Nifedipine, a slow-calcium channel antagonist, selectively inhibits the transmembrane influx of calcium ions into cardiac muscle and vascular smooth muscle that is dependent upon for the contractile process
藥動學
The distribution and elimination half-lives are 2.5 to 3 hours and 3 to 4 hours, respectively.
禁忌症
Hypersensitivity to this or other calcium channel antagonists, advanced aortic stenosis, unstable angina pectoris, acute myocardial infarction (within 4 weeks)
懷孕分類
C
哺乳分類
Probably safe. Delaying breast feeding by 3-4 hours after a dose would significantly decrease the amount of drug ingested by the infant.
副作用
Dizziness, headache, peripheral edema (worse than with verapamil and diltiazem), flushing, rash, and gingival hyperplasia are the most common adverse events seen with the dihydropyridine derivative calcium channel antagonists including nifedipine.
劑量和給藥方法
angina and hypertension: 10-20 mg PO TID or 30-60 mg extended release PO QD; doses above 180 mg/day regular release or 90-120 mg extended release are not recommended.