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Nicardipine

Structure of Nicardipine

  • Nicardipine is a dihydropyridine calcium channel blocker with a substituted phenyl ring and a methoxyethyl group attached to the dihydropyridine core.

  • Chemical Formula: C₂₂H₂₆N₂O₆

Mode of Action

  • Calcium Channel Blocking: Inhibits L-type calcium channels in vascular smooth muscle.

  • Vasodilation: Causes significant peripheral arterial dilation, reducing blood pressure.

  • Cardiac Effects: May have slight negative inotropic and chronotropic effects at higher doses.

Uses

  1. Hypertension: Effective in lowering systemic blood pressure.

  2. Hypertensive Emergencies: Intravenous formulation used in acute settings.

  3. Angina Pectoris: Alleviates chest pain by improving myocardial oxygen supply.

  4. Subarachnoid Hemorrhage: Prevents vasospasm and reduces cerebral vasoconstriction.


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