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Pathway Description
Nilvadipine Action Pathway
Homo sapiens
Drug Action Pathway
Nilvadipine is a calcium channel blocker used to manage arterial hypertension. For the management of vasospastic angina, chronic stable angina and hypertension. Nilvadipine is similar to other dihydropyridines including amlodipine, felodipine, isradipine, and nicardipine. Nilvadipine is used to treat Prinzmetal's angina, hypertension, and other vascular disorders such as Raynaud's phenomenon. By blocking the calcium channels, Nifedipine inhibits the spasm of the coronary artery and dilates the systemic arteries, results in an increase of myocardial oxygen supply and a decrease in systemic blood pressure. Nilvadipine inhibits the influx of extracellular calcium through myocardial and vascular membrane pores by physically plugging the channel. The decrease in intracellular calcium inhibits the contractile processes of smooth muscle cells, causing dilation of the coronary and systemic arteries, increased oxygen delivery to the myocardial tissue, decreased total peripheral resistance, decreased systemic blood pressure, and decreased afterload. Nilvadipine targets the alpha-1C, alpha-2/delta-1, and beta-2 subunits of the channel, and it is administered as on oral tablet. Possible side effects of using nilvadipine may include headache, dizziness, fatigue, and flushing.
References
Nilvadipine Pathway References
Wishart DS, Feunang YD, Guo AC, Lo EJ, Marcu A, Grant JR, Sajed T, Johnson D, Li C, Sayeeda Z, Assempour N, Iynkkaran I, Liu Y, Maciejewski A, Gale N, Wilson A, Chin L, Cummings R, Le D, Pon A, Knox C, Wilson M: DrugBank 5.0: a major update to the DrugBank database for 2018. Nucleic Acids Res. 2018 Jan 4;46(D1):D1074-D1082. doi: 10.1093/nar/gkx1037.
Pubmed: 29126136
Turkes C, Demir Y, Beydemir S: Some calcium-channel blockers: kinetic and in silico studies on paraoxonase-I. J Biomol Struct Dyn. 2022 Jan;40(1):77-85. doi: 10.1080/07391102.2020.1806927. Epub 2020 Aug 12.
Pubmed: 32783605
Richard S: Vascular effects of calcium channel antagonists: new evidence. Drugs. 2005;65 Suppl 2:1-10. doi: 10.2165/00003495-200565002-00002.
Pubmed: 16398057
Tsuruga H, Murata H, Araie M, Aihara M: Neuroprotective effect of the calcium channel blocker nilvadipine on retinal ganglion cell death in a mouse ocular hypertension model. Heliyon. 2023 Feb 16;9(3):e13812. doi: 10.1016/j.heliyon.2023.e13812. eCollection 2023 Mar.
Pubmed: 36879972
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