Metoprolol and Nicardipine interaction

Metoprolol and Nicardipine: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Nicardipine (CARDENE IV) label · effective 2026-04-13

Moderate

However, titrate slowly when using CARDENE I.V. in combination with a beta-blocker in heart failure patients [see Warnings and Precautions (5.2) ].

Drug interactionsby drug classView label on DailyMed
Minor

Exacerbation of Heart Failure Titrate slowly when using CARDENE I.V., particularly in combination with a beta-blocker, in patients with heart failure or significant left ventricular dysfunction because of possible negative inotropic effects.

Warnings and precautionsby drug classView label on DailyMed
Minor

Beta-Blockers In most patients, CARDENE I.V. can safely be used concomitantly with beta blockers.

Drug interactionsby drug classView label on DailyMed

From the Metoprolol (Metoprolol Tartrate) label · effective 2026-01-29

Minor

Because of its relative beta 1 cardio-selectivity, however, Metoprolol Tartrate Tablets may be used in patients with bronchospastic disease who do not respond to, or cannot tolerate, other antihypertensive treatment.

Warnings and precautionsby drug classView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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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.