Treatment of angina pectoris and hypertension with sustained-release calcium channel-blocking drugs.

Abstract:

:Sustained-release diltiazem (D-SR) and sustained-release verapamil (V-SR) when given twice a day have been successfully used to treat both essential hypertension and angina pectoris. Review of available studies indicates that 120 to 180 mg D-SR twice a day and 240 mg V-SR once or twice a day can lower diastolic pressure in 40% to 80% of patients with essential hypertension and that the drugs may be especially useful in patients with low-renin hypertension such as elderly and black populations. D-SR and V-SR prolong treadmill capacity and reduce frequency of angina in patients with stable effort angina. Improvement is mediated primarily by a reduction in resting and submaximal exercise heart rate. Biopharmaceutics of D-SR and V-SR feature a prolonged apparent plasma half-life and reduced peak-to-trough plasma concentration ratios during steady-state dosing.

journal_name

Circulation

journal_title

Circulation

authors

Klein MD,Weiner DA

subject

Has Abstract

pub_date

1987-06-01 00:00:00

pages

V110-3

issue

6 Pt 2

eissn

0009-7322

issn

1524-4539

journal_volume

75

pub_type

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