Dihydropyridine calcium-channel blocker
Felodipine
Brand names: Plendil
Adult dose
Dose: Hypertension: 5mg OD initially (max 10mg). Angina: 5mg OD increased to 10mg
Route: PO
Frequency: OD
Clinical pearls
- Hypertension and angina; long-acting
- Avoid grapefruit
Contraindications
- Cardiogenic shock
- Unstable angina
- Recent MI
- Severe aortic stenosis
- Pregnancy
Side effects
- Ankle oedema
- Headache
- Flushing
- Dizziness
- Gingival hyperplasia
Interactions
- Grapefruit juice (raised levels — avoid)
- CYP3A4 inhibitors/inducers
- β-blockers (additive negative inotropy in HF)
Monitoring
- BP
- HR
Reference: BNF; NICE NG136; https://bnf.nice.org.uk/drugs/felodipine/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines