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Drug interactions

Nisoldipine + Silodosin

Severity: Moderate

Nisoldipine and Silodosin: 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

Silodosin and nisoldipine both lower blood pressure. Together they may cause symptomatic or orthostatic hypotension, especially at initiation.

What this interaction means in plain words

Nisoldipine and Silodosin 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.

Nisoldipine belongs to Cardiovascular; Silodosin belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Additive vasodilation from alpha-1 blockade and calcium channel blockade.

What to do

Monitor blood pressure including standing readings when starting or changing doses. Reduce doses if dizziness or hypotension occurs.

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 Nisoldipine with Silodosin?

MediHelp rates the interaction as moderate. Nisoldipine and Silodosin 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. Silodosin and nisoldipine both lower blood pressure. Together they may cause symptomatic or orthostatic hypotension, especially at initiation.

How serious is the interaction between Nisoldipine and Silodosin?

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 including standing readings when starting or changing doses. Reduce doses if dizziness or hypotension occurs.

What other medicines interact with Silodosin?

MediHelp also lists interactions of Silodosin with, for example, Atazanavir, Conivaptan, Darunavir. The full list is on the Silodosin page.

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

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