Calcium antagonists, side effects

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Side effects of calcium antagonists; Side effects of calcium blocker; Side effects of calcium channel blocker; Side effects of calcum antagonists

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DefinitionThis section has been translated automatically.

Calcium channel antagonists are drugs that reduce or prevent the influx of calcium into the cell, thus causing a decoupling of electrical excitation of the cell and muscle contraction: reduction of vascular resistance, especially in the arterial part (vasodilation, RR drop), oxygen conservation.

Half-lifeThis section has been translated automatically.

3,4 ± 1,2 h

IndicationThis section has been translated automatically.

In dermatology, calcium antagonists are used in the therapy of peripheral circulatory disorders, especially Raynaud's syndrome, but also in systemic scleroderma or systemic lupus erythematosus.

Notice! In women of childbearing age, pregnancy must be ruled out before and during therapy and effective contraception must be used!

Limited indicationThis section has been translated automatically.

Pregnancy 2nd and 3rd trimester, lactation, heart failure.

Dosage and method of useThis section has been translated automatically.

2-3 times/day 10-20 mg p.o. under regular blood pressure control.

Undesirable effectsThis section has been translated automatically.

InteractionsThis section has been translated automatically.

See Table 1.

ContraindicationThis section has been translated automatically.

Pregnancy 1st trimester, aortic stenosis, AV block, severe hypertension, fresh heart attack, hypotension (< 90 mm Hg systolic).

PreparationsThis section has been translated automatically.

Adalat, Aprical, Cisday, Duranifin, Nife, Nifedipate, Nifedipine, Diltiazem

TablesThis section has been translated automatically.

Essential interactions of calcium antagonists

Amiodarone

AV block, bradycardia

Antiarrhythmics

Delay of the AV transition, cardiodepression

Antihypertensives

RR waste ↑

Ciclosporin A

Gingival hyperplasia, calcium antagonist toxicity ↑, avoid combination

Digoxin

Digoxin level ↑

Disopyramide

Cardiodepression

Fentanyl

Hypotension

Inhalation anaesthetics

AV block, cardiodepression

Calcium preparations

Calcium antagonist effect ↓

Magnesium preparations

Calcium antagonist effect ↑

Molsidomine

RR waste ↑

Naringin (grapefruit juice)

Calcium antagonist toxicity ↑

Nitro preparations

RR waste ↑

Pentoxifylline

RR waste ↑

α1 receptor blockers

RR waste ↑

β -receptor blockers

Heart failure, RR waste ↑

Rifampicin

Calcium antagonist effect ↓

Saluretics

RR waste ↑

Loop diuretics

RR waste ↑

Thiazide diuretics

RR waste ↑

Vasodilators

RR waste ↑

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Last updated on: 29.10.2020