PMID- 18203344 OWN - NLM STAT- MEDLINE DCOM- 20080214 LR - 20191110 IS - 0012-6667 (Print) IS - 0012-6667 (Linking) VI - 66 Spec No 1 DP - 2006 TI - [Antihypertensive effects of nifedipine and changing for modified-release formula]. PG - 7-9 AB - Nifedipine was initially developed as an anti-anginal drug, and it was Professor Murakami who first reported its usefulness in the management of hypertension. However, rapid decrease in blood pressure with immediate-release formulations of nifedipine led to simultaneous increases in heart rate, presumably because of reflex sympathetic activation, and a meta-analysis in the mid-1990s suggested an increased incidence of serious adverse events (AEs) with short-acting Ca2+ channel antagonists. Although subsequent reviews of the literature found little scientific basis for increased serious AEs with short-acting Ca2+ channel antagonists, this controversy led to the accelerated development of long-acting preparations. Recent clinical research has found improved outcomes in hypertensive patients receiving long-acting Ca2+ channel antagonist preparations and reconfirmed the role of nifedipine as a first-line agent. FAU - Kuwajima, Iwao AU - Kuwajima I AD - Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan. LA - jpn PT - English Abstract PT - Journal Article PT - Review PL - New Zealand TA - Drugs JT - Drugs JID - 7600076 RN - 0 (Antihypertensive Agents) RN - 0 (Delayed-Action Preparations) RN - I9ZF7L6G2L (Nifedipine) SB - IM EIN - Drugs. 2007;67(13):1849 MH - Antihypertensive Agents/*administration & dosage/*pharmacology MH - Delayed-Action Preparations MH - Humans MH - Nifedipine/*administration & dosage/*pharmacology RF - 8 EDAT- 2008/01/19 09:00 MHDA- 2008/02/15 09:00 CRDT- 2008/01/19 09:00 PHST- 2008/01/19 09:00 [pubmed] PHST- 2008/02/15 09:00 [medline] PHST- 2008/01/19 09:00 [entrez] AID - 10.2165/00003495-200666991-00004 [doi] PST - ppublish SO - Drugs. 2006;66 Spec No 1:7-9. doi: 10.2165/00003495-200666991-00004.