|ATC code||C08CA03 (WHO)|
|Biological half-life||8 hours|
|Excretion||70% Renal, 30% Fecal|
|Chemical and physical data|
|Molar mass||371.387 g/mol|
|3D model (Jmol)||Interactive image|
Isradipine (tradenames DynaCirc, Prescal) is a calcium channel blocker of the dihydropyridine class. It is usually prescribed for the treatment of high blood pressure in order to reduce the risk of stroke and heart attack.
-Warmth, redness, or tingly feeling under your skin
-Weakness, tired feeling
-Nausea, vomiting, diarrhea, upset stomach
-Skin rash or itching
-Lightheadedness or fainting
-Shortness of breath, especially from minimal physical activity
-Swelling in the hands and feet
-Rapid and/or heavy heartbeat
Significant Drug Interactions
2. Onmel/Sporanox (Itraconazole) exhibits a negative inotropic effect on the heart and thus could spur an additive effect when used concomitantly with Isradipine. Onmel/Sporanox also inhibits an important cytochrome liver enzyme (CYP 450 3A4) which is needed to metabolize Isradipine and other Calcium Channel Blockers. This will increase plasma levels of Isradipine and could cause an unintentional overdose of the medication. Caution is advised when administering both agents together.
6. Severe hypotension was reported with Duragesic (Fentanyl) anesthesia when it was combined with other Calcium Channel Blockers. Even though Isradipine, another Calcium Channel Blocker, has not been used in conjunction with Fentanyl anesthesia in any studies, caution is advised.
Note: There was no significant interaction between Isradipine and Warfarin (Coumadin), Isradipine and Microzide Hydrochlorothiazide, Isradipine and Lanoxin (Digoxin), and Isradipine and Nitrostat (Nitroglycerin).
Further Reading and References
- ""Isradipine: Brands, Medical Use, Clinical Data"".
- "Isradipine Side Effects".
- ""Isradipine and Anzemet Drug Interactions"".
- ""Isradipine and Onmel Drug Interactions"".
- ""Isradipine and Zanaflex Drug Interactions"".
- Hattori T, Wang P (2006). "Calcium antagonist isradipine-induced calcium influx through nonselective cation channels in human gingival fibroblasts.". Eur J Med Res. 11 (3): 93–6. PMID 16751108.
- Ganz M, Mokabberi R, Sica D (2005). "Comparison of blood pressure control with amlodipine and controlled-release isradipine: an open-label, drug substitution study.". J Clin Hypertens (Greenwich). 7 (4 Suppl 1): 27–31. doi:10.1111/j.1524-6175.2005.04450.x. PMID 15858400.
- Johnson B, Roache J, Ait-Daoud N, Wallace C, Wells L, Dawes M, Wang Y (2005). "Effects of isradipine, a dihydropyridine-class calcium-channel antagonist, on d-methamphetamine's subjective and reinforcing effects.". Int J Neuropsychopharmacol. 8 (2): 203–13. doi:10.1017/S1461145704005036. PMID 15850499.
- Fletcher H, Roberts G, Mullings A, Forrester T (1999). "An open trial comparing isradipine with hydralazine and methyl dopa in the treatment of patients with severe pre-eclampsia.". J Obstet Gynaecol. 19 (3): 235–8. doi:10.1080/01443619964977. PMID 15512286.
- Chan CS, Guzman JN, Ilijic E, Mercer JN, Rick C, Tkatch T, Meredith GE, Surmeier DJ (2007). "'Rejuvenation' protects neurons in mouse models of Parkinson's disease.". Nature. 447 (3): 1081–1086. doi:10.1038/nature05865. PMID 17558391.
- Drug offers hope for Parkinson's - BBC News, 11 June 2007.
- - Commentary of Chan et al. publication
- - ArsTechnica - Why neurons die in Parkinson's patients