Felodipine

Hypertension, Variant Angina Pectoris

Drug Status

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Government Approvals

US(FDA), UK(BNF)

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WHO Essential Medicine

NO

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Known Teratogen

NO

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Pharmaceutical Class

Dihydropyridine Calcium Channel Blocker

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Controlled Drug Substance

NO

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Drug Ingredient

Felodipine

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Summary

  • Felodipine is used to treat high blood pressure and stable angina pectoris. By reducing blood pressure, it decreases the risk of serious cardiovascular events such as strokes and heart attacks.

  • Felodipine is a calcium channel blocker. It works by relaxing the blood vessels, which reduces the heart's workload and improves blood flow. This action lowers blood pressure and enhances the flow of blood and oxygen to the heart.

  • Felodipine is typically taken once a day, without food or with a light meal. The usual daily dose for adults is 5 mg, which can be adjusted based on the patient's response. For children, specific dosing recommendations are not established.

  • Common side effects of Felodipine include headache, flushing, dizziness, and peripheral edema. Serious side effects include facial swelling, difficulty breathing, and fainting. If any of these effects persist or worsen, it's important to consult a doctor.

  • Felodipine should not be used during pregnancy or nursing. It's also contraindicated in patients hypersensitive to it. Caution is advised in patients with heart failure, compromised ventricular function, or impaired liver function. Always follow your doctor's advice for the best outcome.

Indications and Purpose

What is Felodipine used for?

Felodipine is indicated for the treatment of hypertension (high blood pressure) and stable angina pectoris. By lowering blood pressure, it reduces the risk of fatal and non-fatal cardiovascular events, such as strokes and heart attacks. It can be used alone or in combination with other antihypertensive agents.

How does Felodipine work?

Felodipine is a calcium channel blocker that works by relaxing the blood vessels, which reduces peripheral vascular resistance. This action decreases the workload on the heart and lowers blood pressure. It selectively affects vascular smooth muscle, leading to vasodilation and improved blood flow.

Is Felodipine effective?

Felodipine is effective in lowering blood pressure by decreasing peripheral vascular resistance. Clinical studies have shown that it reduces both systolic and diastolic blood pressure and can be used in isolated systolic hypertension. It is also effective in improving exercise tolerance and reducing anginal attacks in patients with stable angina pectoris.

How does one know if Felodipine is working?

The benefit of Felodipine is evaluated by regularly checking blood pressure to determine the response to the medication. Keep all appointments with your doctor and the laboratory to ensure the medication is effectively controlling your blood pressure.

Directions for Use

What is the usual dose of Felodipine?

The usual daily dose for adults is 5 mg once a day, which can be adjusted to 2.5 mg or increased to 10 mg based on the patient's response. For children, there is limited clinical trial experience, and specific dosing recommendations are not established. Always follow a doctor's advice for dosing.

How do I take Felodipine?

Felodipine should be taken once a day, either without food or with a light meal. Avoid grapefruit juice, as it can increase the medication's levels in your blood. Swallow the tablets whole without crushing or chewing them, and take them at the same time each day to maintain consistent blood levels.

For how long do I take Felodipine?

Felodipine is typically used as a long-term treatment for high blood pressure. It is important to continue taking it even if you feel well, as it controls but does not cure high blood pressure. Always follow your doctor's instructions regarding the duration of use.

How long does it take for Felodipine to start working?

Felodipine generally starts to reduce blood pressure within 2 to 5 hours after administration. However, substantial blood pressure control is achieved with chronic administration, lasting for 24 hours. Always follow your doctor's instructions for the best results.

How should I store Felodipine?

Store Felodipine at room temperature, between 20°C to 25°C (68°F to 77°F). Keep the container tightly closed and protect it from light. Ensure it is out of reach of children and away from excess heat and moisture, not in the bathroom.

Warnings and Precautions

Who should avoid taking Felodipine?

Felodipine is contraindicated in patients who are hypersensitive to it. It may cause significant hypotension and reflex tachycardia, which can lead to myocardial ischemia in susceptible patients. Caution is advised in patients with heart failure or compromised ventricular function, and those with impaired liver function may require lower doses.

Can I take Felodipine with other prescription drugs?

Felodipine interacts with CYP3A4 inhibitors like ketoconazole, itraconazole, erythromycin, and grapefruit juice, which can increase its plasma levels. Cimetidine also increases Felodipine levels. These interactions may lead to increased effects, such as lower blood pressure and increased heart rate. Caution is advised when using these substances.

Can I take Felodipine with vitamins or supplements?

From all available and reliable information, there is no confirmed data on this. Please consult a doctor for personalized advice.

Can Felodipine be taken safely while pregnant?

Felodipine should not be used during pregnancy as it may cause fetal developmental effects. Animal studies have shown digital anomalies in fetuses, possibly due to compromised uterine blood flow. There are no adequate and well-controlled studies in pregnant women, so it is important to consult a doctor for personalized advice.

Can Felodipine be taken safely while breastfeeding?

It is not known whether Felodipine is secreted in human milk. Due to the potential for serious adverse reactions in infants, a decision should be made whether to discontinue nursing or the drug, considering the importance of the medication to the mother. Consult a doctor for personalized advice.

Is Felodipine safe for the elderly?

Elderly patients may have higher plasma concentrations of Felodipine, so dose selection should be cautious, usually starting at the low end of the dosing range (2.5 mg daily). Their blood pressure should be closely monitored during any dosage adjustment to ensure safety and effectiveness.

Is it safe to exercise while taking Felodipine?

Felodipine does not specifically limit the ability to exercise. However, it can cause dizziness or fatigue, which might affect your ability to perform physical activities. If you experience these side effects, consult your doctor for advice on managing them while maintaining an active lifestyle.

Is it safe to drink alcohol while taking Felodipine?

From all available and reliable information, there is no confirmed data on this. Please consult a doctor for personalized advice.