Prescription medication · Calcium Channel Blocker

nisoldipine

Also sold as Sular. Nisoldipine extended-release tablets are used to treat high blood pressure.

Data updated 2026-05-15

1,191
FDA reportsRarely reported
2
InteractionsFew interactions
$3.62
Generic price (NADAC)

What the data shows

nisoldipine (Sular) is a prescription Calcium Channel Blocker, among the least-reported drugs the FDA tracks (1,191 FDA reports), with 2 documented drug interactions.

Reporting volume reflects how widely a drug is used and studied, not how dangerous it is, a FAERS report documents a temporal association, never proof of cause.

nisoldipine (Sular) is a prescription Calcium Channel Blocker. Nisoldipine extended-release tablets are used to treat high blood pressure.

Nisoldipine is a medicine to treat high blood pressure. It belongs to a class of drugs called calcium channel blockers.

Drug Pricing (NADAC)

Generic Price

$3.62/unit

Generic Available

Yes (2 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

View Alternatives → Compare with Another Drug → Full Side Effects Report →

What it does

Nisoldipine extended-release tablets are used to treat high blood pressure.

Common side effects

Swelling in your legs or ankles, Headache, Dizziness

Key warnings

If you are allergic to dihydropyridine calcium channel blockers, you should not take this medicine.

The sections below are summarized in plain English from nisoldipine's FDA-approved prescribing information. They describe what the official label says, and are not personal medical advice.

How It Works

Nisoldipine blocks calcium from entering certain cells. This helps to relax and widen blood vessels. As a result, blood can flow more easily, which lowers blood pressure.

Side Effects (from patient reports)

Based on 1,191 FDA adverse event reports.

Most-reported reactions

Adverse reactions in FAERS for nisoldipine, by number of reports

reports

What this shows Bars show how often each reaction was reported, not how likely it is to happen, a report records a temporal association, never proof that the drug caused it.

Source FDA Adverse Event Reporting System (FAERS) As of 2025

Reports over time

Adverse-event reports filed for nisoldipine each year to the FDA Adverse Event Reporting System (FAERS).

050100150 20042007201020132016201920222025 10

Year-to-year volume tracks usage, prescribing, and scrutiny, not a change in per-patient risk. Source: FDA FAERS.

Where nisoldipine sits

nisoldipine has more FDA adverse-event reports than 8% of the drugs FAERS tracks. A high position reflects how widely a drug is used and watched, not how dangerous it is.

fewest reports most reports

Percentile across all drugs PlainMeds tracks by FAERS report volume. The dot is nisoldipine; the line is the median (50th percentile).

FDA Adverse Event Report Analysis

Detailed analysis of 1,191 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

1,191

Reports Mentioning Death

123

10.3% of reports — not proof of cause

Hospitalization Reports

394

Top Indication

Hypertension

Gender Distribution

Female 723 (62%)
Male 439 (38%)

Age Distribution

18–44 51
45–64 264
65–74 189
75+ 242

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 NAUSEA 88
3 DIZZINESS 77
4 HEADACHE 76
5 FATIGUE 74
6 RENAL FAILURE 65
7 PAIN 64
8 DYSPNOEA 63
9 ASTHENIA 62
10 DIARRHOEA 59
11 ANXIETY 54
12 MYOCARDIAL INFARCTION 54
13 OEDEMA PERIPHERAL 54
14 HYPERTENSION 50
15 PRURITUS 49
16 CHRONIC KIDNEY DISEASE 46

Reactions in Death Reports

DEATH 39
RENAL FAILURE 21
MYOCARDIAL INFARCTION 19
COMPLETED SUICIDE 17
INJURY 14
ASTHENIA 13
CARDIAC FAILURE CONGESTIVE 12
PAIN 12
PNEUMONIA 12
ANXIETY 11

Reactions in Hospitalization Reports

DYSPNOEA 43
MYOCARDIAL INFARCTION 39
CARDIAC FAILURE CONGESTIVE 35
RENAL FAILURE 35
ASTHENIA 34
NAUSEA 33
PAIN 33
ANXIETY 31
CEREBROVASCULAR ACCIDENT 31
PNEUMONIA 31

Source: FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

If you are allergic to dihydropyridine calcium channel blockers, you should not take this medicine.

Known Drug Interactions

Calcium Channel Blockers Felodipine a Nisoldipine Contraindicated during and 2 weeks after itraconazole treatment.

Mechanism: Itraconazole blocks the enzymes that clear nisoldipine from your body, causing the drug to build up to unsafe levels.

