II. Indications

III. Dosing: Adults

  1. Background
    1. Tablets are extended release
    2. Swallow whole and do not crush or chew
    3. Take on an empty Stomach or with a light meal
  2. Start 2.5 to 5 mg orally daily
  3. Target 5 to 10 mg orally daily
  4. Maximum 10 mg/day

IV. Mechanism

  1. See Dihydropyridine Calcium Channel Blocker
  2. Peripheral Vasodilation
  3. Increases myocardial contractility and Cardiac Output

VI. Safety

  1. Pregnancy Category C
  2. Unknown Safety in Lactation

VII. Drug Interactions

  1. Felodipine Levels lowered by strong CYP3A4 Inhibitors (Ketoconazole, Itraconazole, Erythromycin)
  2. Digoxin levels are increased by Felodipine

VIII. Pharmacokinetics

  1. Slow onset of action (2 to 5 hours)

X. References

  1. (2022) Presc Lett, Resource #381108, Comparison of Calcium Channel Blockers
  2. (2020) Med Lett Drugs Ther 62(1598): 73-80
  3. Olson (2020) Clinical Pharmacology, Medmaster Miami, p. 70-1
  4. Hamilton (2020) Tarascon Pocket Pharmacopoeia

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Related Studies

Cost: Medications

felodipine (on 12/21/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
FELODIPINE ER 10 MG TABLET Generic $0.21 each
FELODIPINE ER 2.5 MG TABLET Generic $0.18 each
FELODIPINE ER 5 MG TABLET Generic $0.21 each