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Nifedipine

  • Prescription medicine
  • Prescription only
  • Identity checked
  • Sources last checked 2026-09-04

This page shows what was measured, who it was measured in, and what that does not settle.

What Nifedipine does in the body

Vasospastic angina confirmed by any of the following criteria

From the FDA-approved label: A) Angina The precise mechanisms by which inhibition of calcium influx relieves angina has not been fully determined, but includes at least the following two mechanisms: 1) Relaxation and Prevention of Coronary Artery Spasm Nifedipine dilates the main coronary arteries and coronary arterioles, both in normal and ischemic regions, and is a potent inhibitor of coronary artery spasm, whether spontaneous or ergonovine-induced. This property increases myocardial oxygen delivery in patients with coronary artery spasm, and is responsible for the effectiveness of nifedipine in vasospastic (Prinzmetal's or variant) angina.

What happened in people

RNAWiki has not yet published a reviewed conclusion for this use.

A fixed RNAWiki sentence

Where this came from

Wording RNAWiki always uses, not a finding about this substance.

No reviewed claim names a result for any goal on this record.

No source is stored against this line.

The limit that matters most

Not recorded.

Where it acts
Not recorded.
Kind of result
No result is published, so no kind of result applies yet
Supervision
RNAWiki has not recorded a supervision or regulatory status for this substance.

What the registries record it as

  • The substance registry classes this as chemical.

    FDA substance registry · I9ZF7L6G2L · read 2026-08-29

Where each sentence above came from

No recorded sentence describes the change this makes in a way that stands on its own. The page opens with what it is taken for instead, and the recorded explanation follows below.

Shown as the opening line on this page.

No statement of the main limit is recorded.

The four opening statements run to 114 words.

Words this page uses

Four words worth knowing first

Chosen from what this page shows, with each one explained before the word it depends on.

Stand-in result

A stand-in result is a number measured because the real result takes too long.

A picture of it, and where the picture fails

It is like judging a journey by the speedometer rather than by arriving.

Where that stops being true. Speed does predict arrival. Many stand-in results do not predict the real one.

What people get wrong. A stand-in result is often reported as the result itself.

A surrogate endpoint substituted for a clinical endpoint, valid only where the substitution has been shown to hold.

Enzyme

An enzyme is a protein that speeds up one chemical change.

A picture of it, and where the picture fails

An enzyme is like a machine on a production line doing one cut.

Where that stops being true. A machine is switched on and off by a person. Enzymes are controlled by the cell.

What people get wrong. Enzymes are thought to be used up. They are not; they work again and again.

A catalytic protein that lowers the activation energy of a specific reaction.

Receptor

A receptor is a part of a cell that a signal fits into.

A picture of it, and where the picture fails

A receptor is like a lock waiting for one key.

Where that stops being true. A lock either opens or does not. A receptor can be half-triggered, or worn out.

What people get wrong. Fitting a receptor is read as causing a benefit. It causes a step, and nothing more.

A protein that binds a specific ligand and converts that binding into a cellular response.

Pathway

A pathway is a chain of steps inside a cell, each one setting off the next.

A picture of it, and where the picture fails

A pathway is like a row of dominoes.

Where that stops being true. Dominoes fall one way. Pathways loop back and can switch themselves off.

What people get wrong. Changing one step is read as changing the outcome. Other steps often absorb it.

An ordered series of molecular interactions producing a defined cellular change.

What happened in peopleRead from sources, not yet reviewed

What was measured, goal by goal

One row for each goal a registered study measured something for. One column for each kind of thing that could be measured.

Registered studies list 40 outcome measures that RNAWiki could read. A registered study says what someone planned to measure. It does not say what they found. 0 of the matched studies tested this substance, and 0 posted a result.

There is no single score. A strong test result and a weak life result are different facts.

Goals down the side, kinds of measurement across the top. Each cell says what kind of thing was registered, not what was found.
GoalLife outcomeWhat a body can doHow a person feelsA test resultA step in the bodyHarmsHow longWho was studied
FocusNothing in the sources checkedNo registered study lists a life outcome for this goal.Nothing in the sources checkedNo registered study lists a performance measure for this goal.Nothing in the sources checkedNo registered study lists a symptom measure for this goal.Nothing in the sources checkedNo registered study lists a test result for this goal.Nothing in the sources checkedNo registered study lists a body-step measure for this goal.Not recordedHarms were not a registered measure for this goal.Not recordedNo finished study window is recorded.Waiting for a reviewerWho was studied is listed further down the page.
Which registered measures put each goal on this table
Focus
cognitive assessment trail making test part b; cognitive assessment forward digit span test

Sorted by fixed word lists, version v1. A name the rules do not recognise stays unsorted rather than moving to the nearest column.

What each mark on this table means
Nothing in the sources checked
No registered study lists a life outcome for this goal.
Not recorded
Harms were not a registered measure for this goal.
Waiting for a reviewer
Who was studied is listed further down the page.

What happened in peopleRead from sources, not yet reviewed

What happened in people

Each card is one study: the exact question it asked, who was in it, and whether it showed what it set out to show.

