Nicardipine drug data and news

Nicardipine drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name Nicardipine
Brand Names/Synonyms Cardene; Cardene Sr; Nicardipine; Nicardipine Hcl; Nicardipino [Inn-Spanish]; Nicardipinum [Inn-Latin]; YC-93
Indication Used for the management of patients with chronic stable angina
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Description Not Available
Pharmacology Nicardipine, a dihydropyridine calcium-channel blocker, is used alone or with an angiotensin-converting enzyme inhibitor, to treat hypertension, chronic stable angina pectoris, and Prinzmetal's variant angina. Nicardipine is similar to other peripheral vasodilators. Nicardipine inhibits the influx of extra cellular calcium across the myocardial and vascular smooth muscle cell membranes possibly by deforming the channel, inhibiting ion-control gating mechanisms, and/or interfering with the release of calcium from the sarcoplasmic reticulum. The decrease in intracellular calcium inhibits the contractile processes of the myocardial 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.
Mechanism Of Action By deforming the channel, inhibiting ion-control gating mechanisms, and/or interfering with the release of calcium from the sarcoplasmic reticulum, Nicardipine inhibits the influx of extracellular calcium across the myocardial and vascular smooth muscle cell membranes The decrease in intracellular calcium inhibits the contractile processes of the myocardial 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.
Nicardipine News
(When available)

Nicardipine Helps Restore Cerebral Oxygenation in Hypertensive ...  Feb 27, 2006
ORLANDO, FL -- February 27, 2006 -- Intravenous nicardipine is an effective way of restoring cerebral oxygenation without deleterious effects in patients who ... - DG News

Sustained Hypertension at Reperfusion of the Transplanted Kidneys ...  Feb 21, 2006
Several bolus injections of nicardipine, nitroglycerine, and landiolol, an ultra-short-acting selective ß-blocker, were used to treat the sudden hypertension ... - Anesthesia & Analgesia (subscription),

Protein Design Labs Becomes PDL BioPharma  Jan 9, 2006
The company now markets Cardene(R) IV (nicardipine hydrochloride) for short-term treatment of hypertension when oral therapy is not feasible or desirable ... - MSN Money

Preserving Competition, FTC Requires Divestitures Before Allowing ...  Jan 23, 2006
7) amoxicillin from IVAX, to be divested to Par; 8) propoxyphene hydrochloride capsules from IVAX, to be divested to Par; 9) nicardipine hydrochloride capsules ... - PharmaLive.com (press release),

Obama against review of stress disorder cases  Oct 2, 2005
Brand names: Verelan, Verelan PM, Covera HS, Cardizem, Norvasc, DynaCirc, DynaCirc CR, Cardene (sustained release) and Nicardipine (immediate release). ... - Daily Press,

Phenylephrine to increase blood flow in the radial artery used as ...  Sep 30, 2005
...graft were randomly assigned to receive intravenous infusions of normal saline (n = 10); nitroglycerin, 0.5 µg · kg · min (n = 11); or nicardipine, 0.5 µg ... - The Journal of Thoracic and Cardiovascular Surgery

Drugs to combat hypertension  Apr 12, 2005
Calcium antagonists are drugs that usually end with the syllable "-pine" like felodipine, nicardipine and nisoldipine. But they are very expensive. ... - Sun Star

Medicines Co. halts drug trial over irregular heartbeat risk  Mar 29, 2005
...cases of atrial fibrillation among patients given Clevelox in the trial than in people taking nitroglycerin, sodium nitroprusside or nicardipine, according to ... - NorthJersey.com

Medicines Company Suspends Clevelox Patient Enrollment  Mar 28, 2005
...the Clevelox and comparative treatment groups. The comparative treatments are nitroglycerin, sodium nitroprusside and nicardipine. - WebProNews

The Medicines Company Voluntarily Suspends Enrollment In Clevelox ...  Mar 28, 2005
...comparative treatment groups. The comparative treatments are nitroglycerin, sodium nitroprusside and nicardipine. The Medicines ... - PharmaLive.com,

