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Drug interactions

Nicardipine + Vilanterol / fluticasone furoate inhaled

Severity: Minor

Nicardipine and Vilanterol / fluticasone furoate inhaled: 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

Both inhaled components are CYP3A4 substrates, and nicardipine may modestly increase their systemic exposure. This could add to beta-agonist cardiovascular effects or corticosteroid systemic effects, though the effect is expected to be small.

What this interaction means in plain words

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

Evidence level: Low

Why it happens

Nicardipine weakly inhibits CYP3A4, decreasing clearance of fluticasone furoate and vilanterol.

What to do

No dose change is usually needed; monitor heart rate and for signs of systemic corticosteroid effects with long-term use.

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 Vilanterol / fluticasone furoate inhaled?

MediHelp rates the interaction as minor. Nicardipine and Vilanterol / fluticasone furoate inhaled have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Both inhaled components are CYP3A4 substrates, and nicardipine may modestly increase their systemic exposure. This could add to beta-agonist cardiovascular effects or corticosteroid systemic effects, though the effect is expected to be small.

How serious is the interaction between Nicardipine and Vilanterol / fluticasone furoate inhaled?

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 dose change is usually needed; monitor heart rate and for signs of systemic corticosteroid effects with long-term use.

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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