Number of participants with the adverse pregnancy composite

The study did not show it

Who was studied
NCT07746271
How many people
4120
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Success Rate of standard medical management

The study did not show it

Who was studied
NCT00664846
How many people
4000
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

HAPE:Recovery

The study did not show it

Who was studied
NCT07639931
How many people
3035
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Number of Covid-19 positive participants who die, require intubation in ICU, or require hospitalization for non-invasive ventilation (NIV)

The study did not show it

Who was studied
NCT04330300
How many people
2414
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Composite Adverse Perinatal Outcome

The study did not show it

Who was studied
NCT02299414
How many people
2408
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Patient experience - Respect

The study did not show it

Who was studied
NCT04879797
How many people
1538
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot
What we know
RNAWiki holds 6 written-up human studies for this substance, each with the question it asked.
How we know it
Each card names the study, the number of people and what the study set out to measure.
What this does not prove
These summaries were written by a person and have not been signed off as reviewed claims.
Why it matters
A study that failed is as informative as one that worked, and both are here.
What we still do not know
No reviewed claim exists, so no exact population, effect size or interval is published yet.

What happened in peopleRead from sources, not yet reviewed

How close this is to real life

The top step is something a person would feel or care about. The bottom is a guess from software. Filled steps are where evidence exists for this substance.

  1. Living longer, or avoiding a major event Evidence recorded. Death, a heart attack, a stroke, a hospital stay.1 registered measure of this kind. No reviewed result.
  2. What a body can do day to day No evidence recorded. Walking, dressing, breathing, recovering.No registered study measures this.
  3. Measured performance No evidence recorded. How much was lifted, how far was run, how fast.No registered study measures this.
  4. Symptoms and quality of life Evidence recorded. Pain, tiredness, mood, sleep, as the person rated it.1 registered measure of this kind.
  5. A number that stands in for health Evidence recorded. Cholesterol, blood sugar, bone density. A stand-in, not the thing itself.10 registered measures of this kind.
  6. A step measured inside a person Evidence recorded. Something measured in human tissue or human cells.A human record sits on the stored organism ladder.
  7. Animals Evidence recorded. Mice, rats, dogs. Useful for ideas, not proof about people.Stored records in Mouse, Rat, Dog. A result in animals says what to test next. It does not say what happens in people.
  8. Cells in a dish Evidence recorded. Cells or chemistry on a bench, far from a whole body.Stored mechanism abstracts describe steps measured in cells or tissue.
  9. A guess from software No evidence recorded. Nobody measured it. RNAWiki never publishes one as a finding.RNAWiki stores no prediction for this record. Software can suggest a link. RNAWiki does not publish one as a finding.

Higher on these steps means closer to something a person would feel. It does not mean better done.

What it would be like to takeRead from sources, not yet reviewed

Felt, measured, or meaningful

Three different things that get called the same word. Registered studies measured all three, and mixing them is how a blood test becomes a health claim.

Felt

Things a person could notice without a test.

  • improvement in quality of life

Measured

Things only a test, a scale or a device shows.

  • decrease in supine systolic blood pressure
  • blood pressure
  • central systolic blood pressure
  • area under the concentration time curve
  • 24 hour ambulatory blood pressure monitoring
  • nighttime systolic blood pressure reduction
  • serum zinc
  • serum 25 d
  • serum vitamin a
  • maximum plasma concentration

Meaningful

Things that change how a life goes, not only a number.

  • prolonged hospitalization

A registered study says what someone planned to measure. It does not say what they found. A number moving is not the same as a life going better. The two are shown apart here.

Felt, but not shown to help. A person notices a change. No study showed it leads anywhere good.

Measured, but not felt. A number moves. The person notices nothing. Both can be true.

Measured, but not shown to matter. A number moves in the good direction. Nobody showed that lives went better.

Matters, but takes years. The result that counts may take longer than anyone would keep watching.

Names that fit none of the three (28)
  • drug discrimination measure
  • cognitive assessment trail making test part b
  • cognitive assessment forward digit span test
  • prolongation of pregnancy
  • proteinuria
  • rate and extend of absorption
  • systemic vascular resistance
  • reduction of preterm birth
  • recurrence of atrial fibrillation
  • treatment cost for 16 week of double blind treatment period
  • genotyping
  • preterm birth
  • maternal who achieve 48 hours of pregnancy prolongation
  • preeclampsia
  • time of delivery
  • vascular function
  • medication recommended by acog for severe hypertension
  • placenta myd88
  • placenta trif
  • placenta nfkb

These are harms, study-process measures, or names the rules did not recognise. They are shown rather than dropped.

What is missing or unclearRead from sources, not yet reviewed

Were people like you studied?

RNAWiki cannot tell whether a study fits you. It can show who was in it, and where the result stops carrying.

Who was studied

People similar to this profile were included.

  • I. Vasospastic Angina Nifedipine is indicated for the management of vasospastic angina confirmed by any of the following criteria: 1) classical pattern of angina at rest accompanied by ST segment elevation, 2) angina or coronary artery spasm provoked by ergonovine, or 3) angiographically demonstrated coronary artery spasm.

