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What the FDA labels say about taking them together

Nicardipine and sirolimus

Sirolimus's FDA label of January 28, 2026 names nicardipine in its drug interactions section; the nicardipine labels PlainMeds reads (2) do not name sirolimus. The sirolimus label: “… diltiazem, fluconazole, letermovir, protease inhibitors, metoclopramide, nicardipine, troleandomycin, verapamil”

Check it at the source: the nicardipine FDA label on DailyMed (effective August 24, 2024, Hikma Pharmaceuticals USA Inc.); the sirolimus FDA label on DailyMed (effective January 28, 2026, Glenmark Pharmaceuticals Inc., USA).

What does the nicardipine label say about sirolimus?

Nicardipine's label (effective August 24, 2024) and its 1 other brand-application label do not name sirolimus in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Nicardipine Hydrochloride), Hikma Pharmaceuticals USA Inc., effective August 24, 2024 (SPL set 18fb1c2b-0c1e-436c-a5b6-d4840b5da228), via openFDA; the full label on DailyMed

What does the sirolimus label say about nicardipine?

Sirolimus label, drug interactions

Drugs that could increase sirolimus blood concentrations: Bromocriptine, cimetidine, cisapride, clotrimazole, danazol, diltiazem, fluconazole, letermovir, protease inhibitors (e.g., HIV and hepatitis C that include drugs such as ritonavir, indinavir, boceprevir, and telaprevir), metoclopramide, nicardipine, troleandomycin, verapamil

Source: FDA drug label (sirolimus), Glenmark Pharmaceuticals Inc., USA, effective January 28, 2026 (SPL set 57fb4d90-3ccb-4a69-af1e-53be83f7a504), 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

25Nicardipine generic labelers
17Sirolimus generic labelers
NicardipineSirolimus
Labeled forHigh blood pressure, AnginaOrgan transplant rejection
Boxed warningNoYes
Pharmacy cost (NADAC)$1.12 per capsule 20 mg capsule$0.723 per tablet 1 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)

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