

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