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NifedipineThis page contains recent news articles, when available, and an overview of Nifedipine but does not offer medical advice. You should contact your physician with regard to any health issues or concerns.Overview: Nifedipine (when available) Nifedipine, the prototype of the dihydropyridine class of calcium-channel antagonists, is similar to other dihydropyridines including amlodipine, felodipine, isradipine, and nicardipine. Nifedipine is used to treat Prinzmetal's angina, hypertension, and other vascular disorders such as Raynaud's phenomenon. By blocking the calcium channels, Nifedipine inhibits the spasm of the coronary artery and dilates the systemic arteries, results in a increase of myocardial oxygen supply and a decrease in systemic blood pressure. For the management of vasospastic angina, chronic stable angina and hypertension Mechanism Of Action: Nifedipine inhibits the influx of extracellular calcium through myocardial and vascular membrane pores by physically plugging the channel. The decrease in intracellular calcium inhibits the contractile processes of smooth muscle cells, causing dilation of the coronary and systemic arteries, increased oxygen delivery to the myocardial tissue, decreased total peripheral resistance, decreased systemic blood pressure, and decreased afterload. News Articles on Nifedipine Myocardial Infarction In Pregnancy - 20 Apr 2009 ...fetal renal abnormalities and death.7 Nifedipine has been used in the treatment of hypertension, preeclampsia and myocardial ischemia during pregnancy, ADVANCE for Physician Assistants 防早产è?¯ä½¿ä½ 比早产更痛苦 - 20 Apr 2009 ...香港沙田å¨?尔斯亲王医院早å‰?è¿›è¡Œç ”ç©¶ï¼Œå?‘现203å??有早产迹象的å•妇,在æœ?用抑制å?宫收缩è?¯ç‰©â€œç¡?苯地平â€?(Nifedipine)å?Žï¼Œ4人出现低血压å?Šé?¢çº¢ï¼Œéœ€å?³æ—¶å?œè?¯ï¼Œå?¦æœ‰ä¸¤å??å•妇 新浪网 Zenerx - Is Zenerx a Safe Selection For ED? - Apr 3, 2009 Such as, the nifedipine medication you are taking could develop into ED. Masturbation is not a motive for erectile dysfunction. 마인드스포츠올림피아드 A pill for migraines - Apr 14, 2009 High blood pressure medications like Calcium Channel Blockers (verapamil and nifedipine) and ACE Inhibitors like lisinopril are good at 'preventing' Jamaica Gleaner Treatment and Survival in Children With Pulmonary Arterial ... - Apr 6, 2009 ...responsive to vasodilator testing, whereas 6% of patients with APAH were responsive; all patients responsive to vasodilators were started on nifedipine. Cardiosource Postlithotripsy Agents Improve Stone Outcomes - Apr 2, 2009 MET agents used in the trials were tamsulosin, nifedipine, and Phyllanthus niruri extract. Trevor D. Schuler, MD, and colleagues at St. Michael's Hospital Renal and Urology News 09年执业西è?¯å¸ˆè?¯ç?†å¦è¾…导:第二å??ä¸€ç« ç¬¬ä¸‰èŠ‚ 常用钙拮抗è?¯ - Apr 15, 2009 ...ç¡?苯地平(nifedipine),å?ˆå??心痛定。 「è?¯ç?†ä½œç”¨ã€?ç¡?苯地平的作用与维拉帕米ä¸?å?Œï¼Œå®ƒå¯¹çª¦æˆ¿ç»“房室结å?Šå¿ƒæ”¶ç¼©æ€§çš„æŠ‘åˆ¶ä½œç”¨è¾ƒå¼±ï¼Œå¯¹è¡€ç®¡çš„èˆ’å¼ ä½œç”¨æ˜Žæ˜¾ã€‚ 青年人 09年执业西è?¯å¸ˆè?¯ç‰©åŒ– - Apr 16, 2009 ...常用的è?¯ç‰©ä¾‹å¦‚:ç¡?苯地平(Nifedipineï¼‰ä¸ºç¬¬ä¸€ä»£é’™æ‹®æŠ—å‰‚ï¼›ç¬¬äºŒä»£é’™æ‹®æŠ—å‰‚æ‰©å¼ å† çŠ¶åŠ¨è„‰ä½œç”¨æ›´å¼ºï¼Œä½œç”¨ç»´æŒ?时间长,例如尼å?¡åœ°å¹³ï¼ˆNicardipine)ã€?