The Medicines Company Voluntarily Suspends Enrollment In Clevelox ...  Mar 28, 2005
...comparative treatment groups. The comparative treatments are nitroglycerin, sodium nitroprusside and nicardipine. The Medicines ... - PharmaLive.com (press release),

Medicines Co. halts drug trial over irregular heartbeat risk  Mar 29, 2005
...cases of atrial fibrillation among patients given Clevelox in the trial than in people taking nitroglycerin, sodium nitroprusside or nicardipine, according to ... - NorthJersey.com,

Medicines Company Suspends Clevelox Patient Enrollment  Mar 28, 2005
...the Clevelox and comparative treatment groups. The comparative treatments are nitroglycerin, sodium nitroprusside and nicardipine. - WebProNews,

Protein Design Labs Announces Above Consensus Full-Year and Fourth ...  Mar 14, 2005
The 75 sales professionals at ESP Pharma currently detail to hospital-based physicians the following products: Cardene IV® (nicardipine hydrochloride). ... - Yahoo News (press release)

The Medicines Company Voluntarily Suspends Enrollment In Clevelox ...  28 Mar 2005
...comparative treatment groups. The comparative treatments are nitroglycerin, sodium nitroprusside and nicardipine. The Medicines ... - Business Wire (press release),

Dosage Forms CAPSULE
Drug_Category Antiarrhythmic Agents; Vasodilator Agents; Antihypertensive Agents; Dihydropyridines; ATC:C08CA04
Absorption While nicardipine is completely absorbed, it is subject to saturable first pass metabolism and the systemic bioavailability is about 35% following a 30 mg oral dose at steady state.
Interactions -->Interactions for Nicardipine:

Beta-Blockers

In controlled clinical studies, adrenergic beta-receptor blockers have been frequently administered concomitantly with nicardipine HCl. The combination is well tolerated.

Cimetidine

Cimetidine increases nicardipine HCl plasma levels. Patients receiving the two drugs concomitantly should be carefully monitored.

Digoxin

Some calcium blockers may increase the concentration of digitalis preparations in the blood. Nicardipine HCl usually does not alter the plasma levels of digoxin, however, serum digoxin levels should be evaluated after concomitant therapy with nicardipine HCl is initiated.

Maalox®*

Coadministration of Maalox TC had no effect on nicardipine HCl absorption.

Fentanyl Anesthesia

Severe hypotension has been reported during fentanyl anesthesia with concomitant use of a beta-blocker and a calcium channel blocker. Even though such interactions were not seen during clinical studies with nicardipine HCl, an increased volume of circulating fluids might be required if such an interaction were to occur.

Cyclosporine

Concomitant administration of nicardipine and cyclosporine levels. Plasma concentrations of cyclosporine should therefore be closely monitored, and its dosage reduced accordingly, in patients treated with nicardipine.

When therapeutic concentrations of furosemide, propranolol, dipyridamole, warfarin, quinidine, or naproxen were added to human plasma (in vitro), the plasma protein binding of nicardipine HCl was not altered.

Toxicity Oral LD50 Rat = 184 mg/kg, Oral LD50 Mouse = 322 mg/kg
Organisms Affected Humans and other mammals
Chemical IUPAC Name methyl2-(benzyl-methyl-amino)ethyl2,6-dimethyl-4-(3-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylate
Chemical Formula C26H29N3O6
Molecular Weight 479.525 g/mol
Smiles String CC1=C(C(C(=C(N1)C)C(=O)OCCN(C)CC2=CC=CC=C2)C3=CC(=CC=C3)[N+](=O)[O-])C(=O)OC
Melting Point 136-138 °C
Water Solubility 2.2 mg/L
State Solid
LogP/Hphobicity 3.967
Isoelectric Point Not Available
Biotransformation Nicardipine HCl is metabolized extensively by the liver.
Half Life 8.6 hours
Protein Binding [%] >95%
RxList Link RXlist
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Drug Reference http://www.drugs.com/cons/Nicardipine.html
http://www.rxlist.com/cgi/generic/nicardipine.htm
Drug Type Approved Drug
Accession No APRD00088
CAS Registry Number 55985-32-5
KEGG Compound ID C07264
PubChem ID SID:182381
PharmGKB ID PA450620
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] 2162733

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