Amlodipine and Vitamin D3, a synergy.
In patients with documented vitamin D deficiency and hypertension, vitamin D supplementation produces a small additional reduction in systolic and diastolic blood pressure on top of standard antihypertensive therapy. In vitamin-D-replete patients, the effect is negligible. Combined with amlodipine, the interaction is generally beneficial and very rarely causes hypotension.
One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
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From the interaction database
What the row says.
Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.
At a glance
- Substances
- Amlodipine and Vitamin D3
- Pair type
- Synergy
- Evidence (highest tier)
- Moderate
- Source citations
- 2 sources
- Stack Score effect
- +2 to your Stack Score (per scored synergy row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Synergy · Moderate evidence
Synergy
What is happening. In patients with documented vitamin D deficiency and hypertension, vitamin D supplementation produces a small additional reduction in systolic and diastolic blood pressure on top of standard antihypertensive therapy. In vitamin-D-replete patients, the effect is negligible. Combined with amlodipine, the interaction is generally beneficial and very rarely causes hypotension.
Mechanism. Vitamin D suppresses renin transcription and improves endothelial function. In deficiency, repletion lowers BP modestly; in sufficiency, the effect is absent.
Recommendation. If you take amlodipine and have low 25-hydroxyvitamin D (<30 ng/mL), supplement vitamin D3 to restore normal levels and monitor blood pressure for 6-12 weeks. The combination is appropriate; routine vitamin D supplementation in vitamin-D-replete patients does not lower BP.
Sources (2)
- Serra MO, de Macedo LR, Silva M, Lautner RQ. Effect of Vitamin D supplementation on blood pressure in hypertensive individuals with hypovitaminosis D: a systematic review and meta-analysis. J Hypertens. 2024;42(4):594-604. PMID 38164948
- 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 Vitamin D3 are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
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