Cardiovascular Medicine Book

http://www.fpnotebook.com/

Dihydropyridine Calcium Channel BlockerAka: Amlodipine, Norvasc, Nimodipine

Advertisement

  1. Mechanism
    1. Dihydropyridine Calcium Channel Blockers
    2. Nifedipine (Procardia) is prototype for class
  2. Contraindications
    1. Avoid in Diabetes Mellitus (may increase Proteinuria)
  3. Preparation: Nifedipine
    1. See Nifedipine (Procardia)
  4. Preparation: Amlodipine (Norvasc)
    1. Dosing
      1. 2.5-5mg PO qd (MAX 10mg qd)
    2. Advantages
      1. Does not exacerbate Left Ventricular Dysfunction
  5. Preparation: Nimodipine
    1. Indications: Counter Cerebral Vessel spasm
      1. Early Subarachnoid Hemorrhage
      2. Early Cerebrovascular Accident (CVA)
  6. Adverse Effects: Peripheral Edema (Norvasc)
    1. Occurs more commonly in women
    2. Occurs more commonly on Norvasc doses >5 mg
    3. Adding ACE Inhibitor to regimen decreases edema

Navigation Tree