Who is missing from the studies

  • Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What the label states about particular groups

  • On pediatric, the label states: “The safety and effectiveness of Nifedipine Extended-Release tablets, USP in pediatric patients have not been established.”

    US prescribing information · ca5b0178-4e5f-4077-ada5-7058b0a03858 · read 2026-08-30

  • On older people, the label states: “Although small pharmacokinetic studies have identified an increased half-life and increased C max and AUC (See CLINICAL PHARMACOLOGY: Pharmacokinetics and Metabolism ), clinical studies of nifedipine did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects.”

    US prescribing information · ca5b0178-4e5f-4077-ada5-7058b0a03858 · read 2026-08-30

  • On people who are pregnant, the label states: “On a mg/kg or mg/m 2 basis, some of the doses associated with these various effects are higher than the maximum recommended human dose and some are lower, but all are within an order of magnitude of it.”

    US prescribing information · ca5b0178-4e5f-4077-ada5-7058b0a03858 · read 2026-08-30

  • On people who are breastfeeding, the label states: “Nursing mothers are advised not to breastfeed their babies when taking the drug.”

    US prescribing information · ca5b0178-4e5f-4077-ada5-7058b0a03858 · read 2026-08-30

Where the result stopped carrying

  • This is a scope explorer, not a diagnosis engine.
  • It shows who was studied so you can see whether people similar to you were included.

RNAWiki cannot tell whether a study fits you. It can show who was in it.

What it would be like to takeRead from sources, not yet reviewed

Why it might seem to do nothing

A real effect and a noticed effect are different things. These are the recorded reasons the two come apart.

It was studied for a different goal

The studies measured something else entirely.

On this record: Some registered studies measured things that match no goal on this page.

It was studied in different people

The people in the studies were not much like the reader.

On this record: Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

The evidence may simply be wrong

Small early studies often do not hold up.

On this record: RNAWiki has not yet published a reviewed conclusion for this use.

Other reasons RNAWiki checked and found nothing for (10)
A different form was studied
The studied form is not the form on the shelf. Nothing in this record points to this reason.
There was nothing to correct
Where a level is already normal, topping it up may change nothing. Nothing in this record points to this reason.
Something else had to happen too
In the studies it was paired with training, a diet or another treatment. Nothing in this record points to this reason.
The change is too small to feel
A real change can still sit below what a person notices. Nothing in this record points to this reason.
Day-to-day swing hides it
Sleep, food, stress and time of day move most numbers more than this would. Nothing in this record points to this reason.
Not enough time yet
The studies ran longer than the person has waited. Nothing in this record points to this reason.
It was not taken as studied
Missed days change the result, and studies count them. Nothing in this record points to this reason.
Something else changed at the same time
Two changes at once cannot be told apart afterwards. Nothing in this record points to this reason.
The product may not be what it says
Contents of a sold product are not always what the label states. Nothing in this record points to this reason.
No recorded reason
RNAWiki has nothing stored that would explain it. Nothing in this record points to this reason.

None of these is a reason to take more. Taking more is not a step this page ever suggests.

What it would be like to takeRead from sources, not yet reviewed

What taking it involves

The recorded facts about getting hold of it and using it. Nothing here is a suggestion about what you should do.

How it is supplied

Prescription only

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Read from the recorded approval status.

No source is stored against this line.

Form and route

Oral

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form and route recorded on this substance.

No source is stored against this line.

Who oversees it

RNAWiki has not recorded a supervision or regulatory status for this substance.

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

No register row and no identity class settled the question.

No source is stored against this line.

What is in the pack

Sold as tablet, extended release, capsule, tablet, film coated, extended release, given by the oral route.

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

Recorded notes on how this is sold and what that means for what is in the pack.

No source is stored against this line.

Where it is registered

Regulatory records are listed in the technical disclosure at the foot of this page.

Counted from records

Where this came from

A count of rows RNAWiki holds. It describes our records, not your body.

Register entries are stored per jurisdiction and shown with their dates.

No source is stored against this line.

Why people stop

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

No record of why people stopped taking it is stored for this substance.

No source is stored against this line.

What it would be like to takeNothing found in the sources checked

What can go wrong

Sorted by where each line came from. A regulator's label and a report somebody sent in are not the same kind of fact.

Nothing found in the sources checked

No harm is recorded against this substance in the sources RNAWiki checked. Finding nothing is not the same as showing there is nothing.

The sources listed were searched and held nothing. That is not the same as nothing existing.

Reports sent to a regulator

  • These are reports people sent to a regulator. They do not show the medicine caused the reaction.
  • Nobody counted how many people took the medicine and reported nothing.
  • The same event can be reported more than once, and many reports are incomplete.
  • News coverage, lawsuits and new warnings change how often people report.
  • A count is not a rate and not a risk.

Nifedipine appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 2349 reaction mentions were counted. One report can name several reactions.

The recorded terms (10)
  • premature baby — 426 reaction mentions
  • drug hypersensitivity — 359 reaction mentions
  • hypotension — 359 reaction mentions
  • premature delivery — 255 reaction mentions
  • low birth weight baby — 185 reaction mentions
  • hypertension — 173 reaction mentions
  • drug interaction — 159 reaction mentions
  • bradycardia — 157 reaction mentions
  • oedema peripheral — 143 reaction mentions
  • toxicity to various agents — 133 reaction mentions
  • open-targets-adr · recorded 2026-06-24 · a recorded source, not a stored snapshot

Over a long time. No completed tested study window is recorded, so long-term effects are not established by the registry record.

