Aranidipine

From WikiMD's medical encyclopedia

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.

Chemical structure of Aranidipine

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.

3D ball model of Aranidipine

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