Skip to main content
Log in

Nifedipine: Kinetics and dynamics after single oral doses

  • Originals
  • Published:
Klinische Wochenschrift Aims and scope Submit manuscript

Summary

Serum nifedipine concentrations and hemodynamic changes were evaluated in ten healthy volunteers after a single 40-mg oral dose of nifedipine. Peak serum concentrations averaged 45 µg/l, attained 2.7 h after dosage. The mean elimination half-life was 5.9 h (range: 3–12 h). Blood pressure, ventricular rate, and echocardiographically-determined rate of circumferential fiber shortening did not differ between placebo and nifedipine trials. Five additional subjects ingested nifedipine once in the control state and on a second occasion with a standard breakfast. Coingestion of food delayed the peak serum nifedipine concentration but did not alter the area under the serum concentration curve. Thus the pharmacokinetic profile of nifedipine indicates that a three- or four-times-daily dose is, in general, appropriate in clinical practice. Completeness of absorption is not altered by coadministration with food. Adverse hemodynamic effects of single oral doses in healthy persons are not evident.

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

  1. Braunwald E (1982) Calcium-channel blockers: Pharmacologic considerations. Am Heart J 104:665–672

    Google Scholar 

  2. Rämsch K-D (1981) Zur Pharmakokinetik von Nifedipin. Schwerpunkt Medizin 4:55–61

    Google Scholar 

  3. Corvol P, Marre M, Banzet O, Colin JN, Thibonnier M, Singlas E, Alexandre JM (1982) Acute antihypertensive effects and pharmacokinetic parameters of a new galenic form of nifedipine. In: Kaltenbach M, Neufeld HN (eds) New Therapy of Ischemic Heart Disease and Hypertension (5th International Adalat Symposium). Excerpta Medica, Amsterdam Oxford Princeton, pp 158–162

    Google Scholar 

  4. Foster TS, Hamann SR, Richards VR, Bryant PJ, Graves DA, McAllister RG (1983) Nifedipine kinetics and bioavailability after single intravenous and oral doses in normal subjects. J Clin Pharmacol 23:161–170

    Google Scholar 

  5. Ochs HR, Grube E, Greenblatt DJ, Woo E, Bodem G (1980) Intravenous quinidine: Pharmacokinetic properties and effects on left ventricular performance in humans. Am Heart J 99:468–475

    Google Scholar 

  6. Jacobsen P, Petersen OL, Mickelsen E (1979) Gas chromatographic determination of nifedipine and one of its metabolites using electron capture detection. J Chromatogr 162:81–87

    Google Scholar 

  7. MacGregor GA, Markandu ND, Rotellar C, Smith SJ, Sagnella GA (1982) Contrasting effects of nifedipine in normotensive and hypertensive subjects: a functional abnormality of smooth muscle in essential hypertensives. In: Kaltenbach M, Neufeld HN (eds) New Therapy of Ischemic Heart Disease and Hypertension (5th International Adalat Symposium). Excerpta Medica, Amsterdam Oxford Princeton, pp 111–118

    Google Scholar 

  8. Lorell BH, Paulus WJ, Grossman W, Wynne J (1982) Improved left ventricular diastolic properties in hypertrophic cardiomyopathy treated with nifedipine. In: Kaltenbach M, Neufeld HN (eds) New Therapy of Ischemic Heart Disease and Hypertension (5th International Adalat Symposium). Excerpta Medica, Amsterdam Oxford Princeton, pp 91–97

    Google Scholar 

  9. Jansen W, Tauchert M, Hombach V, Niehues B, Behrenbeck DW, Hilger HH (1983) Hämodynamische und koronare Wirkung verschiedener Kalziumantagonisten unter Ruhebedingungen. Med Welt 34:275–281

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported in part by Grant Oc 10/6-4 from Deutsche Forschungsgemeinschaft

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ochs, H.R., Rämsch, K.D., Verburg-Ochs, B. et al. Nifedipine: Kinetics and dynamics after single oral doses. Klin Wochenschr 62, 427–429 (1984). https://doi.org/10.1007/BF01742301

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01742301

Key words

Navigation