尼群 青年人 Risico's van weeënremmers - Apr 16, 2009 Veiligste geneesmiddelen zijn atosiban, indometacin en nifedipine. Bepaalde typen weeënremmers, zoals beta-agonisten, vergroten de kans op complicaties Gezondheid.be Zenerx - Is Zenerx a Safe Selection For ED? - 18 Mar 2009 Such as, the nifedipine medication you are taking could develop into ED. Masturbation is not a motive for erectile dysfunction. Depok Metro Buyer Class Still Valid In Nifedipine Antitrust Suit - Feb 24, 2009 PLC and Teva Pharmaceuticals Ltd. of conspiring to restrain the sale of nifedipine, a generic version of hypertension drug Adalat CC. Competition Law 360 (subscription) Safety of Labor-Delaying Drugs Questioned - Mar 6, 2009 The most widely used tocolytic drugs include beta agonists and nifedipine (which relax smooth muscles, including the uterus), and atosiban and indometacin U.S. News & World Report Pre-Term Labor Meds Linked to Complications - Mar 9, 2009 The most popular tocolytics include beta agonists and nifedipine—a smooth muscle relaxer, which works on the uterine muscles—atosiban, and indometacin—a Newsinferno.com Ask the doctor: What has caused my painful chilblains - Mar 16, 2009 Medication is sometimes used to prevent recurring chilblains - the drug nifedipine opens the small blood vessels and so keeps the blood flowing; Daily Mail Safety concerns over drugs for early labour - Mar 6, 2009 The drugs most often used include ones called beta agonists and nifedipine (to relax the muscles in the womb) and atosiban and indometacin (to stop the guardian.co.uk Some Tocolytics Carry High Risk of Adverse Reactions Combinations ... - Mar 6, 2009 Of these women, 41.9 percent received atosiban, 34.3 percent received nifedipine, 13.8 percent were treated with ritodrine and fenoterol and 8 percent were Modern Medicine Penwest Pharmaceuticals Q4 2008 Earnings Call Transcript - Mar 4, 2009 ...in Penwest receiving approximately $40 million from Mylan under our agreement with them for Nifedipine which has been on the market now for 10 years. Seeking Alpha Police Torture Activist & Poet, Raul (Curly) Estremera - Mar 1, 2009 I answered no to being diabetic and verbally spelled out the medications which I had just taken: Hydrochlorothyazide, fosinopril, nifedipine, for high blood Bay Area Indymedia 출산 지연 약물 ì?¼ë¶€, 심ê°?한 합병ì¦? 위험 - Mar 8, 2009 ...대체로 ë§Žì?´ 사용ë?˜ëŠ” ìž?ê¶? 수축 ì–µì œ 약물ì?€ ë² íƒ€ ìž‘ë?™ì•½ê³¼ 니페디핀(nifedipine), ì•„í† ì‹œë°˜(atosiban)ê³¼ ì?¸ë?„ë©”íƒ€ì‹ (indometacin)등ì?´ë‹¤. 그러나 ì?´ëŸ° 약물ì?˜ 사용ì—? 데일리팜 “급여기준 30í•목 변경â€?…í•ìƒ?ì œ ì?¼ë°˜ì›?ì¹™ 등 - Feb 23, 2009 ...ì?´ì„±í˜¸ 기ìž? í•ìƒ?ì œ ì?¼ë°˜ì›?ì¹™ 등 30í•목ì?´ 변경ë?˜ê³ Nifedipine ê²½êµ¬ì œ(품명: ë‹ˆíŽ˜ë“œì†”ì • 등)등 5í•목ì?´ ì‹ ì„¤ë?œë‹¤. ë˜?한 ë¹ˆí˜ˆì¹˜ë£Œì œ ì?¼ë°˜ì›?ì¹™ 등 10í•목ì?´ ì‚ì œë?œë‹¤. 메디포뉴스 ë‹ˆíŽ˜ë“œì†”ì • 등 5품목 급여기준 ì‹ ì„¤ - Feb 22, 2009 ...í˜ˆê´€í™•ìž¥ì œì?¸ Nifedipineê²½êµ¬ì œ(품명 ë‹ˆíŽ˜ë“œì†”ì • 등) 등 5품목ì?˜ 요양급여기준ì?´ 새ë¡ê²Œ ì‹ ì„¤ë?œë‹¤. 보건복지가족부는 21ì?¼ ì?´ê°™ì?€ ë‚´ìš©ì?„ ë‹´ì?€ 요양급여기준안ì?„ 메디게이트뉴스 En büyük suçlu tuz - Mar 1, 2009 Tedavi olarak sadece Nifedipine (turuncu kapsüller) veya kaptopril tablet çiÄŸnemek. * Kan basıncı yüksekliÄŸini sadece strese baÄŸlayıp tansiyon ilacı Türkiye Gazetesi - Avrupa „Combinatie weeënremmers gevaarlijkâ€? - Mar 10, 2009 Onderzoek waarin de effectiviteit van atosiban vergeleken wordt met het meest gebruikte alternatief, nifedipine, ontbreekt nog. De wetenschappers pleiten nu Reformatorisch Dagblad What's the evidence for calcium channel blockers? - Jan 21, 2009 Two large studies have looked at the calcium channel blocker nifedipine.