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Drug interactions

Nilotinib + Nimodipine

Severity: Moderate

Nilotinib and Nimodipine: 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

Nilotinib is a moderate CYP3A4 inhibitor and may increase nimodipine exposure, causing hypotension. Nilotinib also prolongs the QT interval, which is not shared by nimodipine but warrants general cardiac vigilance.

What this interaction means in plain words

Nilotinib and Nimodipine 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.

Nilotinib belongs to Oncology; Nimodipine belongs to Cardiovascular.

Evidence level: Low

Why it happens

CYP3A4 inhibition by nilotinib reducing nimodipine clearance.

What to do

Monitor blood pressure and consider lowering the nimodipine dose if hypotension develops.

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 Nilotinib with Nimodipine?

MediHelp rates the interaction as moderate. Nilotinib and Nimodipine 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. Nilotinib is a moderate CYP3A4 inhibitor and may increase nimodipine exposure, causing hypotension. Nilotinib also prolongs the QT interval, which is not shared by nimodipine but warrants general cardiac vigilance.

How serious is the interaction between Nilotinib and Nimodipine?

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 and consider lowering the nimodipine dose if hypotension develops.

What other medicines interact with Nimodipine?

MediHelp also lists interactions of Nimodipine with, for example, Apalutamide, Carbamazepine, Ceritinib. The full list is on the Nimodipine page.

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

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