Nicardipine Explained

Watchedfields:changed
Verifiedrevid:462260009
Iupac Name:2-[benzyl(methyl)amino]ethylmethyl-2,6-dimethyl-4-(3-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylate
Tradename:Cardene
Legal Status:Rx-only
Routes Of Administration:Oral, intravenous
Protein Bound:>95%
Elimination Half-Life:8.6 hours
Cas Number:55985-32-5
Atc Prefix:C08
Atc Suffix:CA04
Pubchem:4474
Iuphar Ligand:2559
Drugbank:DB00622
Chemspiderid:4319
Chebi:7550
Unii:CZ5312222S
Kegg:D08270
Chembl:1484
C:26
H:29
N:3
O:6
Smiles:O=C(OCCN(Cc1ccccc1)C)\C2=C(\N/C(=C(/C(=O)OC)C2c3cccc([N+]([O-])=O)c3)C)C
Stdinchi:1S/C26H29N3O6/c1-17-22(25(30)34-4)24(20-11-8-12-21(15-20)29(32)33)23(18(2)27-17)26(31)35-14-13-28(3)16-19-9-6-5-7-10-19/h5-12,15,24,27H,13-14,16H2,1-4H3
Stdinchikey:ZBBHBTPTTSWHBA-UHFFFAOYSA-N
Melting Point:136-138

Nicardipine (Cardene) is a medication used to treat high blood pressure and angina. It belongs to the dihydropyridine class of calcium channel blockers (CCBs). It is also used for Raynaud's phenomenon. It is available in by mouth and intravenous formulations. It has been used in percutaneous coronary intervention.[1]

Its mechanism of action and clinical effects closely resemble those of nifedipine and the other dihydropyridine calcium channel blockers (amlodipine, felodipine), except that nicardipine is more selective for cerebral and coronary blood vessels. It is primarily a peripheral arterial vasodilator, thus unlike the nitrovasodilators (nitroglycerin and nitroprusside), cardiac preload is minimally affected. It has the longest duration among parenteral CCBs.[2] [3] As its use may lead to reflex tachycardia, it is advisable to use it in conjunction with a beta-blocker.[3] [2]

It was patented in 1973 and approved for medical use in 1981.[4]

Nicardipine was approved by the FDA in December 1988. The patent for both Cardene and Cardene SR expired in October 1995.[5]

See also

Notes and References

  1. Huang RI, Patel P, Walinsky P, Fischman DL, Ogilby JD, Awar M, Frankil C, Savage MP . 6 . Efficacy of intracoronary nicardipine in the treatment of no-reflow during percutaneous coronary intervention . Catheterization and Cardiovascular Interventions . 68 . 5 . 671–676 . November 2006 . 17034064 . 10.1002/ccd.20885 . 37071966 .
  2. Book: Freeman BS . 2014 . Vasodilators . Freeman BS, Berger JS . Anesthesiology Core Review: Part One Basic Exam. . McGraw Hill . https://accessanesthesiology.mhmedical.com/content.aspx?bookid=974&sectionid=61590560 . 978-0-07-182137-7 .
  3. Book: Sutters M . 2022 . Hypertensive urgencies & emergencies. . Papadakis MA, McPhee SJ, Rabow MW, McQuaid KR . Current Medical Diagnosis & Treatment . McGraw Hill . https://accessmedicine.mhmedical.com/content.aspx?bookid=3081&sectionid=258962164 . 978-1-2642-6938-9 .
  4. Book: Fischer J, Ganellin CR . Analogue-based Drug Discovery . 2006 . John Wiley & Sons . 978-3-527-60749-5 . 464 . en.
  5. Web site: Nicardipine . Medline Plus . U.S. National Library of Medicine .