[2] [1] People who were given nifedipine didn't do any better than people given a guardian.co.uk, What treatments work for Raynaud's disease? - Jan 21, 2009 A medicine called nifedipine can help prevent Raynaud's attacks. But it can cause side effects. Your doctor may try other medicines but there's not enough guardian.co.uk, What treatments work for anal tears? - Jan 21, 2009 One study found that having Botox injections worked just as well as treatment with the drug nifedipine.[3] We need more research to know for certain how guardian.co.uk, What's the evidence for drugs to lower very high blood pressure ... - Jan 21, 2009 This study showed that the drug nifedipine worked better for controlling blood pressure than the drug hydralazine. Duley L, Henderson-Smart DJ. guardian.co.uk, High blood pressure - Jan 21, 2009 Calcium channel blockers: nifedipine (Adalat), amlodipine (Istin), diltiazem (Calcicard) and verapamil (Cordilox). Diuretics: bendroflumethiazide (Aprinox) guardian.co.uk, Natural Help for Ovarian Cancer - Jan 23, 2009 Do not take quercetin with cyclosporine (Neoral, Sandimunne) or nifedipine (Procardia). Increases production of immune-system chemical interleukin-2 (IL -2) Natural News.com, Stable angina - Jan 21, 2009 Examples include: diltiazem (Dilzem), nifedipine (Adalat) and verapamil (Cordilox). Calcium channel blockers can cause flushing, swelling of ankles, guardian.co.uk, What treatments work for essential tremor? - Jan 21, 2009 Examples are nifedipine (brand names Adalat and Coracten SR), nicardipine (Cardene), and nimodipine (Nimotop). There have been two studies that used calcium guardian.co.uk, What treatments work for unstable angina? - Jan 21, 2009 Common ones (and their brand names) include diltiazem (Adizem, Dilzem, Tildiem), felodipine (Plendil), nifedipine (Adalat, Coracten SR) and verapamil guardian.co.uk, Painkillers can increase the risk of car crashes, a study finds - Jan 21, 2009 ...data on who had a car crash while driving. certain drugs used to treat high blood pressure and other heart problems (such as felodepine and nifedipine). guardian.co.uk, What's the evidence for beta-blockers? - Jan 21, 2009 Total Ischaemic Burden European Trial (TIBET): effects of ischaemia and treatment with atenolol, nifedipine SR and their combination on outcome in patients guardian.co.uk, Spironolactone alleviates late cardiac remodeling after left ... - Jan 21, 2009 ...long-acting calcium-channel blocker or diuretic in the International Nifedipine GITS study: Intervention as a Goal in Hypertension Treatment (INSIGHT). The Journal of Thoracic and Cardiovascular Surgery No Benefit Shown From Drug Widely Used To Prevent Premature Births - Dec 12, 2008 The new trial is the first-ever placebo-controlled test of nifedipine, a muscle relaxant originally developed to lower blood pressure, and its effect on Science Daily (press release) Go easy on the sauce: and we don't just mean alcohol, we mean ... - Dec 22, 2008 And calcium channel blockers such as nifedipine increase the intoxicating effect of alcohol. Certain oral diabetes drugs mixed with alcohol cause facial Irish Times, LVADs Do Not Improve Post-Surgery Survival, Continued Tocolysis ... - Nov 28, 2008 In a study of 68 women who were between 24 and 34 weeks' gestation, researchers found that continued treatment with nifedipine did not significantly improve Insidermedicine, What you didn't learn in EMT School - Dec 17, 2008 Many spinal cord injury patients have nifedipine (Procardia) capsules, which they bite open and absorb in their mouth to quickly reduce their blood pressure EMS Magazine, Read instructions that come with prescription meds - Dec 15, 2008 The blood pressure medications that interact with grapefruit juice all have generic names that end in "dipine" such as nifedipine, felodipine and isradipine Jackson Clarion Ledger, å?