Nilvadipine: Difference between revisions

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{{Short description|A calcium channel blocker used in the treatment of hypertension and Alzheimer's disease.}}
{{Short description|Calcium channel blocker used in the treatment of hypertension}}
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| verifiedrevid = 477002123
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| image = Nilvadipine_structure.svg
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'''Nilvadipine''' is a [[calcium channel blocker]] of the [[dihydropyridine]] class. It is primarily used in the management of [[hypertension]] and has been investigated for its potential use in treating [[Alzheimer's disease]].
'''Nilvadipine''' is a [[calcium channel blocker]] used primarily in the treatment of [[hypertension]] (high blood pressure). It belongs to the class of medications known as [[dihydropyridine]] calcium channel blockers, which are known for their ability to relax and widen blood vessels, thereby improving blood flow and reducing blood pressure.


==Pharmacology==
==Pharmacology==
Nilvadipine works by inhibiting the influx of calcium ions through [[L-type calcium channel|L-type calcium channels]] in the [[smooth muscle]] cells of the [[vascular system]]. This action leads to the relaxation of vascular smooth muscle, resulting in [[vasodilation]] and a subsequent decrease in [[blood pressure]].
Nilvadipine works by inhibiting the influx of calcium ions through [[L-type calcium channel|L-type calcium channels]] in the [[smooth muscle]] cells of the [[vascular system]]. This action leads to the relaxation of vascular smooth muscle, resulting in [[vasodilation]] and a subsequent decrease in blood pressure. The drug is particularly effective in reducing [[systolic blood pressure]], which is the pressure in the arteries when the heart beats.


===Mechanism of Action===
==Clinical Use==
The primary mechanism of action of nilvadipine involves the blockade of calcium channels in the [[arterial]] smooth muscle. By preventing calcium from entering these cells, nilvadipine reduces the contractility of the smooth muscle, leading to vasodilation and reduced [[systemic vascular resistance]].
Nilvadipine is primarily prescribed for the management of hypertension. It may be used alone or in combination with other antihypertensive agents. The drug is administered orally, and the dosage is typically adjusted based on the patient's response and tolerance.


===Pharmacokinetics===
==Side Effects==
Nilvadipine is administered orally and is well absorbed from the [[gastrointestinal tract]]. It undergoes extensive first-pass metabolism in the [[liver]], resulting in a bioavailability of approximately 20-30%. The drug is highly protein-bound and is metabolized primarily by the [[cytochrome P450]] enzyme system.
Common side effects of nilvadipine include [[headache]], [[dizziness]], [[flushing]], and [[edema]] (swelling), particularly in the lower extremities. These side effects are generally mild and tend to diminish with continued use. In rare cases, more severe side effects such as [[hypotension]] (abnormally low blood pressure) and [[tachycardia]] (rapid heart rate) may occur.
 
==Clinical Uses==
Nilvadipine is primarily used in the treatment of [[hypertension]]. It has also been studied for its potential benefits in [[Alzheimer's disease]], where it may help to improve [[cerebral blood flow]] and reduce [[neuroinflammation]].
 
===Hypertension===
As a calcium channel blocker, nilvadipine is effective in lowering blood pressure by relaxing the blood vessels. It is often used in patients who require long-term management of hypertension.


===Alzheimer's Disease===
==Contraindications==
Research into nilvadipine's effects on Alzheimer's disease is ongoing. Some studies suggest that it may help to slow the progression of the disease by improving blood flow to the brain and reducing inflammation.
Nilvadipine is contraindicated in patients with known hypersensitivity to the drug or any of its components. Caution is advised when prescribing nilvadipine to patients with severe [[aortic stenosis]], as the drug's vasodilatory effects may exacerbate the condition.


==Side Effects==
==Research==
Common side effects of nilvadipine include [[headache]], [[dizziness]], [[flushing]], and [[edema]]. These effects are generally mild and often resolve with continued use. More serious side effects are rare but can include [[hypotension]] and [[tachycardia]].
Research has been conducted to explore the potential neuroprotective effects of nilvadipine, particularly in the context of [[Alzheimer's disease]]. Some studies suggest that nilvadipine may help reduce [[cerebral blood flow]] abnormalities and [[amyloid beta]] accumulation, which are characteristic of Alzheimer's disease. However, more research is needed to fully understand its efficacy and safety in this context.


==Related pages==
==Related pages==
* [[Calcium channel blocker]]
* [[Calcium channel blocker]]
* [[Hypertension]]
* [[Hypertension]]
* [[Alzheimer's disease]]
* [[Dihydropyridine]]


[[Category:Calcium channel blockers]]
[[Category:Calcium channel blockers]]
[[Category:Antihypertensive agents]]
[[Category:Antihypertensive agents]]
[[Category:Dihydropyridines]]
<gallery>
File:Nilvadipine structure.svg|Nilvadipine
</gallery>
<gallery>
File:Nilvadipine structure.svg|Nilvadipine
</gallery>

Latest revision as of 11:30, 23 March 2025

Calcium channel blocker used in the treatment of hypertension


Nilvadipine
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Nilvadipine is a calcium channel blocker used primarily in the treatment of hypertension (high blood pressure). It belongs to the class of medications known as dihydropyridine calcium channel blockers, which are known for their ability to relax and widen blood vessels, thereby improving blood flow and reducing blood pressure.

Pharmacology[edit]

Nilvadipine works by inhibiting the influx of calcium ions through L-type calcium channels in the smooth muscle cells of the vascular system. This action leads to the relaxation of vascular smooth muscle, resulting in vasodilation and a subsequent decrease in blood pressure. The drug is particularly effective in reducing systolic blood pressure, which is the pressure in the arteries when the heart beats.

Clinical Use[edit]

Nilvadipine is primarily prescribed for the management of hypertension. It may be used alone or in combination with other antihypertensive agents. The drug is administered orally, and the dosage is typically adjusted based on the patient's response and tolerance.

Side Effects[edit]

Common side effects of nilvadipine include headache, dizziness, flushing, and edema (swelling), particularly in the lower extremities. These side effects are generally mild and tend to diminish with continued use. In rare cases, more severe side effects such as hypotension (abnormally low blood pressure) and tachycardia (rapid heart rate) may occur.

Contraindications[edit]

Nilvadipine is contraindicated in patients with known hypersensitivity to the drug or any of its components. Caution is advised when prescribing nilvadipine to patients with severe aortic stenosis, as the drug's vasodilatory effects may exacerbate the condition.

Research[edit]

Research has been conducted to explore the potential neuroprotective effects of nilvadipine, particularly in the context of Alzheimer's disease. Some studies suggest that nilvadipine may help reduce cerebral blood flow abnormalities and amyloid beta accumulation, which are characteristic of Alzheimer's disease. However, more research is needed to fully understand its efficacy and safety in this context.

Related pages[edit]