Groups the studies covered thinly. Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What is missing or unclearRead from sources, not yet reviewed

Does the exact form matter?

Evidence belongs to the exact thing that was tested. A different salt, a different mixture or a different preparation is a different question.

The form that was studied

Oral

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form used in the studies cited on this page.

No source is stored against this line.

What is sold

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

Nothing further is recorded about which forms are sold.

No source is stored against this line.

What is recorded as being sold

  • 157 products list this as an active ingredient in the United States drug directory. 157 of them contain it and nothing else.

    FDA National Drug Code directory · 71610-689 · read 2026-08-29

  • They are sold as capsule, capsule, liquid filled, powder, tablet, extended release and tablet, film coated, extended release, taken oral.

    FDA National Drug Code directory · 71610-689 · read 2026-08-29

  • The regulator's established pharmacologic class for it is calcium channel antagonists [moa], dihydropyridine calcium channel blocker [epc] and dihydropyridines [cs].

    FDA National Drug Code directory · 71610-689 · read 2026-08-29

  • 89 published labels name it as an active ingredient. 89 of them describe this substance alone, which is where its own label text on this page comes from.

    US prescribing information · bddfd658-ac61-4ba2-a3fa-07acc35d368a · read 2026-08-29

  • Those labels are classed as human prescription drug.

    US prescribing information · bddfd658-ac61-4ba2-a3fa-07acc35d368a · read 2026-08-29

  • Nifedipine is oral at HOW SUPPLIED Nifedipine Extended-Release Tablets, USP, are supplied as 90 mg unscored, round, film-coated tablets as follows: Strength Color Markings 90 mg Yellow 90 mg unscored, round, film-coated tablets, engraved wit…, recorded as fda label in effect 2026-02-05 in the United States.

    US prescribing information · ca5b0178-4e5f-4077-ada5-7058b0a03858 · read 2026-08-30

  • Recorded price in US: 0.25782–0.66772 USD per one unit as the pricing file counts it — a tablet, capsule, patch or single item, across 7 priced products whose strengths and pack forms differ, as of 2026-08-26, paid by retail pharmacies buying the product, as surveyed by the Centers for Medicare & Medicaid Services. It is not a list price, an insurance price, or what anyone pays at a counter..

    Recorded source · 2026-08-26 · read 2026-08-28

Evidence carries across two names for one substance. It does not carry across a salt, a mirror form or a mixture.

What it would be like to takeRead from sources, not yet reviewed

What you could measure

This one is decided with a clinician, so this section holds questions to ask rather than a plan to run.

RNAWiki could not confidently classify this substance, so no self-experiment plan is offered.

Questions worth asking

  • Which of the trials of Nifedipine studied people like me?
  • What was measured, and for how long?
  • Was the result a laboratory value or a health outcome?
  • What would we watch for, and when would we stop?

Tracking can show whether something changed for you. It cannot show what caused it.

RNAWiki records evidence. It does not say whether this substance is right for you.

What is missing or unclearRead from sources, not yet reviewed

What nobody knows yet

Open questions, each with why it is open and what would close it.

Missing populations

Which groups were under-represented in the studies has not been recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing long-term data

No completed tested study window is recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

No reviewed conclusion

RNAWiki has not yet published a reviewed conclusion for this use.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing interaction studies

No interaction was found in the registers checked. Not finding one is not the same as showing there is none.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Formulation uncertainty

Several salts, forms or products of Nifedipine are recorded. Results from one form may not transfer to another.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Mechanism not reviewed

No reviewed mechanism story exists for this substance.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

What happened in peopleRead from sources, not yet reviewed

Check any of this yourself

Every line above traced back to the study it came from. This is the technical layer, and the vocabulary changes here.

How many documents were read

  • 89 documents were read for this substance.

    RNAWiki source record

  • 56 of them state the same bioavailability, and they agree.

    RNAWiki source record

Where else this substance is registered

FDA substance identifier (UNII)
I9ZF7L6G2L
RxNorm concept
198032

Checks this page had to pass

  • Passed

    Identity resolved

    no open identity hold

  • Passed

    No unresolved merge across substance families

    no quarantine open

  • Passed

    Every public sentence names a source

    The opening statement carries the origin: Written into the record, not signed off.

  • Not passed

    Trial roles classified for highlighted evidence

    No registered study is classified as testing this substance.

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How this medicine reached us

Kept near the foot of the page. A historical event moves up only when it changes something about this substance today.

What the approval register records

  • 36 approved applications cover products containing this substance. The earliest was NDA018482, approved 19811231 to PFIZER.

    Drugs@FDA application register · NDA018482 · read 2026-08-29

  • Marketing status on the register: discontinued and prescription.

    Drugs@FDA application register · NDA018482 · read 2026-08-29

  • The earliest marketing start date recorded for a listed product is 19811231.

