Drug Interaction Report

Etrasimod and Nifedipine: Interaction Details

Name: Etrasimod and Nifedipine Interaction
Creator: Dr. Brian Staiger, PharmD, BCPS

A pharmacist-reviewed analysis of the Etrasimod and Nifedipine interaction: the documented clinical effects, severity rating, onset, mechanism, and management considerations, with cited references throughout.

AI-assisted, pharmacist-reviewed · Source data updated Aug 8, 2026 · Sources: FDA labeling, DDInter 2.0, cited literature

Nifedipine

Adalat® Adalat® CC Afeditab CR Afeditab® CR Nifedical® XL Nifeditab® CR Procardia Procardia®

Etrasimod

Velsipity

Medically reviewed by

Dr. Brian Staiger, PharmD, BCPS

Updated Aug 8, 2026

Editorial policy · Data sources

Interaction severity

Moderate

Can be significant — usually manageable with monitoring.

Minor

Moderate

Major

Contraindicated

How we grade severity & evidence

Severity levels

Contraindicated: These should generally not be used together.
Major: Potentially serious — often needs a change or close monitoring.
Moderate: Can be significant — usually manageable with monitoring.
Minor: Usually limited clinical impact.

Evidence grades

Established: Well documented — supported by controlled studies or strong clinical data.
Probable: Good supporting evidence, though not definitively proven.
Suspected: Some evidence suggests this interaction, but it is not well established.
Possible: Limited or conflicting evidence; the interaction may occur.
Theoretical: Predicted from the drugs' pharmacology; not yet confirmed in people.

Ratings come from the documented interaction literature and are reviewed by a pharmacist. They describe the documented risk of the combination, not what will necessarily happen to you — your dose, timing, and health picture all matter.

Of 81 documented Etrasimod interactions, 18 are rated moderate — including this one.

Onset

unspecified

Evidence

theoretical

Severity

Moderate

What happens

May increase the risk of transient decrease in heart rate

Interaction Deep Dive

A transient decrease in heart rate and AV conduction delays may occur when initiating etrasimod. The risk of additive heart rate reduction following initiation of drugs that decrease heart rate such as calcium channel blockers with stable etrasimod treatment is unknown, hence seek the advice of a cardiologist before initiating a calcium channel blocker in a patient receiving stable etrasimod treatment¹.

Why it happens (mechanism)

Additive heart rate reduction

Common questions

Can I take Etrasimod and Nifedipine together?

May increase the risk of transient decrease in heart rate Always confirm with your pharmacist or prescriber before making any change.

How serious is the Etrasimod and Nifedipine interaction?

It is rated moderate. Can be significant — usually manageable with monitoring.

How quickly could this interaction happen?

The documented onset is "unspecified". The timing of this interaction is not well characterized.

How strong is the evidence for this interaction?

The evidence is graded "theoretical". Predicted from the drugs' pharmacology; not yet confirmed in people.

Questions for your pharmacist

Does my dose of Etrasimod or Nifedipine need adjusting while I take them together?
What symptoms should prompt me to call you or my prescriber right away?
Does the timing of my doses matter for this combination?
Is there anything you'd monitor while I'm on both?

References (1)

Product Information: VELSIPITY(TM) oral tablets, etrasimod oral tablets. Pfizer Labs (per FDA), New York, NY, 2023. DailyMed

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Nifedipine

Keep reading about Nifedipine

All Nifedipine interactions (325) Nifedipine drug information

Also serious with: Rifabutin Primidone Rifapentine Rifampin

Etrasimod

Keep reading about Etrasimod

All Etrasimod interactions (81)

Also serious with: Oxaliplatin Injection Sertraline Degarelix Injection Bedaquiline

Beyond drug–drug

These medications also interact with supplements

Prescription drugs aren't the whole picture — herbal and dietary supplements can interact with them too. From the evidence-graded Natural Medicines database:

Nifedipine + Activated Charcoal American Hellebore American Mistletoe Beer Coca Coleus Grapefruit Siberian Cocklebur + 265 more

Etrasimod + Activated Charcoal Beer Grapefruit Siberian Cocklebur St. John's Wort Wine Acacia Rigidula Active Hexose Correlated Compound (ahcc) + 211 more

major · moderate · minor — check everything you take with our drug–supplement interaction checker.

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A message from HelloPharmacist

About our interaction database: depth, not breadth

HelloPharmacist doesn't license one of the big commercial interaction databases, so what you'll find here is not a complete list of every known drug interaction. Instead, each entry is researched, analyzed, and written up individually — documented from the published literature, reviewed by a pharmacist, and cited so you can check every source yourself.

If a combination isn't listed here, it means we haven't documented it yet — never that it's safe. For screening a full medication list, we recommend pairing this site with a comprehensive tool like the Drugs.com Interaction Checker and, most importantly, a review by your own pharmacist. For a deep, plain-English, fully sourced explanation of a specific documented interaction — that's exactly what we built this for.

This information is for education, not a substitute for professional medical advice. Do not start, stop, or change any medication without talking to your pharmacist or prescriber.