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Drug interactions

Nifedipine + Xipamide

Severity: Minor

Nifedipine and Xipamide: 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

Xipamide is a thiazide-like diuretic, and together with nifedipine the blood pressure lowering effects add up. This is often used intentionally, but it can cause excessive hypotension, especially with volume depletion.

What this interaction means in plain words

Nifedipine and Xipamide 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: Moderate

Why it happens

Additive antihypertensive effect from diuresis-related volume reduction and vasodilation.

What to do

Monitor blood pressure and electrolytes, and adjust doses if symptomatic hypotension develops.

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 Nifedipine with Xipamide?

MediHelp rates the interaction as minor. Nifedipine and Xipamide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Xipamide is a thiazide-like diuretic, and together with nifedipine the blood pressure lowering effects add up. This is often used intentionally, but it can cause excessive hypotension, especially with volume depletion.

How serious is the interaction between Nifedipine and Xipamide?

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 and electrolytes, and adjust doses if symptomatic hypotension develops.

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.

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