{"id":626286,"date":"2024-01-23T14:06:11","date_gmt":"2024-01-23T19:06:11","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=626286"},"modified":"2025-10-06T15:02:14","modified_gmt":"2025-10-06T19:02:14","slug":"amlodipine-interactions","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/amlodipine-interactions\/","title":{"rendered":"Amlodipine interactions to avoid"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/amlodipine-besylate\/what-is\"><span style=\"font-weight: 400;\">Amlodipine<\/span><\/a><span style=\"font-weight: 400;\"> is one of the most frequently used antihypertensives, often chosen because its action as a <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/calcium-channel-blockers\"><span style=\"font-weight: 400;\">calcium channel blocker<\/span><\/a><span style=\"font-weight: 400;\"> is quite effective for <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/hypertension-causes\"><span style=\"font-weight: 400;\">lowering high blood pressure<\/span><\/a><span style=\"font-weight: 400;\">. Unfortunately, it and its brand-name version, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/norvasc\"><span style=\"font-weight: 400;\">Norvasc<\/span><\/a><span style=\"font-weight: 400;\">, are not without their faults, namely side effects like lower leg swelling and constipation, and a penchant for drug interactions. You should know some important interactions between amlodipine and other medications and certain health problems. We will cover key ones involving antifungals, erectile dysfunction medications, immunosuppressants, and cholesterol-lowering agents. By gaining this knowledge, you can reach out to your healthcare providers if you find an interaction between amlodipine and one of your other meds or medical conditions.<\/span><\/p>\n<h2 id=\"amlodipine-drug-interactions\"><span style=\"font-weight: 400;\">Amlodipine drug interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The issues with drug interactions involving amlodipine relate to either magnified amlodipine adverse effects or amplified side effects of the other medication. Knowing the interaction&#8217;s existence and the symptoms to watch for is helpful.<\/span><\/p>\n<h3 id=\"statins\"><span style=\"font-weight: 400;\">Statins<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/drug-classes\/statins\"><span style=\"font-weight: 400;\">Statins<\/span><\/a><span style=\"font-weight: 400;\"> are a mainstay of hyperlipidemia management, providing lower cholesterol levels and reductions in heart attack and stroke rates. Often, <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/high-cholesterol-treatment-and-medications\"><span style=\"font-weight: 400;\">high cholesterol<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/hypertension-treatments-and-medications\"><span style=\"font-weight: 400;\">hypertension<\/span><\/a><span style=\"font-weight: 400;\"> coexist, so it is not uncommon to have both a statin and amlodipine on one\u2019s med list. This is perfectly fine most times, but <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/zocor\/what-is\"><span style=\"font-weight: 400;\">Zocor<\/span><\/a><span style=\"font-weight: 400;\"> (simvastatin) and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lovastatin\/what-is\"><span style=\"font-weight: 400;\">lovastatin<\/span><\/a><span style=\"font-weight: 400;\"> are two members of the statin class that can be problematic. In both cases, amlodipine can escalate the risk of muscle pains when taking simvastatin or lovastatin. Talk to your doctor about reducing your statin dose or changing to a different statin.<\/span><\/p>\n<h3 id=\"phosphodiesterase-5-inhibitors\"><span style=\"font-weight: 400;\">Phosphodiesterase-5 inhibitors<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Inhibiting the <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/pde5-inhibitors\"><span style=\"font-weight: 400;\">enzyme phosphodiesterase-5 (PDE-5)<\/span><\/a><span style=\"font-weight: 400;\"> leads to dilated blood vessels and greater penile blood flow, which improves erectile function. If one of these pills for <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/natural-cures-for-erectile-dysfunction\/\"><span style=\"font-weight: 400;\">impotence<\/span><\/a><span style=\"font-weight: 400;\"> is taken along with amlodipine, a drop in blood pressure can occur, creating a sense of dizziness or fainting. Anyone prescribed this combination should talk to the prescribing professional right away. The PDE-5 inhibitors to watch out for include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/viagra\/what-is\"><span style=\"font-weight: 400;\">Viagra<\/span><\/a><span style=\"font-weight: 400;\"> (sildenafil)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/cialis\/what-is\"><span style=\"font-weight: 400;\">Cialis<\/span><\/a><span style=\"font-weight: 