Amlodipine and Turmeric/Curcumin, a caution.
Curcumin inhibits CYP3A4 and intestinal P-glycoprotein, both of which contribute to amlodipine clearance and absorption. In a rat pharmacokinetic study, curcumin pretreatment more than doubled amlodipine AUC and Cmax, suggesting that high-dose curcumin or curcumin phytosome formulations could push amlodipine levels into a range that causes hypotension, edema, or reflex tachycardia in humans.
One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
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What the row says.
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At a glance
- Substances
- Amlodipine and Turmeric/Curcumin
- Pair type
- Caution
- Evidence (highest tier)
- Emerging
- Source citations
- 2 sources
- Stack Score effect
- −5 to your Stack Score (per scored caution row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Caution · Emerging evidence
Caution
What is happening. Curcumin inhibits CYP3A4 and intestinal P-glycoprotein, both of which contribute to amlodipine clearance and absorption. In a rat pharmacokinetic study, curcumin pretreatment more than doubled amlodipine AUC and Cmax, suggesting that high-dose curcumin or curcumin phytosome formulations could push amlodipine levels into a range that causes hypotension, edema, or reflex tachycardia in humans.
Mechanism. Curcumin inhibits CYP3A4 (IC50 ~2.7 µM) and downregulates intestinal P-gp. Amlodipine is a CYP3A4 substrate, so reduced enzyme activity raises systemic exposure and prolongs half-life.
Recommendation. If you take amlodipine, keep turmeric to culinary amounts and avoid high-dose curcumin supplements unless your prescriber agrees. If you do use a curcumin product, separate it from amlodipine by at least 4 hours, check blood pressure for 1-2 weeks, and stop if you develop new dizziness or swelling.
Minimum separation. 240
Sources (2)
- Jiang N, Zhang M, Meng X, Sun B. Effects of curcumin on the pharmacokinetics of amlodipine in rats and its potential mechanism. Pharm Biol. 2020;58(1):465-470. PMID 32432949
- Bailey DG, Malcolm J, Arnold O, Spence JD. Grapefruit juice-drug interactions. Br J Clin Pharmacol. 1998;46(2):101-10. PMID 9723817
Stack Score
How this pair moves the number.
Effect on the composite score
If both Amlodipine and Turmeric/Curcumin are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
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