Nifedipine is a dihydropyridine calcium channel blocker that was first synthesized in the late 1960s as part of research into cardiovascular drugs. It was developed for its ability to inhibit calcium ion influx into vascular smooth muscle and myocardial cells, leading to vasodilation and reduced blood pressure. Nifedipine was introduced into clinical use in the 1970s and has since become an important medication in the treatment of hypertension and angina pectoris.
As a calcium channel blocker, nifedipine selectively targets L-type calcium channels, preventing calcium-dependent contraction of vascular smooth muscle. This action results in arterial vasodilation, reducing peripheral resistance and lowering blood pressure. Additionally, nifedipine's ability to relax coronary arteries improves oxygen supply to the heart, making it effective in the management of angina. The drug is classified into immediate-release and extended-release formulations, with the latter designed to maintain stable plasma concentrations and minimize fluctuations in blood pressure.
Nifedipine is widely prescribed for the treatment of hypertension, particularly in patients who require long-term blood pressure management. It is also used for the treatment and prevention of chronic stable angina and variant angina, conditions characterized by reduced coronary blood flow. In some cases, nifedipine has been employed in obstetrics to manage preterm labor due to its smooth muscle relaxant properties. However, its use in this context is subject to specific clinical guidelines.
The pharmacokinetics of nifedipine include rapid absorption following oral administration, with metabolism occurring primarily in the liver through the cytochrome P450 system. The drug's elimination is predominantly renal, with inactive metabolites excreted in the urine. Due to its pharmacological profile, interactions with other medications that affect liver enzymes, such as certain antifungals and anticonvulsants, can influence its efficacy and safety.
Nifedipine remains a key medication in cardiovascular therapy, with continued research focusing on its long-term effects and potential new applications. Advances in formulation technology have contributed to improved drug delivery, ensuring sustained efficacy with reduced side effects.
References
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2025. Live-Cell Calcium Imaging in 3D Intestinal Organoids. Methods in molecular biology (Clifton, N.J.), 2792.
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2024. Severe influenza A viral pneumonia in a hemodialysis patient: successful treatment with steroid pulse therapy. CEN Case Reports, 13(6).
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