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What the FDA labels say about taking them together

Fentanyl and nifedipine

Nifedipine's FDA label of December 24, 2024 names fentanyl in its warnings section; the fentanyl labels PlainMeds reads (2) do not name nifedipine. The nifedipine label: “… beta-blocking agent and who underwent coronary artery bypass surgery using high dose fentanyl anesthesia.”

Check it at the source: the fentanyl FDA label on DailyMed (effective March 6, 2026, Hikma Pharmaceuticals USA Inc.); the nifedipine FDA label on DailyMed (effective December 24, 2024, Aurobindo Pharma Limited).

What does the fentanyl label say about nifedipine?

Fentanyl's label (effective March 6, 2026) and its 1 other brand-application label do not name nifedipine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Fentanyl Citrate), Hikma Pharmaceuticals USA Inc., effective March 6, 2026 (SPL set ce5db1c2-feb1-4ad2-847a-d02e865bd47e), via openFDA; the full label on DailyMed

What does the nifedipine label say about fentanyl?

Nifedipine label, warnings

Severe hypotension and/or increased fluid volume requirements have been reported in patients who received immediate release capsules together with a beta-blocking agent and who underwent coronary artery bypass surgery using high dose fentanyl anesthesia.

Source: FDA drug label (Nifedipine), Aurobindo Pharma Limited, effective December 24, 2024 (SPL set eb70b7ff-f9f0-41d0-901a-f4c04ae9ed46), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

6Fentanyl generic labelers
32Nifedipine generic labelers
FentanylNifedipine
Labeled forPainHigh blood pressure, Angina
Boxed warningYesNo
Pharmacy cost (NADAC)$1.79 per mL 100 mcg/2 mL vial$0.130 per tablet 30 mg tablet
Shortage nowIn shortageNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?