Grapefruit and Nifedipine interaction

Grapefruit and Nifedipine: the Nifedipine prescribing label flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Nifedipine (Procardia XL) label · effective 2025-12-16

Major

Avoid ingestion of grapefruit and grapefruit juice should be avoided while taking nifedipine.

Drug interactionsnames GrapefruitView label on DailyMed
Minor

Other Interactions Grapefruit Juice Co-administration of nifedipine with grapefruit juice resulted in approximately a doubling in nifedipine AUC and Cmax with no change in half-life.

Drug interactionsnames GrapefruitView label on DailyMed

Curated guidance for Grapefruit

Moderate

Grapefruit juice can raise blood levels of some calcium channel blockers used for blood pressure, which may cause excessive lowering of blood pressure.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.