    FDA National Drug Code directory · 71610-689 · read 2026-08-29

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What to learn next

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Recorded evidence blocks (13)

What did Nifedipine's largest trial (22213 people) and its longest (16 years) measure?


22213 people in Nifedipine's largest registered study, 16 years in its longest registered window, measuring All-Cause-Hospitalization or All-Cause Mortality. ClinicalTrials.gov · 2026-09-01

36 phase4, 27 phase3, 20 na, 17 phase2, 13 phase1, 11 na or unstated, 2 early phase1; NCT00223717; 2017-01. Last human test completed 2026, NCT07649668.

Interpretation These counts include studies where Nifedipine was a comparison treatment, a background treatment or an exposure in an observational study, and the longest window may be a planned end date. Trial roles have not yet been classified for this record.

Show the evidence
  • phase4
    36
  • phase3
    27
  • na
    20
  • phase2
    17
  • phase1
    13
  • na or unstated
    11
2 more recorded rows
  • early phase1
    2
  • Last recorded human test NCT07649668
    2026-05-29

recorded 2026-09-01 · last checked 2026-09-04

From mouse to human: where has Nifedipine shown lifespan?


mouse: lifespan, rat: mechanism-only, dog: mechanism-only and human: lifespan (117): the rungs where Nifedipine has a recorded finding. Europe PMC and ClinicalTrials.gov · organism ladder · 2026-09-01

Interpretation All-Cause-Hospitalization or All-Cause Mortality — the recorded outcome words.

Yeast C. elegans Drosophila Mouse lifespanRat mechanism-onlyDog mechanism-onlyNon-human primate Human lifespan
Show the evidence
  • mouse
    lifespan
  • rat
    mechanism-only
  • dog
    mechanism-only
  • human NCT04467931
    lifespan; All-Cause-Hospitalization or All-Cause Mortality; 117

recorded 2026-09-01 · last checked 2026-09-04

13 of Nifedipine's trials stopped: futility/efficacy, accrual/recruitment, funding/business, sponsor decision unspecified, other?


futility/efficacy (1), accrual/recruitment (5), funding/business (1), sponsor decision unspecified (1) and other (5): Nifedipine's stop wording, clustered. ClinicalTrials.gov · 2026-09-01

"The trial was terminated because of difficulties in recruitement."; 13 of 117 registered studies

Show the evidence

Trial

  • NCT00137501
    terminated; "The trial was terminated because of difficulties in recruitement."
  • NCT00194974
    withdrawn; "Lack of funding"
  • NCT00306462
    terminated; "No enrollment in past year, lack of interest"
  • NCT01586286
    withdrawn; "No patients were recruited over a 12 month period"
  • NCT01796522
    withdrawn; "have been published new studies that it showed the ineffectiveness of the treatments proposed in this study."
  • NCT02438371
    terminated; "Study halted due to slow recruitment"
7 further recorded trials
  • NCT02912910
    withdrawn; "PI withdrew protocol"
  • NCT02933593
    withdrawn; "PI withdrew the protocol"
  • NCT02940548
    terminated; "The patient recruitment and follow-ups were influenced with the pandemic of COVID-19"
  • NCT03245970
    withdrawn; "Investigator retired. Other investigators did not want to continue study."
  • NCT03595982
    terminated; "Low enrollment"
  • NCT05139238
    terminated; "Principal investigator left the institution"
  • NCT05955040
    terminated; "The study has closed due to difficulty in enrollment."

recorded 2026-09-01 · last checked 2026-09-04

Human studies of Nifedipine used Nifedipine Extended Release tablets 60 mg, single dose — over how long?


Human studies of Nifedipine used "Nifedipine Extended Release tablets 60 mg, single dose". ClinicalTrials.gov · 2026-09-01

17 recorded entries; human; orally; also "ADALAT® CC Extended Release Tablets 60 mg", "Nifedipine 60 mg, GITS", "nifedipine (60 mg / day orally)"

Show the evidence

human

  • NCT00864617
    Nifedipine Extended Release tablets 60 mg, single dose
  • NCT00864617
    ADALAT® CC Extended Release Tablets 60 mg
  • NCT00884442
    Nifedipine 60 mg, GITS
  • NCT01796522
    orally; nifedipine (60 mg / day orally)
  • NCT02168309
    Oral nifedipine 30mg XL PO starting
  • NCT03005496
    Nifedipine 10 mg
11 more recorded rows
  • human NCT03040752
    Nifedipine 20 Mg
  • human NCT03100838
    Nifedipine 60 MG Extended Release Oral Tablet
  • human NCT03105661
    NIFEdipine 60 mg
  • human NCT03245970
    orally; Nifedipine 60 mg orally daily
  • human NCT03595982
    Procardia XL 30Mg
  • human NCT03595982
    Procardia XL 60Mg
  • human NCT03710395
    20 mg nifedipine (slow-release)
  • human NCT03949478
    Adalat XL 20 mg, DIN 02237618
  • human NCT03949478
    Adalat XL 30 mg, DIN 02155907
  • human NCT04186598
    Nifedipine 30 MG
  • human NCT07023003
    Nifedipine 30mg XL BID

recorded 2026-09-01 · last checked 2026-09-04

Could one person measure Nifedipine's effect on decrease in supine systolic blood pressure?


