Interaction databaseSupplement × PrescriptionReviewed May 2026

Nifedipine and Resveratrol, a caution.

Resveratrol inhibits CYP3A4 and intestinal P-glycoprotein, and in rats it raised nicardipine AUC 111-126% via both mechanisms. Because nifedipine shares CYP3A4-mediated clearance and dihydropyridine-class side effects, co-administration with high-dose resveratrol supplements is likely to increase plasma nifedipine, producing more flushing, headache, hypotension, and reflex tachycardia.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

Sourcing standards·Evidence tiers

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
Nifedipine and Resveratrol
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. Resveratrol inhibits CYP3A4 and intestinal P-glycoprotein, and in rats it raised nicardipine AUC 111-126% via both mechanisms. Because nifedipine shares CYP3A4-mediated clearance and dihydropyridine-class side effects, co-administration with high-dose resveratrol supplements is likely to increase plasma nifedipine, producing more flushing, headache, hypotension, and reflex tachycardia.

Mechanism. Resveratrol is a mechanism-based CYP3A4 inhibitor and reduces P-gp efflux of dihydropyridines. The combined effect raises oral bioavailability and slows hepatic clearance of nifedipine.

Recommendation. Avoid high-dose resveratrol supplements while on nifedipine. If used, separate doses by at least 4 hours, monitor blood pressure for 2 weeks after starting, and reduce or stop resveratrol if you develop flushing, headache, or readings below your usual range.

Minimum separation. 240

Sources (2)
  1. Choi JS, Choi BC, Kang KW. Effect of resveratrol on the pharmacokinetics of oral and intravenous nicardipine in rats: possible role of P-glycoprotein inhibition by resveratrol. Pharmazie. 2009;64(1):49-52. PMID 19216231
  2. 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 Nifedipine and Resveratrol 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.

Check your full routine

One pair was the worked example. NutriStack runs every pair in your stack at once.

Drop in your supplements and prescriptions and the public database surfaces every interaction, synergy, timing rule, and contraindication, every one linked to its primary source.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.