Duration of action of tiapamil in stable exercise induced angina.

Abstract:

:The duration of action of tiapamil was assessed in ten patients with stable exertional angina. Maximal symptom-limited treadmill exercise electrocardiography was performed before and at 1, 3, 6 and 9 h after therapy. Significant differences were only found at 1 h after tiapamil with increases in mean exercise duration (312 vs 399 s), the time to onset of angina (221 vs 310 s) and exercise work load (5.9 vs 7.3 METS). Tiapamil had no significant effect on the exercise heart rate but increased the resting heart rate by 6 beats/minute. The resting systolic blood pressure fell by 17 mmHg (p less than 0.01), and the diastolic blood pressure by 14 mmHg. Exercise systolic and diastolic blood pressures fell by 19 and 17 mmHg respectively. Side-effects were short-lived and attributable to vasodilatation. Tiapamil is effective for the relief of angina with minimal side-effects, but its duration of action is short. For effective chronic oral use, a sustained release preparation is required.

journal_name

Eur J Clin Pharmacol

authors

Maltz MB,Davies DW,Caplin JL,Camm AJ

doi

10.1007/BF00543965

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

339-42

issue

4

eissn

0031-6970

issn

1432-1041

journal_volume

32

pub_type

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