Decrease in supine systolic blood pressure: measured in Nifedipine's trials.

Interpretation decrease in supine systolic blood pressure is the recorded endpoint.

Show the evidence

biomarkers

  • decrease in supine systolic blood pressure; 2026-09-01
  • drug discrimination measure; 2026-09-01
  • cognitive assessment trail making test part b; 2026-09-01
  • cognitive assessment forward digit span test; 2026-09-01
  • prolongation of pregnancy; 2026-09-01
  • proteinuria; 2026-09-01
14 more recorded rows
  • biomarkers
    blood pressure; 2026-09-01
  • biomarkers
    rate and extend of absorption; 2026-09-01
  • biomarkers
    central systolic blood pressure; 2026-09-01
  • biomarkers
    systemic vascular resistance; 2026-09-01
  • biomarkers
    reduction of preterm birth; 2026-09-01
  • biomarkers
    recurrence of atrial fibrillation; 2026-09-01
  • biomarkers
    treatment cost for 16 week of double blind treatment period; 2026-09-01
  • biomarkers
    improvement in quality of life; 2026-09-01
  • biomarkers
    genotyping; 2026-09-01
  • biomarkers
    area under the concentration time curve; 2026-09-01
  • biomarkers
    preterm birth; 2026-09-01
  • biomarkers
    maternal who achieve 48 hours of pregnancy prolongation; 2026-09-01
  • biomarkers
    24 hour ambulatory blood pressure monitoring; 2026-09-01
  • biomarkers
    preeclampsia; 2026-09-01
  • half life
    2026-09-04; halfLife; 2026-08-04
  • human trials at or under30
    28
  • smallest human trial
    0; NCT00194974; PHASE1/PHASE2; the smallest recorded human enrolment at or below 30; the registry states no direction of its result; WITHDRAWN

Which of 24 hour ambulatory blood pressure monitoring, area under the concentration time curve and blood pressure did Nifedipine's trials measure?


24 hour ambulatory blood pressure monitoring, area under the concentration time curve and blood pressure lead 40 outcome terms across Nifedipine's trials. ClinicalTrials.gov · 2026-09-01

Interpretation cognitive assessment forward digit span test, prolongation of pregnancy, proteinuria, blood pressure, rate and extend of absorption and central systolic blood pressure follow.

Show the evidence
  • decrease in supine systolic blood pressure
    1
  • drug discrimination measure
    1
  • cognitive assessment trail making test part b
    1
  • cognitive assessment forward digit span test
    1
  • prolongation of pregnancy
    1
  • proteinuria
    1
14 more recorded rows
  • blood pressure
    1
  • rate and extend of absorption
    1
  • central systolic blood pressure
    1
  • systemic vascular resistance
    1
  • reduction of preterm birth
    1
  • recurrence of atrial fibrillation
    1
  • treatment cost for 16 week of double blind treatment period
    1
  • improvement in quality of life
    1
  • genotyping
    1
  • area under the concentration time curve
    1
  • preterm birth
    1
  • maternal who achieve 48 hours of pregnancy prolongation
    1
  • 24 hour ambulatory blood pressure monitoring
    1
  • preeclampsia
    1

recorded 2026-09-01 · last checked 2026-09-04

Which of Nifedipine's 13 ongoing trials reports first?


13 registered trials of Nifedipine are open; earliest completion 2024-12-01. ClinicalTrials.gov · 2026-09-01

M/P ratio; Perinatal morti-morbidity; latest 2031-11

Show the evidence

Trial

  • NCT03511118
    "Pharmacokinetics and Safety of Commonly Used Drugs in Lactating Women and Breastfed Infants"; n 1600; "M/P ratio"; 2028-07-31
  • NCT03976063
    "Tocolysis in the Management of Preterm Premature Rupture of Membranes Before 34 Weeks of Gestation"; n 857; "Perinatal morti-morbidity"; 2031-11
  • NCT04278404
    "Pharmacokinetics, Pharmacodynamics, and Safety Profile of Understudied Drugs Administered to Children Per Standard of Care (POPS)"; n 5000; "Clearance (CL) or apparent oral clearance (CL/F) as measured by PK sampling"; 2026-12
  • NCT04298034
    "Preeclampsia Postpartum Antihypertensive Treatment"; n 300; "Hospital Readmission"; 2026-09-30
  • NCT04755764
    "Effect of Labetalol, Atenolol, and Nifedipine on Maternal Hemodynamics Measured by ICG in Early Pregnancy"; n 60; "Systolic blood pressure"; 2025-12
  • NCT05309460
    "Labetalol or Nifedipine for Control of Postpartum Hypertension: A Randomized Controlled Trial"; n 600; "Readmission"; 2024-12-01
7 further recorded trials
  • NCT05551104
    "Safest Choice of Antihypertensive Regimen for Postpartum Hypertension"; n 500; "Composite maternal morbidity"; 2027-12
  • NCT05687344
    "Intensive Postpartum Antihypertensive Treatment"; n 60; "Feasibility in randomization"; 2026-08-30
  • NCT06220721
    "Reducing the Risk of Chronic Hypertension and Improving Vascular Function Following Preeclampsia"; n 618; "Chronic hypertension"; 2029-06-30
  • NCT06915792
    "PEACE Trial: Postpartum Evaluation of Antihypertensive Cessation and Efficacy"; n 110; "Continuation of antihypertensive medication"; 2027-10-31
  • NCT07023003
    "Postpartum Evaluation of Nifedipine and Enalapril for Hypertension"; n 850; "Hospital Readmission"; 2028-12
  • NCT07659665
    "Oral Nifedipine Versus Placebo for Pain and Healing After Hemorrhoidectomy"; n 100; "Visual Analogue Scale (VAS) Pain Score"; 2026-12-30
  • NCT07746271
    "Gestational Hypertension and Preeclampsia Blood Pressure (BP) Treatment Goals Less Than 140/90 vs. Less Than 160/110 mmHg: The GOALPOST Trial"; n 4120; "Number of participants with the adverse pregnancy composite"; 2030-04-30

