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Drug interactions

Nicardipine + Paclitaxel

Severity: Minor

Nicardipine and Paclitaxel: 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

Nicardipine inhibits P-glycoprotein in vitro and could raise paclitaxel exposure. The clinical effect is not well established, but paclitaxel has a narrow therapeutic index.

What this interaction means in plain words

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

Nicardipine belongs to Cardiovascular; Paclitaxel belongs to Oncology.

Evidence level: Low

Why it happens

Possible inhibition of P-glycoprotein efflux of paclitaxel by nicardipine; clinical significance is unproven.

What to do

No routine adjustment is needed. Watch for increased paclitaxel toxicity such as neutropenia and neuropathy.

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 Nicardipine with Paclitaxel?

MediHelp rates the interaction as minor. Nicardipine and Paclitaxel have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Nicardipine inhibits P-glycoprotein in vitro and could raise paclitaxel exposure. The clinical effect is not well established, but paclitaxel has a narrow therapeutic index.

How serious is the interaction between Nicardipine and Paclitaxel?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine adjustment is needed. Watch for increased paclitaxel toxicity such as neutropenia and neuropathy.

What other medicines interact with Nicardipine?

MediHelp also lists interactions of Nicardipine with, for example, Amifostine, Amlodipine-olmesartan-hydrochlorothiazide, Betrixaban. The full list is on the Nicardipine page.

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