šä¸ªå?ˆæ ¼ç—…人å?ƒè?¯æ¤ç¦?彼忌 - Dec 16, 2008 ...宇暄医å¦ä¸å¿ƒä¸»ä»»é™ˆé•œæ´²åŒ»ç”Ÿè¯´ï¼šâ€œè‘¡è?„柚æ±?ä¸?适å?ˆé…?è?¯ç‰©å?ƒï¼Œè‘¡è?„柚å?«ç±»é»„é…®ï¼Œä¼šæŠ‘åˆ¶ä½“å†…ç»†èƒžçš„é…¶ç´ ä½œç”¨ï¼Œä½¿æŸ?些é™?血压的è?¯ç‰©ï¼Œä¾‹å¦‚Nifedipine 䏿–°ç½‘, â€œê³ í˜ˆì••ì•½ 드시는 ë¶„, ì?´ëŸ° ì?Œì‹?ì?€ 피하세요â€? - Dec 2, 2008 ...ì?´ 외ì—? 암로디핀(amlodipine),니페디핀(nifedipine), 니카르디핀(nicardipine) 등 ‘칼슘채ë„? ì°¨ë‹¨ì œâ€™ëŠ” ìž?몽주스와 함께 먹으면 약 ë?…성ì?´ ë‚˜íƒ€ë‚ ìˆ˜ 있으므로 주ì?˜ ì•„ì?´ë¹„타임즈, פרויקט מיוחד: הכל על תרופות ליתר לחץ ד×? - Dec 2, 2008 ...שמות מסחריי×? של תרופות מקבוצת חוסמי תעלות הסידן: AMLOW, DILATAM,ADIZEM, AMLODIPINE-TEVA, NORVASC, OSMO-ADALAT, PENEDIL,NIFEDIPINE-TEVA, IKAPRESS, VERAPRESS. BeOK פורטל ברי×?ות ויופי, Actavis Establishes New R&D Labs in Florida - Nov 4, 2008 ...the generic equivalents of Glaxosmithline's Wellbutrin XL and SR as well as Nifedipine ER, the generic equivalent of Bayer's Adalat CC. RedOrbit, Actavis Opens Research and Development Labs in Florida - Nov 5, 2008 ...the generic equivalents of GSK's Wellbutrin XL(R)* and SR(R)* as well as Nifedipine ER, the generic equivalent of Bayer's Adalat(R)** CC. PharmaLive.com (press release), Slimming drug: Doctors warned off after links to suicide - Oct 28, 2008 Fda fingers heart drug - The calcium blocker nifedipine used to treat high blood pressure has been singled out by the US's Food and Drug Administration What Doctors Don't Tell You, Actavis opens labs in Florida - Nov 3, 2008 States include Bupropion, the generic equivalents of GlaxoSmithKline’s Wellbutrin as well as Nifedipine, the generic equivalent of Bayer’s Adalat. IceNews, Two erythematous leg rashes - Nov 19, 2008 She also had non-insulin-dependent diabetes, hyperlipidemia, and hypertension, which she managed with insulin, atorvastatin, and labetalol and nifedipine, Cortlandt Forum, LifeCoach: Our experts answer questions - Nov 17, 2008 Drugs to open the blood vessels can be helpful, such as nifedipine (which is usually used to treat high blood pressure or angina). Surgery to cut the nerves Telegraph.co.uk, Bayer earnings slip but firm says future looks bright - Oct 29, 2008 Sales of the hypertension treatment Adalat (nifedipine) were down 2.6% to 148 million euros, and the erectile dysfunction drug Levitra (vardenafil) fell Pharma Times (registration), ê²¨ìš¸ì² ë‹¤ë¹ˆë?„질환 예방과 치료<4> - Nov 20, 2008 ...ë?™ì°½ì?´ ë°œìƒ?하면 병변부를 따뜻하게 í•˜ê³ íœ´ì‹?ì?„ 취하게 하며, nicotinic acid나 nifedipineì?„ 투여하기ë?„ 한다. 추위ì—? 노출ë?˜ë©´ 그물 모양ì?˜ ì²ìž?색 ë°˜ì?´ ìƒ?겼다가 디지틀보사, Academisch Medisch Centrum Universiteit van Amsterdam - Oct 30, 2008 Het medicijn Nifedipine ontspant de baarmoederwand, en daarom bestond het vermoeden dat het zou kunnen bijdragen aan een succesvolle versie. Nieuwsbank (persbericht) (abonnement), Caso clÃnico: El paciente con hipocalcemia - Nov 18, 2008 Symptomatic hypocalcemia after tocolytic therapy with magnesium sulphate and nifedipine. Am J Obstet Gynecol 2004;190:1773-6. 48. Cooper MS, Gottoes NJ. Intramed.net (Suscripción), 「氰ã€?