A sensitive and reproducible electro-spray ionization liquid chromatography-mass spectrometry (ESI-LC-MS) method was developed and validated to determine the concentration of nifedipine in human plasma. Following a simple liquid-liquid extraction with methylene chloride, nifedipine and nitrendipine (used as internal standard, IS) were separated on a Diamonsil ODS column (150 mm×4.6 mm, 5 μm) by isocratic elution with acetonitrile-5 mmol/L ammonium acetate (52:48, v/v) at the flow rate of 1 mL/min, and detected by mass spectrometry in the selected ion monitoring (SIM) mode. The pseudomolecular ions [M+Na]^+ (m/z 369.0 for nifedipine and 383.1 for nitrendipine) were selected as the target ions for quantification with fragment electric voltage of 110 V for nifedipine and 100 V for IS. Method validation demonstrated that the developed method had excellent specificity and sensitivity, and acceptable precision and accuracy. Good linearity was achieved over a wide range of (2400) gg/L (r^2〉0.998). The plasma samples were stable after storing for more than 14 d and after two freeze-thaw cycles (-20 ℃ to 25 ℃). The method was successfully applied to clinical pharmacokinetic studies of nifedipine.