Aranidipine
Calcium channel blocker used in the treatment of hypertension
Aranidipine is a calcium channel blocker used primarily in the management of hypertension. It is a member of the dihydropyridine class of calcium channel blockers, which are known for their ability to selectively inhibit the influx of calcium ions into vascular smooth muscle and cardiac muscle cells, leading to vasodilation and a subsequent reduction in blood pressure.
Pharmacology
Aranidipine works by blocking the L-type calcium channels in the smooth muscle of the vasculature. This action prevents calcium from entering the cells, which is necessary for muscle contraction. As a result, the smooth muscles relax, leading to vasodilation and a decrease in peripheral vascular resistance. This mechanism helps in lowering blood pressure in patients with hypertension.
Clinical Use
Aranidipine is primarily indicated for the treatment of hypertension. It may be used alone or in combination with other antihypertensive agents such as Hydrochlorothiazide, Captopril, or Valsartan. The choice of combination therapy depends on the individual patient's response and the presence of any comorbid conditions.
Side Effects
Common side effects of aranidipine include headache, dizziness, flushing, and peripheral edema. These effects are generally mild and often resolve with continued use. As with other calcium channel blockers, there is a potential for more serious side effects such as hypotension, bradycardia, and heart block, although these are less common.
Chemical Properties
Aranidipine is a dihydropyridine derivative with a chemical structure that allows it to effectively block calcium channels. Its molecular formula is C20H25N3O6, and it has a molecular weight of 403.43 g/mol.
Mechanism of Action
The primary mechanism of action of aranidipine involves the inhibition of calcium ion influx through L-type calcium channels. This action is selective for vascular smooth muscle, which accounts for its efficacy in reducing blood pressure without significantly affecting cardiac contractility.
Related Medications
Aranidipine is part of a broader class of medications known as calcium channel blockers. Other medications in this class include Amlodipine, Nifedipine, and Felodipine. These medications share a similar mechanism of action but may differ in their pharmacokinetic profiles and side effect profiles.
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Contributors: Prab R. Tumpati, MD