Calcium channel blocker (CCB).

2 classes

  • DHP (dihydropyridone)
  • Non DHP

DHP = “ ‘dipines”

Amlodipine, Lercandipine, nifedipine

Reduce BP

Increase HR so not suitable in IHD

Can worsen protein leak in renal disorders.

Indic in HTN, cerebral spasm.

C/I in bradycardia, AV block, acute HF.


Non DHP – 2 types


Verapamil

Diltiazem

Indic in HTN, IHD.

As may lower HR, C/I with digoxin and BBlockers.


Side effects of all.

  • Constipation
  • Headache
  • Flushing
  • Oedema
  • Dizziness