「石ã€?難安從三è?šæ°°èƒºè«‡å°¿è·¯çµ?石治療 - Nov 11, 2008 ...ç‰ï¼Œå’Œéˆ£é›¢å?阻斷劑Nifedipine 䏿™‚é›»å?å ±, å?šä¸ªå?ˆæ ¼ç—…人å?ƒè?¯æ¤ç¦?彼忌 - Oct 29, 2008 ...宇暄医å¦ä¸å¿ƒä¸»ä»»é™ˆé•œæ´²åŒ»ç”Ÿè¯´ï¼šâ€œè‘¡è?„柚æ±?ä¸?适å?ˆé…?è?¯ç‰©å?ƒï¼Œè‘¡è?„柚å?«ç±»é»„é…®ï¼Œä¼šæŠ‘åˆ¶ä½“å†…ç»†èƒžçš„é…¶ç´ ä½œç”¨ï¼Œä½¿æŸ?些é™?血压的è?¯ç‰©ï¼Œä¾‹å¦‚Nifedipine è?”å?ˆæ—©æŠ¥, Common Medications Cause Elderly to Lose Thinking Skills - 21 Oct 2008 The anticholinergics being taken included nifedipine (a blood pressure drug marketed as Adalat or Procardia), ranitidine (an acid reflux drug marketed as Natural News.com, Male breast growth an embarrassment - Sep 25, 2008 Some medicines can be responsible for breast growth -- the water pill spironolactone and the blood pressure medicine nifedipine are two examples. The Beacon Herald, Health Corner - Oct 13, 2008 These include: * diuretics ('water tablets'), nifedipine, cimetidine, salbutamol, terbutaline, lithium, clofibrate, penicillamine, morphine (withdrawal), Mmegi Online, Periodontitis Risk Factors - Oct 10, 2008 Some drugs, such as the anticonvulsant medication diphenylhydantoin and the anti-angina drug nifedipine, can cause abnormal growth of gum tissue. The Epoch Times, READERS RESPOND - Sep 30, 2008 However, she developed a cough while taking ramipril and was switched to nifedipine extended release, 30 mg/d. On this regimen her blood pressure was well Journal of American Medical Association (subscription), 如何æ£ç¡®æœ?用ä¸è?¯ - Oct 15, 2008 ...当归有å?¯èƒ½å¢žåŠ é™?血压è?¯ï¼ˆå¦‚:Nifedipine 大纪元 BUYINS.NET: AWYI, PPCO, ICRB Have Been Added To Naked Short List Today - Oct 8, 2008 ...pain requiring continuous opioid treatment using its TIMERx drug delivery technology; and Nifedipine XL, for the treatment of hypertension and angina. Trading Markets (press release), Do some foods stop drugs working? - Sep 12, 2008 ...may affect the action of other drugs such as benzodiazepine (Valium) or nifedipine (in blood pressure and angina pills such as Adalat and Cardilate). Times Online, Managing persistent hiccups in advanced cancer 2: treatment - Aug 29, 2008 Nifedipine is a calcium channel blocker that has been used successfully to end bouts of persistent hiccups (Quigley, 1997). Its mode of action is unclear Nursing Times, Aanvullingen en verbeteringen - Sep 5, 2008 ...oraal in te nemen middelen, zoals de cholesterolverlagers simvastatine (Zocor) en atorvastatine (Lipitor), de bloeddrukverlager nifedipine (Adelat), Volkskrant, Brand Names/Synonyms: Nifedipine is also known by the following brand names and/or synonymsAdalat; Adalat 10; Adalat 20; Adalat 5; Adalat Cc; Adalat Cr; Adalat Crono; Adalat Ft; Adalat Gits; Adalat Gits 30; Adalat La; Adalat Lp; Adalat Oros; Adalat Pa; Adalat Retard; Adalate; Adapine; Adapress; Alat; Aldipin; Alfadal; Alonix; Alonix S; Alpha-Nifedipine Retard; Angipec; Anifed; Anpine; Apo-Nifed; Aprical; BAY 1040; Bay a 1040; Bay-a 1040; Bonacid; CCRIS 6074; Calcibloc; Calcigard; Calcilat; Camont; Cardifen; Cardilat; Cardilate; Cardionorm; Chronadalate; Chronadalate Lp; Citilat; Coracten; Coral; Cordafen; Cordaflex; Cordalat; Cordicant; Cordilan; Cordipin; Corinfar; Corotrend; Corynphar; Depin; Dignokonstant; Dilafed; Dilcor; Dipinkor; Duranifin; Ecodipi; Ecodipin; Ecodipin E; Fedcor; Fedcor Retard; Fenamon; Fenamon