Phenytoin when given with the combination of fosamprenavir and ritonavir may increase the concentration of amprenavir Calcium channel blockers Nifedipine, nimodipine, nisoldipine, verapamil Other Albendazole (decreases active metabolite), chlorpropamide, clozapine, cyclosporine, digoxin, disopyramide, folic acid, methadone, mexiletine, praziquantel, quetiapine a The effect of phenytoin on phenobarbital, valproic acid and sodium valproate serum levels is unpredictable 7.3 Drug/Laboratory Test Interactions Care should be taken when using immunoanalytical methods to measure serum phenytoin...

Mechanism: Phenytoin makes your body clear nisoldipine out of your system more quickly, which can make this blood pressure medicine less effective.

This is a plain-language summary of FDA-label interaction records and does not provide individual medication-combination directions.

Common Questions

Can I cut the pill in half?
No, swallow the tablet whole. Do not bite, divide, or crush it.
What should I avoid while taking this medicine?
Avoid grapefruit products before and after taking nisoldipine.
What is the starting dose?
The usual starting dose is 17 mg once daily.
What is the usual maintenance dose?
The usual maintenance dose is 17 mg to 34 mg once daily.
Can I take this with other blood pressure medicines?
Yes, nisoldipine can be used safely with diuretics, ACE inhibitors, and beta-blocking agents.
What if I am over 65 or have liver problems?
Your doctor may start you on a lower dose (not exceeding 8.5 mg daily) and monitor your blood pressure closely.
What should I do if I experience swelling in my ankles?
Talk to your doctor. Swelling in the legs or ankles is a common side effect, but your doctor can help manage it.
How long will I need to take this medication?
Continue taking nisoldipine as prescribed by your doctor. Do not stop taking it without talking to your doctor first.
What do the tablets look like?
The tablets come in different colors and strengths. The 8.5 mg tablets are beige, the 17 mg tablets are yellow, the 25.5 mg tablets are light orange, and the 34 mg tablets are orange.
What if I think I'm having a serious side effect?
Contact your doctor right away.
What are the common side effects of nisoldipine?
The registry lists Swelling in your legs or ankles, Headache, Dizziness, Sore throat, Flushing among the most-reported FAERS reaction terms for nisoldipine. The compiled record contains 1,191 FDA adverse-event reports. These counts are not an individual symptom assessment.
Does nisoldipine interact with other medications?
The registry has 2 documented interaction rows for nisoldipine. Notable source-record pairings include itraconazole, phenytoin. These rows are not a complete medication review.
What drug class is nisoldipine?
nisoldipine belongs to the Calcium Channel Blocker drug class. It requires a prescription (Rx). Nisoldipine extended-release tablets are used to treat high blood pressure.
What pregnancy or breastfeeding source fields are listed for nisoldipine?
The FDA label for nisoldipine contains product-specific pregnancy or breastfeeding language. PlainMeds does not apply that source text to an individual.

Other drugs grouped near nisoldipine - same-class peers and common alternatives.

Compare nisoldipine vs acebutolol side-by-side →

Compare beyond drug class

Nationwide peers by FAERS volume & death-report share

Two PlainMeds-derived comparison paths for nisoldipine: nearest FDA FAERS report volume and nearest death-report share among drugs with at least 1,000 logged reports, excluding same-class neighbors listed above. Counts reflect reporting volume, not proven individual harm.

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What the FDA Data Shows for nisoldipine

The FDA label for nisoldipine (sold under brand names such as Sular) classifies it as a prescription-only medication in the Calcium Channel Blocker class. Nisoldipine extended-release tablets are used to treat high blood pressure. Official labeling lists 5 commonly reported side effects, including Swelling in your legs or ankles, Headache, Dizziness.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 1,191 voluntary reports. The database also lists 2 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated major severity. NADAC pricing from CMS shows a generic unit cost of $3.62.

Report counts do not establish causation, a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information are separate source-record fields. This page is a public FDA/CMS registry and does not provide medical, treatment, substitution, or medication-change directions.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. This registry does not provide medication decisions.

Last updated: September 30, 2022

PlainMeds is rendered directly from FDA openFDA/FAERS extracts, DailyMed labels, and CMS drug-pricing files, no number is typed in by an editor. FAERS counts, recalls, shortages, and price figures on this page are queried live from those federal extracts. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026-05-15. Primary sources: openFDA / FAERS, DailyMed and CMS Part B ASP.

Data currency: FDA FAERS adverse-event reports through 2025, CMS NADAC acquisition-cost pricing effective December 2024, compiled from the source snapshot dated . See our methodology for per-source dates and refresh cadence. Spot a figure that looks wrong? Report a data issue.

All federal data sources used on this page