Drug Interaction Report

Nimodipine and Fosaprepitant: Interaction Details

Name: Nimodipine and Fosaprepitant Interaction
Creator: Dr. Brian Staiger, PharmD, BCPS

A pharmacist-reviewed analysis of the Nimodipine and Fosaprepitant 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

Fosaprepitant

Emend Injection Focinvez

Nimodipine

Nimotop Nimotop® Nymalize Nymalize®

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 77 documented Nimodipine interactions, 33 are rated moderate — including this one.

Onset

unspecified

Evidence

theoretical

Severity

Moderate

What happens

Increased nimodipine serum levels

Interaction Deep Dive

Use of aprepitant, a CYP3A4 inhibitor², together with nimodipine, a CYP3A4 substrate, may result in increased nimodipine plasma concentrations and an increased risk of nimodipine related side effects. Increased blood pressure monitoring and dose adjustments of nimodipine may be warranted during coadministration ¹.

Why it happens (mechanism)

Inhibition of CYP3A4-mediated metabolism of nimodipine by aprepitant

Common questions

Can I take Nimodipine and Fosaprepitant together?

Increased nimodipine serum levels Always confirm with your pharmacist or prescriber before making any change.

How serious is the Nimodipine and Fosaprepitant 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 Nimodipine or Fosaprepitant 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 (2)

Product Information: nimodipine oral capsules, nimodipine oral capsules. Caraco Pharmaceutical Laboratories, Ltd. (per DailyMed), Detroit, MI, 2012. DailyMed
Product Information: EMEND(R) oral capsules, aprepitant oral capsules. Merck Sharp & Dohme Corp, Whitehouse Station, NJ, 2010. DailyMed

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Fosaprepitant

Keep reading about Fosaprepitant

All Fosaprepitant interactions (55)

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Nimodipine

Keep reading about Nimodipine

All Nimodipine interactions (77) Nimodipine drug information

Also serious with: Boceprevir Conivaptan Clarithromycin Voriconazole

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:

Fosaprepitant + Grapefruit St. John's Wort Acacia Rigidula Adrafinil African Wild Potato Alkanna Alpine Ragwort American Elder + 133 more

Nimodipine + Activated Charcoal American Hellebore American Mistletoe Grapefruit St. John's Wort Tyramine Acacia Rigidula Adrafinil + 219 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.