Skip to main content

What the FDA labels say about taking them together

Ketoconazole and nifedipine

Nifedipine's FDA label of December 24, 2024 names ketoconazole in its drug interactions section; the ketoconazole label PlainMeds reads does not name nifedipine. The nifedipine label: “CYP3A inhibitors CYP3A inhibitors such as ketoconazole, fluconazole, itraconazole, clarithromycin, erythromycin, grapefruit, nefazodone, fluoxetine, saquinavir, indinavir, nelfinavir, and ritonavir may result in …”

Check it at the source: the ketoconazole FDA label on DailyMed (effective January 28, 2026, E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC); the nifedipine FDA label on DailyMed (effective December 24, 2024, Aurobindo Pharma Limited).

What does the ketoconazole label say about nifedipine?

Ketoconazole's label (effective January 28, 2026) does 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 (ketoconazole), E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC, effective January 28, 2026 (SPL set cad7c647-34a9-4e4e-83b3-8d78e58f588f), via openFDA; the full label on DailyMed

What does the nifedipine label say about ketoconazole?

Nifedipine label, drug interactions

CYP3A inhibitors CYP3A inhibitors such as ketoconazole, fluconazole, itraconazole, clarithromycin, erythromycin (Azithromycin, although structurally related to the class of macrolide antibiotic is void of clinically relevant CYP3A4 inhibition), grapefruit, nefazodone, fluoxetine, saquinavir, indinavir, nelfinavir, and ritonavir may result in increased exposure to nifedipine when co-administered.

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

30Ketoconazole generic labelers
32Nifedipine generic labelers
KetoconazoleNifedipine
Labeled forFungal infectionsHigh blood pressure, Angina
Boxed warningNoNo
Pharmacy cost (NADAC)$0.249 per gram 2% cream$0.130 per tablet 30 mg tablet
Shortage nowNo current entryNo 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?