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Medications

Calcium Channel Blockers (CCB)

Last Updated on November 4, 2022

Mechanism of action

Dihydropyridine
• Vasodilatation → decreased peripheral resistance

Non-dihydropyridine
• Negative inotropic effect

Classification

Dihydropyridine vs Non-dihydropyridine

Calcium channel blockers in hypertension

Dihydropridines

Starting dose

Recommended maximum daily dose

Remark

Amlodipine

5 mg OD

10 mg OD


Felodipine

5 mg OD

10 mg BD

Isradipine

2.5 mg BD

10 mg OD

Lercanidipine

10 mg OD

20 mg OD


Nifedipine

5 mg TDS

20 mg TDS

Nicardipine

-

-

Non-Dihydropridines

Starting dose

Recommended maximum daily dose

Remark

Diltiazem

90 mg BD

180 mg BD

Diltiazem SR

100 mg OD

200 mg OD


Verapamil

80 mg TDS

160 mg TDS

Verapamil SR

120 mg OD

480 mg OD

  1. Verapamil

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