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Nifedipine-prazosin interaction in patients with essential hypertension

  • Calcium Antagonists
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Summary

In an acute, double-blind, crossover study on 12 patients with essential hypertension, the interaction between nifedipine and prazosin was investigated in the supine position. The effectiveness of the combination of the two active drugs was greater than the combination of either of the drugs plus placebo. The effect of nifedipine was not modified by prazosin pretreatment; however, the effect of prazosin was partly inhibited, i.e., delayed, by nifedipine pretreatment. Therefore, giving prazosin as a first drug and nifedipine as the second drug seems to be a better approach than the reverse.

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References

  1. Braunwald E. Mechanism of action of calcium-channel-blocking agents.N Engl J Med 1982;307:1618–1627.

    PubMed  Google Scholar 

  2. Bolton TB. Mechanisms of action of transmitters and other substances on smooth muscle.Physiol Rev 1979;59:606–718.

    PubMed  Google Scholar 

  3. Leonetti G, Cuspindi C, Sampieri L, Terzoli L, Zanchetti A. Comparison of cardiovascular, renal, and humoral effects of acute administration of two calcium channel blockers in normotensive and hypertensive subjects.J Cardiovasc Pharmacol 1982;4 (Suppl):S319-S324.

    PubMed  Google Scholar 

  4. Van Zwieten PA, Timmermans, PBMWM. Cardiovascular alpha2-receptors.J Mol Cell Cardiol 1983;15:713–733.

    PubMed  Google Scholar 

  5. McGrath JC. Evidence for more than one type of postjunctional alpha-adrenoceptor.Biochem Pharmacol 1982; 31: 467–484.

    PubMed  Google Scholar 

  6. Kiowski W, Hulthen UL, Ritz R, Bühler FL. Alpha2-adrenoceptor-mediated vasoconstriction of arteries.Clin Pharmacol Ther 1983;34:565–569.

    PubMed  Google Scholar 

  7. Elliot HL, Reid JL. Evidence for postjunctional vascular alpha2-adrenoceptors in peripheral vascular regulation in man.Clin Sci 1983;65:237–241.

    PubMed  Google Scholar 

  8. Van Zwieten PA, van Meel JCA, Timmermans PBM WM. Pharmacology of calcium entry blockers: Interaction with vascular alpha-adrenoceptors.Hypertension 1983;5(Suppl II): 8–17.

    PubMed  Google Scholar 

  9. Saeed M, Holtz J, Elsner D, Bassenge E. Attenuation of sympathetic vasoconstriction by nifedipine: The role of vascular alpha2-adrenoceptors.Eur J Pharmacol 1983;94:149–153.

    PubMed  Google Scholar 

  10. Jee LD, Opie LH. Acute hypotensive response to nifedipine added to prazosin in treatment of hypertension (letter).Br Med J 1983;287:1514.

    Google Scholar 

  11. Timmermans PBMWM, Thoolen MJMC, de Jonge A, Wilffert B, van Zwieten PA. Calcium entry and alpha-adrenoceptor-induced vasoconstriction in vivo and in vitro. In: Refsum H, Mjos OD, (eds.) Alpha-adrenoceptor blockers in Cardiovascular Disease. Churchill Livingstone, 1985:30–50.

  12. Sluiter HE, Huysmans FTM, Thien TA, Koene RAP. The influence of alpha-adrenergic blockade on the acute antihypertensive effect of nifedipine.Eur J Clin Pharmacol 1985;29:263–267.

    PubMed  Google Scholar 

  13. Pasanisi F, Elliott HL, Meredith PA, McSharry D, Reid JL. A pharmacodynamic and pharmacokinetic investigation of combined alpha adrenoceptor antagonism and calcium channel blockade in normal man.Clin Pharm Ther 1984;36:716–723.

    Google Scholar 

  14. Vincent J, Meredith PA, Reid JL, Elliott HL, Rubin PC. Clinical pharmacokinetics of prazosin—1985.Clin Pharmacokinetics 1985;10:144–154.

    Google Scholar 

  15. Pasanisi F, Elliott HL, Meredith PA, Sumner DJ, Reid JL. Effect of calcium channel blockers on adrenergic and noradrenergic vascular responses in man.J Cardiovasc Pharmacol 1985;7:1166–1170.

    PubMed  Google Scholar 

  16. Vanhoutte PM. Calcium entry blockers and vascular smooth muscle.Circulation 1982;65:1–11.

    Google Scholar 

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Kiss, I., Farsang, C. Nifedipine-prazosin interaction in patients with essential hypertension. Cardiovasc Drug Ther 3, 413–415 (1989). https://doi.org/10.1007/BF01858112

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