recorded 2026-09-01 · last checked 2026-09-04

Which 47 trials of Nifedipine posted no result?


Posted no result
47 of 47 completed trials
Registrations
NCT00000478, NCT00000530, NCT00004266, NCT00672113, NCT01518855 and NCT00864617, and 41 more
Completion dates
oldest 1997-06; newest 2023-12-15
Show the evidence

Trial

  • NCT00000478
    1997-06
  • NCT00000530
    1998-06
  • NCT00004266
    1999-07
  • NCT00672113
    2004-08
  • NCT01518855
    2005-04
  • NCT00864617
    2005-05
14 further recorded trials
  • NCT00519870
    2005-07
  • NCT00865891
    2005-07
  • NCT00244530
    2005-10
  • NCT00280462
    2006-04
  • NCT00722215
    2007-12
  • NCT00185952
    2008-08
  • NCT02071589
    2009-03
  • NCT00884442
    2009-04
  • NCT00817037
    2009-07-07
  • NCT00593463
    2010-05
  • NCT00712738
    2010-09-22
  • NCT00993109
    2011-05
  • NCT01287260
    2011-08
  • NCT01435161
    2011-08

At the median, Nifedipine's trials enrolled 94 people — anything larger?


Median enrolment
94
Largest enrolment
22213
Registered trials counted
113

What do 2349 spontaneous reports say about Nifedipine — and not say?


These are reports people sent to a regulator. They do not show the medicine caused the reaction. Nobody counted how many people took the medicine and reported nothing. The same event can be reported more than once, and many reports are incomplete. News coverage, lawsuits and new warnings change how often people report. A count is not a rate and not a risk.

Nifedipine appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 2349 reaction mentions were counted: premature baby 426; drug hypersensitivity 359; hypotension 359; premature delivery 255. open-targets-adr · CHEMBL193 · 2026-06-24

Show the evidence
  • premature baby
    426
  • drug hypersensitivity
    359
  • hypotension
    359
  • premature delivery
    255
  • low birth weight baby
    185
  • hypertension
    173
4 more recorded rows
  • drug interaction
    159
  • bradycardia
    157
  • oedema peripheral
    143
  • toxicity to various agents
    133

recorded 2026-06-24 · last checked 2026-09-04

Nifedipine and CYP3A4 and CYP3A: shared by which compounds?


CYP3A4 and CYP3A appear in Nifedipine's recorded interaction sentences, 4 in all. openfda-label+europepmc · 2026-08-04

Interpretation drug_interactions

Show the evidence

CYP3A4

  • drug_interactions
    Nifedipine is metabolized by CYP3A4.
  • drug_interactions
    Co-administration of nifedipine with phenytoin, an inducer of CYP3A4, lowers the systemic exposure to nifedipine by approximately 70%.
  • drug_interactions
    Avoid co-administration of nifedipine with phenytoin or any known CYP3A4 inducer or consider an alternative antihypertensive therapy.
  • CYP3A drug_interactions
    CYP3A inhibitors such as fluconazole, itraconazole, clarithromycin, erythromycin, nefazodone, fluoxetine, saquinavir, indinavir, and nelfinavir may result in increased exposure to nifedipine when co-administered.

recorded 2026-08-04 · last checked 2026-09-04

Was Nifedipine studied with fasting and exercise?


fasting and exercise are named in Nifedipine's label sentences: "This study aimed to analyze the pharmacokinetic (PK) characteristics, safety, and bioequivalence (BE) of a test (T) preparation of a nifedipine controlled-release tablet and the reference (R) drug (Adalat GTIS) in Chinese study participants in the context of fasting and postprandial states." openfda-label+europepmc · 2026-08-04

2 recorded statements; fasting, exercise

Show the evidence
  • fasting
    This study aimed to analyze the pharmacokinetic (PK) characteristics, safety, and bioequivalence (BE) of a test (T) preparation of a nifedipine controlled-release tablet and the reference (R) drug (Adalat GTIS) in Chinese study participants in the context of fasting and postprandial states.
  • exercise
    Fifty-five subjects with mild hypertension, double-blindly randomized to placebo or to a fixed-dose combination of an angiotensin-receptor blocker (telmisartan 80 mg) and a calcium-channel blocker (nifedipine slow release 30 mg), performed a cardiopulmonary exercise test at sea level and after the first night's stay at 3260 m altitude.

recorded 2026-08-04 · last checked 2026-09-04

What is recorded about Nifedipine and AMPK?