400;\"> (tadalafil)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/vardenafil-hcl\/what-is\"><span style=\"font-weight: 400;\">Vardenafil<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/stendra\/what-is\"><span style=\"font-weight: 400;\">Stendra<\/span><\/a><span style=\"font-weight: 400;\"> (avanafil)<\/span><\/li>\n<\/ul>\n<h3 id=\"benzodiazepines\"><span style=\"font-weight: 400;\">Benzodiazepines<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/drug-classes\/benzodiazepines\"><span style=\"font-weight: 400;\">Benzodiazepines<\/span><\/a><span style=\"font-weight: 400;\">, which can offer rapid relief from <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/stress-vs-anxiety\/\"><span style=\"font-weight: 400;\">anxiety<\/span><\/a><span style=\"font-weight: 400;\"> and panic symptoms, are frequently utilized, but their habit-forming nature and propensity for sedation restrict their use. Taking some benzodiazepines with amlodipine can be hazardous. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/xanax\/what-is\"><span style=\"font-weight: 400;\">Xanax<\/span><\/a><span style=\"font-weight: 400;\"> (alprazolam) is one of the better-known members of this drug family. Along with the lesser-known member, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/midazolam\/what-is\"><span style=\"font-weight: 400;\">midazolam<\/span><\/a><span style=\"font-weight: 400;\">, Xanax interacts with amlodipine, leading to excessive sedation potentially. Before taking the combination, check in with the prescriber or pharmacist about whether avoidance or just caution is advised.<\/span><\/p>\n<h3 id=\"antipsychotics\"><span style=\"font-weight: 400;\">Antipsychotics<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">You may take an <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antipsychotics\"><span style=\"font-weight: 400;\">antipsychotic<\/span><\/a><span style=\"font-weight: 400;\"> for a mood disorder, like <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/depression-treatment-and-medications\"><span style=\"font-weight: 400;\">depression<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/bipolar-disorder-treatment-and-medications\"><span style=\"font-weight: 400;\">bipolar disorder<\/span><\/a><span style=\"font-weight: 400;\">, or a psychotic disorder. Either way, you should know these drugs can lower blood pressure. Taken alongside amlodipine, the hypotensive effect could progress to syncope or pass out from low blood pressure. Ask your doctor if this concern pertains to you. Antipsychotic class members include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/seroquel\/what-is\"><span style=\"font-weight: 400;\">Seroquel<\/span><\/a><span style=\"font-weight: 400;\"> (quetiapine)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/risperdal\/what-is\"><span style=\"font-weight: 400;\">Risperdal<\/span><\/a><span style=\"font-weight: 400;\"> (risperidone)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/abilify\/what-is\"><span style=\"font-weight: 400;\">Abilify<\/span><\/a><span style=\"font-weight: 400;\"> (aripiprazole)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/zyprexa\/what-is\"><span style=\"font-weight: 400;\">Zyprexa<\/span><\/a><span style=\"font-weight: 400;\"> (olanzapine)<\/span><\/li>\n<\/ul>\n<h3 id=\"opioids\"><span style=\"font-weight: 400;\">Opioids<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/drug-classes\/opioids\"><span style=\"font-weight: 400;\">Opioid<\/span><\/a><span style=\"font-weight: 400;\"> analgesics relieve pain but often at the expense of feeling drowsy and with the risk of reduced respiration. Amlodipine can compound those problems. If you are feeling these side effects or, better yet, before you run into problems, run it by a healthcare professional if you are taking amlodipine with an opioid like:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/percocet\/what-is\"><span style=\"font-weight: 400;\">Percocet<\/span><\/a><span style=\"font-weight: 400;\"> (oxycodone-acetaminophen)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/hydrocodone-acetaminophen\/what-is\"><span style=\"font-weight: 400;\">Hydrocodone-acetaminophen<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/ms-contin\/what-is\"><span style=\"font-weight: 400;\">MS Contin<\/span><\/a><span style=\"font-weight: 400;\"> (morphine sulfate)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/xtampza-er\/what-is\"><span style=\"font-weight: 400;\">Xtampza ER<\/span><\/a><span style=\"font-weight: 400;\"> (oxycodone)<\/span><\/li>\n<\/ul>\n<h3 id=\"cyp3a4-inhibitors\"><span style=\"font-weight: 400;\">CYP3A4 inhibitors<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Members of the azole <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antifungals\"><span style=\"font-weight: 400;\">antifungal<\/span><\/a><span style=\"font-weight: 400;\"> class are known for their broad use against cutaneous and invasive fungal infections and for their frequent interactions with other drugs. This antifungal class inhibits the CYP3A4 enzyme that metabolizes many common meds. Amlodipine is on the list of meds that azoles can be problematic with. Like the following, Azoles can increase amlodipine levels and lead to hypotension.