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'''Tiapamil''' is a [[calcium channel blocker]] used in the treatment of [[cardiovascular disease]]. It is a non-dihydropyridine member of the [[phenylalkylamine]] class, similar to [[verapamil]].
{{Short description|A calcium channel blocker}}
{{Drugbox
| verifiedfields = changed
| verifiedrevid = 477002123
| IUPAC_name = 1-(3,4-Dimethoxyphenyl)-3-(3-(dimethylamino)propyl)-1,2,3,4-tetrahydroisoquinoline
| image = Dimeditiapramine.svg
| image2 = Dimeditiapramine_3D_spacefill.png
}}
 
'''Tiapamil''' is a [[calcium channel blocker]] that is used in the treatment of [[cardiovascular disease]]. It is chemically related to [[verapamil]], another calcium channel blocker, but has distinct pharmacological properties.


==Pharmacology==
==Pharmacology==
Tiapamil acts by inhibiting the influx of [[calcium ions]] into [[cardiac muscle]] and [[smooth muscle]] cells. This inhibition results in the relaxation of these muscles, leading to a decrease in [[blood pressure]] and a reduction in [[heart rate]]. It also has anti-[[arrhythmia]] properties, making it useful in the treatment of conditions such as [[atrial fibrillation]] and [[supraventricular tachycardia]].
Tiapamil functions by inhibiting the influx of calcium ions through [[voltage-gated calcium channels]] in the [[cardiac muscle]] and [[vascular smooth muscle]]. This action results in the relaxation of the smooth muscle and a decrease in [[myocardial contractility]], which can lead to a reduction in [[blood pressure]] and an improvement in [[angina]] symptoms.
 
==Mechanism of Action==
Tiapamil binds to the L-type calcium channels, which are responsible for the slow inward current of calcium ions during the [[plateau phase]] of the [[cardiac action potential]]. By blocking these channels, tiapamil reduces the force of contraction of the heart muscle and dilates the [[coronary arteries]], improving blood flow to the heart muscle.


==Clinical Use==
==Clinical Use==
Tiapamil is used in the management of [[hypertension]], [[angina pectoris]], and certain types of cardiac arrhythmias. It is also used off-label for the prevention of [[migraine]] headaches.  
Tiapamil is primarily used in the management of [[hypertension]] and [[angina pectoris]]. It may also be used in certain cases of [[arrhythmia]], where it helps to restore normal heart rhythm by slowing down the conduction of electrical impulses through the [[atrioventricular node]].


==Side Effects==
==Side Effects==
Common side effects of Tiapamil include [[dizziness]], [[fatigue]], [[nausea]], and [[constipation]]. Less common but more serious side effects can include [[bradycardia]], [[hypotension]], and [[heart block]].  
Common side effects of tiapamil include [[dizziness]], [[headache]], [[nausea]], and [[constipation]]. As with other calcium channel blockers, it may cause [[hypotension]] and [[bradycardia]]. Patients are advised to monitor their blood pressure regularly while on this medication.
 
==Contraindications==
Tiapamil is contraindicated in patients with severe [[heart failure]], significant [[bradycardia]], and second- or third-degree [[heart block]] without a functioning [[pacemaker]].


==Drug Interactions==
==Chemical Properties==
Tiapamil can interact with a number of other medications, including [[beta blockers]], [[digoxin]], and [[statins]]. These interactions can lead to increased levels of these medications in the body, potentially resulting in toxicity.
Tiapamil is a derivative of the [[isoquinoline]] class of compounds. Its chemical structure includes a 3,4-dimethoxyphenyl group and a dimethylamino propyl side chain, which contribute to its pharmacological activity.


==See Also==
==Related pages==
* [[Calcium channel blocker]]
* [[Calcium channel blocker]]
* [[Verapamil]]
* [[Verapamil]]
* [[Cardiovascular disease]]
* [[Hypertension]]
* [[Hypertension]]
* [[Angina pectoris]]
* [[Angina pectoris]]


[[Category:Calcium channel blockers]]
[[Category:Calcium channel blockers]]
[[Category:Antiarrhythmic agents]]
[[Category:Antianginal agents]]
[[Category:Phenylalkylamines]]
[[Category:Antihypertensive agents]]
 
{{medicine-stub}}
<gallery>
File:Tiapamil.svg|Tiapamil
File:Dimeditiapramine.svg|Dimeditiapramine
File:Dimeditiapramine_3D_spacefill.png|Dimeditiapramine 3D spacefill
</gallery>
== Tiapamil ==
<gallery>
File:Dimeditiapramine.svg|Dimeditiapramine chemical structure
File:Dimeditiapramine_3D_spacefill.png|Dimeditiapramine 3D space-filling model
</gallery>

Latest revision as of 14:18, 21 February 2025

A calcium channel blocker


Tiapamil
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Tiapamil is a calcium channel blocker that is used in the treatment of cardiovascular disease. It is chemically related to verapamil, another calcium channel blocker, but has distinct pharmacological properties.

Pharmacology[edit]

Tiapamil functions by inhibiting the influx of calcium ions through voltage-gated calcium channels in the cardiac muscle and vascular smooth muscle. This action results in the relaxation of the smooth muscle and a decrease in myocardial contractility, which can lead to a reduction in blood pressure and an improvement in angina symptoms.

Mechanism of Action[edit]

Tiapamil binds to the L-type calcium channels, which are responsible for the slow inward current of calcium ions during the plateau phase of the cardiac action potential. By blocking these channels, tiapamil reduces the force of contraction of the heart muscle and dilates the coronary arteries, improving blood flow to the heart muscle.

Clinical Use[edit]

Tiapamil is primarily used in the management of hypertension and angina pectoris. It may also be used in certain cases of arrhythmia, where it helps to restore normal heart rhythm by slowing down the conduction of electrical impulses through the atrioventricular node.

Side Effects[edit]

Common side effects of tiapamil include dizziness, headache, nausea, and constipation. As with other calcium channel blockers, it may cause hypotension and bradycardia. Patients are advised to monitor their blood pressure regularly while on this medication.

Chemical Properties[edit]

Tiapamil is a derivative of the isoquinoline class of compounds. Its chemical structure includes a 3,4-dimethoxyphenyl group and a dimethylamino propyl side chain, which contribute to its pharmacological activity.

Related pages[edit]