"Contrary to the nifedipine, metformin activates AMPK, increases fatty acid oxidation, suppresses fatty acid synthesis and deposition, and thus alleviates lipotoxicity." — where Nifedipine and AMPK appear together. Europe PMC · pathway abstract search · 2024-01-01

AMPK, autophagy, NAD+, mTOR, IGF-1; PMID 39287853, 32679123, 37806540, 32214849

Show the evidence

AMPK

  • PMID 39287853
    "Contrary to the nifedipine, metformin activates AMPK, increases fatty acid oxidation, suppresses fatty acid synthesis and deposition, and thus alleviates lipotoxicity."
  • PMID 32679123
    "AMPK inhibition or transfection with AMPK siRNA showed that the anti-senescence effect of nifedipine involved AMPK activation."
  • PMID 32679123
    "These results suggest nifedipine-inducted AMPK activation suppresses VSMC senescence by regulating autophagic flux and Ca<sup>2+</sup> levels."

autophagy

  • PMID 32679123
    "These results suggest nifedipine-inducted AMPK activation suppresses VSMC senescence by regulating autophagic flux and Ca<sup>2+</sup> levels."
  • PMID 37806540
    "However, nifedipine, an inhibitor of L-type calcium ion channels, reversed TA-induced autophagy and Ca<sup>2+</sup> influx in MASMCs."
  • PMID 32214849
    "Verapamil combined with DOC or VCR induces chemoresistant lung cancer cells to death through autophagy burst and apoptosis more strongly than Diltiazem and Nifedipine."

NAD+

  • PMID 23785817
    "Nifedipine (7.5 mg/kg per os) activated NAD-depended site of respiratory chain and prevented hyperactivation of succunate-depended breath."
  • PMID 20795474
    "Nifedipine 7.5 mg/kg orally activated NAD-dependent site of cell breath and reduced hyperactivation of succinate-dependent breath by means of down-up mechanism."
  • PMID 20726343
    "Nifedipine (7.5 mg/kg per os) activated the NAD-dependent site of respiratory chain and prevented hyperactivation of the succinate-dependent breath."
  • mTOR PMID 27114559
    "Treatment with nifedipine, an inhibitor of L-type Ca(2+) channels, abrogated GDF-15-induced increases in [Ca(2+)]i and ICa The GDF-15-induced increase in ICa was mediated via up-regulation of the Cav1.3 α subunit, which was attenuated by inhibiting Akt/mTOR and ERK (extracellular-signal-regulated kinase) pathways and by pharmacological inhibition of Src-mediated TβRII phosphorylation."
  • IGF-1 PMID 8614272
    "Potentiation by IGF-1 was dependent on the presence of extracellular Ca2+ and was inhibited by verapamil or nifedipine."

recorded 2024-01-01 · last checked 2026-09-04

Where it is registered
Identifiers, relations and other names

The exact record

ChEMBL id
CHEMBL193
PubChem CID
4485
CAS number
21829-25-4
RxCUI
7417
InChIKey
HYIMSNHJOBLJNT-UHFFFAOYSA-N
Trade name
Adalat, Adalat a.r., Adalat cc, Adalate lp, Adalat ic, Adalat la 20, Adalat la 30, Adalat la 60, Adalat ret, Adanif xl, Adipine mr 10, Adipine mr 20
Development code
BAY A 1040, NSC-757242
Also called
Coracten, Nifedipine slow release, Nifedipino, Nifedipinum
Salt form
Nifedipine hydrochloride
Sources (11)

Sources

  • ClinicalTrials.gov clinicaltrials.gov ·
  • ClinicalTrials.gov ClinicalTrials.gov API v2 snapshot 2026-09-01T09:00:05 ·
  • this record's own fields 2,3,5 ·
  • Europe PMC dose-response search ·
  • Europe PMC pathway abstract search ·
  • Europe PMC search ·
5 more sources

ChEMBL ATC CC BY-SA · ClinicalTrials.gov — US Government work · Europe PMC — metadata only, under the recorded legal gate · Open Targets 26.06 — CC0 · derived from this page's own recorded fields; no external licence · mixed register set; per-register licences in docs/specs/corpus-20k-sources.md · openFDA / DailyMed — US Government work

How these records are assembled · Which registers were checked

Index-quality checks
  • identity passed: no open identity hold
  • required summary fields resolved: 5 required field(s) not terminal: Why people use it, Best-supported result, Most important common problem, Biggest unanswered question, Human evidence
  • public claims reviewed: 0 reviewed claim(s); drafts are never rendered
  • source coverage passed: 11 source rows
  • no critical contamination: no quarantine open
  • canonical metadata passed: slug and display name present
  • no raw internal fields: enforced by the copy-contract test over the rendered page

This is a record of evidence. It is not medical advice, and it does not say this substance suits you. Nothing here says any substance on RNAWiki is appropriate for a child.