Skip to main content
Log in

Nisoldipine in primary Raynaud's phenomenon

  • Originals
  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

The efficacy and tolerability of the dihydropyridine derivative nisoldipine was assessed in 36 patients with primary Raynaud's phenomenon.

Nisoldipine was given at doses of 5 mg and 10 mg daily for one month each in a placebo controlled double-blind cross-over trial. There was no subjective improvement in symptoms or changes in resting finger blood flow, platelet aggregability or red cell deformability after nisoldipine.

The incidence of unwanted effects was similar to that previously described with nifedipine, suggesting that plasma concentrations of nisoldipine were sufficient to cause pharmacodynamic effects.

Nisoldipine, in contrast to nifedipine is ineffective in the treatment of primary Raynaud's phenomen when given in a dose of up to 10 mg/day.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Cardinal DC, Flower RJ (1980) The electronic aggregometer, a novel device for assessing platelet behaviour in blood. J Pharmacol Methods 3: 135–158

    Article  PubMed  CAS  Google Scholar 

  • Corbin DO, Wood DA, MacIntyre CC, Housley E (1986) A randomised double-blind cross-over trial of nifedipine in the treatment of primary Raynaud's phenomenon. Eur Heart J 7: 165–170

    PubMed  CAS  Google Scholar 

  • Ekelund L-G (1978) Ca-blockers and peripheral circulation — physiological viewpoints. Acta Pharmacol Toxicol (Copenh) 43 [Suppl 1]: 33–43

    CAS  Google Scholar 

  • Francis JL (1987) Improved assessment of impedance aggregometry using a microcomputer. Thromb Res 43: 851–855

    Article  Google Scholar 

  • Gjorup T, Hartling OJ, Kelbaek H, Nielsen SL (1986) Controlled double-blind trial of nisoldipine in the treatment of idiopathic Raynaud's phenomenon. Eur J Clin Pharmacol 31: 387–389

    Article  PubMed  CAS  Google Scholar 

  • Harkness J (1971) The viscosity of human blood plasma: Its measurement in health and disease. Biorheology 8: 171–193

    PubMed  CAS  Google Scholar 

  • Hills M, Armitage P (1979) The two-period cross-over clinical trial. Br J Clin Pharmacol 8: 7–20

    PubMed  CAS  Google Scholar 

  • Jeremy JY, Barradas M, Mikhailidis DP, Dandona P (1986) Effects of verapamil and nisoldipine on human platelets: In vivo and in vitro studies. Br J Clin Pharmacol 22: 201–202

    PubMed  CAS  Google Scholar 

  • Jones CR, Pasanisi F, Elliott HL, Reid JL (1985) Effects of verapamil and nisoldipine on human platelets: In vivo and in vitro studies. Br J Clin Pharmacol 20: 191–196

    PubMed  CAS  Google Scholar 

  • Kahan A, Amor B, Menkes CJ (1985) A randomised double-blind trial of diltiazem in the treatment of Raynaud's phenomenon. Ann Rheum Dis 44: 30–33

    PubMed  CAS  Google Scholar 

  • Kazda S, Garthoff B, Meyer H, Schlobmann K, Stoepel K, Towart R, Vater W, Wehinger E (1980) Pharmacology of a new calcium antagonistic compound, isobutyl methyl 1,4 dihydro-2,6-dimethyl-4(2-nitrophenyl)-3,5-pyridinedicarboxylate (Ni-soldipine, Bayer K 5552). Arzneimittelforsch 30: 2144–2162

    PubMed  CAS  Google Scholar 

  • Kinney EL, Nicholas GG, Gallo J, Pontiero C, Zelis R (1982) The treatment of severe Raynaud's phenomenon with verapamil. J Clin Pharmacol 22: 74–76

    PubMed  CAS  Google Scholar 

  • Lucas GS, Simms MH, Caldwell NH, Alexander SJC, Stuart J (1984) Haemorrheological effects of prostaglandin E1 infusion in Raynaud's syndrome. J Clin Pathol 37: 870–873

    PubMed  CAS  Google Scholar 

  • Mani R, White JE (1985) The use of photoreflectance probes and transcutaneous oxygen electrodes for investigation of leg ulcers. Bioengineering and the skin 1: 207–217

    Google Scholar 

  • Murer EH (1985) The role of platelet calcium. Semin Haematol 22: 313–323

    CAS  Google Scholar 

  • Reid HL, Barnes AL, Lock PL, Dormandy JA, Dormandy TTL (1976) A simple method for measuring erythrocyte deformability. J Clin Pathol 29: 855–858

    PubMed  CAS  Google Scholar 

  • Rhedda A, McCans J, Willan AR, Ford PM (1985) A double-blind placebo controlled cross-over randomised trial of diltiazem in Raynaud's phenomenon. J Rheumatol 12: 724–727

    PubMed  CAS  Google Scholar 

  • Roath S (1986) Managing Raynaud's phenomenon. Br Med J 293: 88–89

    Article  CAS  Google Scholar 

  • Sarkozi J, Bookman AA, Mahon W, Ramsay C, Detsky AS, Keystonee EC (1986) Nifedipine in the treatment of idiopathic Raynaud's syndrome. J Rheumatol 13: 331–336

    PubMed  CAS  Google Scholar 

  • Sowemimo-Coker SO, Debbas NMG, Kovacs IB, Turner P (1985) Ex vivo effects if nifedipine, nisoldipine and niterdipine on filterability of red blood cells from healthy volunteers. Br J Clin Pharmacol 20: 152–154

    PubMed  CAS  Google Scholar 

  • Vayssairat M, Capron L, Fiessinger J-N, Mathieu J-F, Mousset E (1981) Calcium channel blockers and Raynaud's disease. Ann Intern Med 95: 243

    PubMed  CAS  Google Scholar 

  • Waller DG, Challenor VF, Francis DA, Roath OS (1986) Clinical and rheological effects of nifedipine in Raynaud's phenomenon. Br J Clin Pharmacol 22: 449–454

    PubMed  CAS  Google Scholar 

  • Weed RI, Le Celle PW, Merrill EW (1969) Metabolic dependance of red cell deformability. J Clin Invest 48: 795–809

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Challenor, V.F., Waller, D.G., Francis, D.A. et al. Nisoldipine in primary Raynaud's phenomenon. Eur J Clin Pharmacol 33, 27–30 (1987). https://doi.org/10.1007/BF00610375

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00610375

Key words

Navigation