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Two medicines, side by side

Felodipine vs isradipine

Felodipine and isradipine are both labeled for high blood pressure. Drugs@FDA records approvals of felodipine since 1991 and of isradipine since 1990. Pharmacies paid $0.123 per felodipine ER 5 mg tablet and $1.70 per isradipine 5 mg capsule (NADAC, October 7, 2026).

Check it at the source: the felodipine FDA label on DailyMed (effective August 11, 2026); the isradipine FDA label on DailyMed (effective November 30, 2023).

Highlights of the felodipine record

Felodipine (Plendil) · label of August 11, 2026

Used for

From the label: indications

Felodipine extended-release tablets, USP are indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure lowers the risk of fatal and non-fatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes including felodipine. […]

On the market

Earliest approval on file
July 25, 1991
Generic labelers
14 labelers
Pharmacy cost
$0.123 per tablet

Supply and safety

Shortage
No current entry
Recalls
3

Highlights of the isradipine record

Isradipine (Dynacirc) · label of November 30, 2023

Used for

From the label: indications

Hypertension Isradipine is indicated in the management of hypertension. It may be used alone or concurrently with thiazide-type diuretics.

On the market

Earliest approval on file
December 20, 1990
Generic labelers
3 labelers
Pharmacy cost
$1.70 per capsule

Supply and safety

Shortage
No current entry
Recalls
0

Source: FDA drug labels via openFDA (Felodipine label of August 11, 2026, Isradipine label of November 30, 2023); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do felodipine and isradipine differ on the record?

Both are in FDA's class dihydropyridine calcium channel blockers.

Generics: felodipine since 2004; isradipine since 2006 (Drugs@FDA).

FelodipineIsradipine
Labeled forHigh blood pressureHigh blood pressure
Pharmacologic classDihydropyridine Calcium Channel BlockerDihydropyridine Calcium Channel Blocker
How it works (label)n/aMechanism of Action Isradipine is a dihydropyridine calcium channel blocker. It binds to calcium channels with high affinity and specificity and inhibits calcium flux into cardiac and smooth muscle.
Half-life (label)n/aThe elimination of isradipine is biphasic with an early half-life of 1 1/2; to 2 hours, and a terminal half-life of about 8 hours.
Earliest approval on file (Drugs@FDA)July 25, 1991December 20, 1990
First generic approvedNovember 2, 2004January 5, 2006
Generic labelers (NDC)14 labelers3 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.123 per tablet (Felodipine ER 5 mg tablet)$1.70 per capsule (Isradipine 5 mg capsule)
12-month price change-27%-24%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded30
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)11,323554
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to felodipine
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