Nisoldipine

Excerpt

Nisoldipine, a dihydropyridine calcium channel blocker, is a drug used for the management of hypertension. This medication exerts its therapeutic effects by inhibiting calcium influx and blocking voltage-gated calcium channels in systemic smooth muscle cells. By reducing calcium levels, nisoldipine dilates coronary and systemic arteries. According to the American College of Cardiology/American Heart Association guidelines, nisoldipine is recommended as a first-line therapy for hypertension. It can be used as a standalone treatment or with other antihypertensive agents, such as angiotensin-converting enzyme inhibitors, diuretics, or beta-blockers. Additionally, this drug exhibits potential off-label applications for addressing ischemic heart conditions, including stable angina and Prinzmetal angina. This activity explores nisoldipine's indications, contraindications, adverse effects, and essential factors such as dosing, pharmacodynamics, pharmacokinetics, monitoring, and pertinent interactions.