Amlodipine in the current management of hypertension
File(s)J of Clinical Hypertension - 2023 - Wang.pdf (293.93 KB)
Published version
Author(s)
Wang, Ji-Guang
Palmer, Biff F
Vogel Anderson, Katherine
Sever, Peter
Type
Journal Article
Abstract
Hypertension is the leading cause of death worldwide, affecting 1.4 billion people. Treatment options include the widely used calcium channel blockers, among which amlodipine, a dihydropyridine, has unique characteristics that distinguish it from other drugs within this class. This review aims to provide an updated overview of the evidence supporting the use of amlodipine over the past 30 years and highlights its cardiovascular benefits in current hypertension management. Amlodipine has low renal clearance (7 mL/min/mg) and long half-life (35-50 h) and duration of action, which allows it to sustain its anti-hypertensive effect for more than 24 h following a single dose. Additionally, blood pressure (BP) control is maintained even when a dose has been missed, providing continuous protection in case of incidental noncompliance. It has proven to reduce BP variability and successfully lower BP. Amlodipine also controls BP in patients with a systolic/diastolic BP of 130/80 mm Hg or higher, diabetes, or chronic kidney disease without worsening glycemic or kidney function. Additionally, amlodipine is a wise choice for older adults due to its ability to control BP and protect against stroke and myocardial infarction. Side effects of amlodipine include edema, palpitations, dizziness, and flushing, which are more common with the higher dose of 10 mg. Amlodipine is cost effective and predicted to be cost saving when compared with usual care.
Date Issued
2023-09
Date Acceptance
2023-07-29
Citation
Journal of Clinical Hypertension, 2023, 25 (9), pp.801-807
ISSN
1524-6175
Publisher
Wiley
Start Page
801
End Page
807
Journal / Book Title
Journal of Clinical Hypertension
Volume
25
Issue
9
Copyright Statement
© 2023 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC.
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/37551050
Subjects
amlodipine
blood pressure variability
calcium channel blockers
hypertension
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2023-08-07