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Drug interactions

Nicardipine + Rufinamide

Severity: Minor

Nicardipine and Rufinamide: 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

Rufinamide is a weak CYP3A4 inducer and may modestly lower nicardipine concentrations. The clinical effect is generally small, but blood pressure control could be reduced.

What this interaction means in plain words

Nicardipine and Rufinamide 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; Rufinamide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Weak induction of CYP3A4 by rufinamide increases nicardipine metabolism.

What to do

Monitor blood pressure after rufinamide is started or stopped. Increase nicardipine only if control is inadequate.

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 Rufinamide?

MediHelp rates the interaction as minor. Nicardipine and Rufinamide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Rufinamide is a weak CYP3A4 inducer and may modestly lower nicardipine concentrations. The clinical effect is generally small, but blood pressure control could be reduced.

How serious is the interaction between Nicardipine and Rufinamide?

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 blood pressure after rufinamide is started or stopped. Increase nicardipine only if control is inadequate.

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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