Sr; Fenihidin; Fenihidine; Glopir; Hadipin; Hexadilat; Introcar; Kordafen; Macorel; Megalat; Myogard; N1fedilat; Nedipin; Nicardia; Nifangin; Nifar; Nifdemin; Nifebene; Nifecard; Nifecor; Nifedepat; Nifedicor; Nifedin; Nifedine; Nifedipine; Nifedipine Retard; Nifedipres; Nifedirex Lp; Nifelan; Nifelat; Nifelat Q; Nifelate; Nifensar Xl; Nificard; Nifidine; Nifipen; Niphedipine; Orix; Oxcord; Pidilat; Procardia; Procardia Xl; Sepamit; Tibricol; Zenusin Drug Category: Nifedipine is categorized under the following by the FDA: Tocolytic Agents; Vasodilator Agents; Calcium Channel Blockers; Dihydropyridines; ATC:C08CA05 Dosage Forms: CAPSULE; TABLET; TABLET (EXTENDED-RELEASE) Absorption: rapidly and fully absorbed Interactions: Interactions for Nifedipine: Beta-adrenergic Blocking Agents: Experience in over 1400 patients in a non-comparative clinical trial has shown that concomitant administration of nifedipine and beta-blocking agents is usually well tolerated, but there have been occasional literature reports suggesting that the combination may increase the likelihood of congestive heart failure, severe hypotension or exacerbation of angina. Long Acting Nitrates: Nifedipine may be safely co-administered with nitrates, but there have been no controlled studies to evaluate the antianginal effectiveness of this combination. Digitalis: Immediate Release Capsules: Since there have been isolated reports of patients with elevated digoxin levels, and there is a possible interaction between digoxin and nifedipine, it is recommended that digoxin levels be monitored when initiating, adjusting, and discontinuing nifedipine to avoid possible over- or under-digitalization. Extended Release Tablets: Administration of nifedipine with digoxin increased digoxin levels in 9 of 12 normal volunteers. The average increase was 45%. Another investigator found no increase in digoxin levels in 13 patients with coronary artery disease. In an uncontrolled study of over 200 patients with congestive heart failure during which digoxin blood levels were not measured, digitalis toxicity was not observed. Since there have been isolated reports of patients with elevated digoxin levels, it is recommended that digoxin levels be monitored when initiating, adjusting, and discontinuing nifedipine to avoid possible over- or under-digitalization. Quinidine: Immediate Release Capsules: There have been rare reports of an interaction between quinidine and nifedipine (with a decreased plasma level of quinidine). Coumarin Anticoagulants: There have been rare reports of increased prothrombin time in patients taking coumarin anticoagulants to whom nifedipine was administered. However, the relationship to nifedipine therapy is uncertain. Cimetidine: A study in 6 healthy volunteers has shown a significant increase in peak nifedipine plasma levels (80%) and area-under-the-curve (74%) after a 1 week course of cimetidine at 1000 mg per day and nifedipine at 40 mg per day. Ranitidine produced smaller, non-significant increases. The effect may be mediated by the known inhibition of cimetidine on hepatic cytochrome P-450, the enzyme system probably responsible for the first-pass metabolism of nifedipine. If nifedipine therapy is initiated in a patient currently receiving cimetidine, cautious titration is advised. Chemical IUPAC Name: dimethyl2,6-dimethyl-4-(2-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylate : |
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