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Felodipine

Felodipine
Felodipine structure.svg
Felodipine-from-xtal-1989-3D-balls.png
Clinical data
Trade names Plendil
AHFS/Drugs.com Monograph
MedlinePlus a692016
Pregnancy
category
  • US: C (Risk not ruled out)
Routes of
administration
Oral
ATC code
Legal status
Legal status
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability 15%
Metabolism Hepatic
Onset of action 2.5–5 hours
Biological half-life 25 hours
Excretion Renal
Identifiers
CAS Number
PubChem CID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
ECHA InfoCard 100.149.305
Chemical and physical data
Formula C18H19Cl2NO4
Molar mass 384.259 g/mol
3D model (Jmol)
  

Felodipine is a medication of the calcium channel blocker type which is used to treat high blood pressure.

Felodipine is used to treat high blood pressure and stable angina.

It should not be used for people who are pregnant, have acute heart failure, are having a heart attack, have an obstructed heart valve, or have obstructions that block bloodflow out of the heart.

For people with liver failure the dose needs to be lowered, because felodipine is cleared by the liver.

Felodipine is metabolized by cytochrome P450 3A4, so substances that inhibit or activate CYP3A4 can strongly effect how much felodipine is present.

CYP3A4 inhibitors, which increase the amount of felodipine available per dose, include cimetidine, erythromycin, itraconazole, , HIV protease inhibitors, and grapefruit juice.

CYP3A4 activators, which decrease the amount of felodipine available per dose, include phenytoin, carbamazepine, rifampicin, barbiturates, efavirenz, nevirapine, and Saint John's wort.

The only very common side effect, occurring in more than 1/10 people, is edema in the arms and legs.

Common side effects, occurring in between 1% and 10% of people, include flushing, headache, heart palpitations, dizziness and fatigue.


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