Profiles of calcium antagonists in cardiovascular disease with special reference to second-generation agents and amlodipine.

Abstract:

:The majority of second-generation calcium antagonists are dihydropyridines, some of which show vascular selectivity. Several new dihydropyridines have been developed with comparable pharmacodynamic properties to existing calcium antagonists in this class and greatly improved kinetic half-lives. Of these agents, amlodipine has by far the longest half-life (30-40 h) allowing the benefit of once-daily administration; it has the additional property of a slow association and dissociation with the calcium channel binding site. In the treatment of hypertension and myocardial ischaemia the prolonged duration of action distinguishes amlodipine from other second-generation agents.

journal_name

Postgrad Med J

authors

Opie LH

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

S2-8

eissn

0032-5473

issn

1469-0756

journal_volume

67 Suppl 5

pub_type

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