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/diflucan\/what-is\"><span style=\"font-weight: 400;\">Diflucan<\/span><\/a><span style=\"font-weight: 400;\"> (fluconazole)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/ketodan\/what-is\"><span style=\"font-weight: 400;\">Ketodan<\/span><\/a><span style=\"font-weight: 400;\"> (ketoconazole)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/sporanox\/what-is\"><span style=\"font-weight: 400;\">Sporanox<\/span><\/a><span style=\"font-weight: 400;\"> (itraconazole)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/vfend\/what-is\"><span style=\"font-weight: 400;\">Vfend<\/span><\/a><span style=\"font-weight: 400;\"> (voriconazole)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Other potent inhibitors of the CYP3A4 enzyme include the antibiotic <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/clarithromycin\/what-is\"><span style=\"font-weight: 400;\">clarithromycin<\/span><\/a><span style=\"font-weight: 400;\"> and the antiviral ritonavir. One timely note is that ritonavir is one of the components of <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/paxlovid-300-100\/what-is\"><span style=\"font-weight: 400;\">Paxlovid <\/span><\/a><span style=\"font-weight: 400;\">(nirmatrelvir-ritonavir), an oral antiviral for treating Covid-19. Amlodipine therapy may need adjustment if used concurrently with meds that inhibit CYP3A4 enzymes.<\/span><\/p>\n<h3 id=\"immunosuppressants\"><span style=\"font-weight: 400;\">Immunosuppressants<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/immunosuppressant-drug\/\"><span style=\"font-weight: 400;\">Immunosuppressants<\/span><\/a><span style=\"font-weight: 400;\"> are in a broad umbrella category of drugs, and most do not interact with amlodipine. However, some important agents do pose a risk. Amlodipine can increase the levels of <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/prograf\/what-is\"><span style=\"font-weight: 400;\">Prograf<\/span><\/a><span style=\"font-weight: 400;\"> (tacrolimus), <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/rapamune\/what-is\"><span style=\"font-weight: 400;\">Rapamune<\/span><\/a><span style=\"font-weight: 400;\"> (sirolimus), and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/neoral\/what-is\"><span style=\"font-weight: 400;\">Neoral<\/span><\/a><span style=\"font-weight: 400;\"> (cyclosporine), all of which serve vital roles in preventing transplant rejection and have critical adverse effects that are avoided through careful dosing and monitoring. Hence, their interaction with amlodipine is of major importance to recognize and discuss among the healthcare team to determine what adjustments to the regimen are needed.<\/span><\/p>\n<h2 id=\"amlodipine-food-interactions\"><span style=\"font-weight: 400;\">Amlodipine food interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It does not matter if you take amlodipine with food or on an empty stomach. Limiting salt intake with amlodipine helps achieve blood pressure control goals.<\/span><\/p>\n<h3 id=\"amlodipine-and-grapefruit\"><span style=\"font-weight: 400;\">Amlodipine and grapefruit<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Grapefruit juice inhibits the CYP3A4 enzyme that metabolizes amlodipine, so an interaction exists. A <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11069440\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> did not find this to affect amlodipine users who had grapefruit juice once daily negatively.<\/span><\/p>\n<p><strong>RELATED: <a href=\"https:\/\/www.singlecare.com\/blog\/amlodipine-without-insurance\/\">How much does amlodipine cost without insurance?<\/a><\/strong><\/p>\n<h2 id=\"other-amlodipine-interactions\"><span style=\"font-weight: 400;\">Other amlodipine interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Lowering blood pressure is amlodipine\u2019s main utility, one that stimulants can undo. Conversely, the blood pressure effects of amlodipine can be problematic in certain medical scenarios.<\/span><\/p>\n<h3 id=\"amlodipine-and-caffeine\"><span style=\"font-weight: 400;\">Amlodipine and caffeine<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">In general, substances with a stimulant effect, like caffeine, can somewhat offset the antihypertensive effect of amlodipine. Still, nothing of great significance, but stimulants like cocaine and amphetamines pose more risk.