Calcium antagonists, side effects
Synonym(s)
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.
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.
Dosage and method of useThis section has been translated automatically.
Undesirable effectsThis section has been translated automatically.
- Cutaneous ADRs: Severe skin reactions are possible, especially erythema exsudativum multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, AGEP(pustulose, acute generalized exanthematic) usually occurring 7-10 days after the start of therapy and decreasing 10-14 days after the end of therapy).
- Other possible mucocutaneous ADRs: drug reaction, fixed; erythema, erythromelalgia, allergic skin reactions, hyperhidrosis, gingival hyperplasia, photosensitization.
- Extracutaneous ADRs: headache, bradycardia, hypotension, edema of the legs, gynecomastia (reversible after discontinuation), weight gain, impotence, menstrual disorders, arthralgia, myositis.
InteractionsThis section has been translated automatically.
ContraindicationThis section has been translated automatically.
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 ↑ |