Nifedipine is used to treat hypertension (high blood pressure) and angina (chest pain).
Calcium channel blockers
The nosological classification (ICD-10)
I10 Essential (primary) hypertension
I15 Secondary hypertension
I20 Angina [angina]
I20.1 Angina pectoris with documented spasm
I27 Other forms of cardiopulmonary diseases
I73.0 Raynaud’s Syndrome
J98.8.0 * Bronchospasm
Nifedipine * (Nifedipine *). Application: Hypertension, including hypertensive crisis, prevention of angina attacks (including Prinzmetal angina), hypertrophic cardiomyopathy
Mode of action — antianginal, hypotensive.
Blocks calcium channels inhibit the transmembrane entry of calcium ions into smooth muscle cells of blood vessels and cardiomyocytes. It increases peripheral primarily arterial, blood vessels, including coronary, lowers blood pressure (possible slight reflex tachycardia and increased cardiac output), and reduces peripheral vascular resistance and afterload on the heart. Increases coronary blood flow, reduces the force of heart contraction, heart function and myocardial oxygen demand. It improves myocardial function and helps to reduce the size of the heart in patients with chronic heart failure. Lowers blood pressure in the pulmonary artery, it has a positive effect on cerebral hemodynamics. Inhibits Platelet aggregation has antiatherogenic properties (especially with prolonged use), improves circulation poststenotic atherosclerosis. Increases the excretion of sodium and water, it lowers the tone of the myometrium (tocolytic effect).
Application of Nifedipine
Hypertension, including hypertensive crisis, prevention of angina attacks (including Prinzmetal angina), hypertrophic cardiomyopathy (obstructive, etc..), Raynaud’s syndrome, pulmonary hypertension, bronchial obstruction.
Hypersensitivity, the acute phase of myocardial infarction (the first 8 days), cardiogenic shock, marked aortic stenosis, chronic heart failure decompensation, severe arterial hypotension, pregnancy, breastfeeding.
Mitral stenosis; hypertrophic obstructive cardiomyopathy; AV blockade II and III level; bradycardia or tachycardia; syndrome sick sinus; malignant hypertension; hypovolemia; severe violations of cerebral circulation; myocardial infarction with left ventricular failure; obstruction of the esophagus, bowel obstruction or narrowing of the lumen of the gastrointestinal tract in history; permanent stoma valve to the tank (Coca pocket) on the ileum after total proctocolectomy; inflammatory bowel disease; Crohn’s disease; renal and / or hepatic impairment; hemodialysis (because of the risk of hypotension); pregnancy (II and III trimester); concomitant use of beta-blockers, digoxin.
Restrictions apply to
Age 18 years (Safety and efficacy have not been determined).
Pregnancy and breast-feeding
Contraindicated during pregnancy.
Category effects on the fetus by FDA — C.
At the time of treatment should stop breastfeeding.
Side effects of Nifedipine
Cardio-vascular system and blood (blood, hemostasis: frequently (early treatment) — facial flushing with hot flashes, palpitations, tachycardia, rarely — hypotension (until fainting), pain, such stenokardicheskie, very rarely — anemia, leukopenia , thrombocytopenia, thrombocytopenic purpura.
From the nervous system and sensory organs: the beginning of treatment — dizziness, headache, rarely — a stunning, very rarely — change of visual perception, disturbance of sensation in the hands and feet.
From the digestive tract: often — constipation, rarely — nausea, diarrhea, rarely — gingival hyperplasia (long-term treatment), increase in liver transaminases.
From the respiratory system: rarely — bronchospasm.
From the musculoskeletal system: very rarely — myalgia, tremor.
Allergic reactions: itching, hives, rash, rarely — exfoliative dermatitis.
Other: often (early treatment) — swelling and redness of the hands and feet, very rarely — fotodermatit, hyperglycemia, gynecomastia (elderly patients), a burning sensation at the injection site (with on / in the introduction).