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.
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)
- 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
- 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.
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