<\/span><\/p>\n<h3 id=\"amlodipine-and-heart-disease\"><span style=\"font-weight: 400;\">Amlodipine and heart disease<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Lowering blood pressure too much is always a concern, but in the setting of certain heart diseases, it can be more alarming. Suppose<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/blood-pressure-levels\/\"><span style=\"font-weight: 400;\"> blood pressure quickly drops<\/span><\/a><span style=\"font-weight: 400;\"> too low and heart rate spikes upward to compensate for anyone with severe coronary artery disease. In that case, the worsening of angina or chest pain can result, or worse, a myocardial infarction or heart attack can occur. Therefore, long-acting dihydropyridine calcium channel blockers like amlodipine are safer than short-acting types like nifedipine.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Likewise, according to a <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10650289\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">review article<\/span><\/a><span style=\"font-weight: 400;\">, compared to the non-dihydropyridine calcium channel blockers verapamil and diltiazem, amlodipine may be a better choice in congestive heart failure. Amlodipine does not stifle the heart\u2019s squeezing action as much. It also may not pose as much risk in severe aortic stenosis, a condition marked by a tightened aortic heart valve. Quick dips in blood pressure from short-acting dihydropyridines are probably more risky than amlodipine. Discuss with your cardiac care provider to carefully determine the safety of using amlodipine in these situations.<\/span><\/p>\n<h3 id=\"amlodipine-and-liver-disease\"><span style=\"font-weight: 400;\">Amlodipine and liver disease<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The liver metabolizes Amlodipine. In impaired hepatic function, blood levels of amlodipine may accumulate, leading to hypotension. You can discuss with your medical provider how to dose amlodipine safely or whether to avoid it.<\/span><\/p>\n<h3 id=\"amlodipine-and-breastfeeding\"><span style=\"font-weight: 400;\">Amlodipine and breastfeeding<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">A conversation is needed between a breastfeeding mom and her medical care team to decide whether taking amlodipine is the best option. Amlodipine is detectable in the breast milk of moms taking the drug. Whether it is harmful to infants is not known.<\/span><\/p>\n<h2 id=\"how-to-minimize-amlodipine-interactions\"><span style=\"font-weight: 400;\">How to minimize amlodipine interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Your best bet to minimize amlodipine interactions is to go from realizing that amlodipine can interact with multiple meds and medical conditions to recognizing that your vigilance can help keep you safe. You must be vigilant in keeping up-to-date lists of your prescription drugs, over-the-counter therapies, supplements, and health conditions. Communicate these lists to every healthcare provider that cares for you.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It also pays to be open-minded to other options for hypertension management. Inexpensive options like lisinopril and hydrochlorothiazide exist, and the <\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><span style=\"font-weight: 400;\">SingleCare discount card<\/span><\/a><span style=\"font-weight: 400;\"> can help keep costs down.<\/span><\/p>\n<h2 id=\"when-to-talk-to-a-healthcare-provider-about-amlodipine-interactions\"><span style=\"font-weight: 400;\">When to talk to a healthcare provider about amlodipine interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Besides keeping and communicating lists, you should ask about interactions every time you are prescribed a new medication or are about to take an over-the-counter product. Your engagement and honest questions help you choose safer options if an amlodipine interaction is troublesome. While we have reviewed some of the amlodipine interactions here, more certainly exist, so getting medical advice from a professional is advisable even if you do not notice an interaction.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Amlodipine is one of the most frequently used antihypertensives, often chosen because its action as a calcium channel blocker is quite effective for lowering high blood pressure. Unfortunately, it and its brand-name version, Norvasc, are not without their faults, namely side effects like lower leg swelling and constipation, and a penchant for drug interactions. You [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":626289,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[814,737],"coauthors":[20732],"class_list":["post-626286","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-drug-interactions","tag-heart-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Amlodipine interactions to avoid | SingleCare<\/title>\n<meta name=\"description\" content=\"Amlodipine (Norvasc) interacts with statins, PDE-5 inhibitors, benzodiazepines, grapefruit, and caffeine. 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