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Cited by 14Blood Pressure and Hypertension StudiesCardiovascular Health and Disease PreventionSodium Intake and Health

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Clinical use of nifedipine GITS in the treatment of hypertension: an overview

Simon, Alain, Levenson, Jaime·2003·Expert Opinion on Pharmacotherapy

Abstract

Given the major role of elevated blood pressure in the pathogenesis of both stroke and coronary heart disease, one of the biggest challenges facing public health authorities and medical practitioners is the control of hypertension worldwide, both in individual patients and at the population level. The prevalence of hypertension increases with age and is nearly 60% in people aged 65 - 74 years. With increasing age, polymorbidity and polypharmacy usually contribute to an increasingly complex approach to manage the respective clinical conditions, including the treatment of hypertension. All subgroups of calcium channel blockers are effective and well-tolerated in lowering blood pressure. They are of demonstrated benefit for the prevention of stroke in elderly patients with systolic hypertension. Calcium channel blockers are particularly recommended for elderly patients with systolic hypertension and for black patients. The nifedipine gastrointestinal therapeutic system (GITS) formulation provides a once-daily dosing regimen with a continuous and slow release of the drug, resulting in a smooth plasma concentration/time profile. The INSIGHT study established that nifedipine GITS decreased mortality and morbidity at the same level as standard diuretic treatment in hypertensive patients with additional risk factors. A subgroup analysis showed that the long-term protective effects of nifedipine GITS extended to hypertensive patients with diabetes mellitus and with previous myocardial infarction. Two substudies of INSIGHT showed that nifedipine slowed the progression of atherosclerosis in carotid arteries (intima-media thickness) and coronary arteries (coronary calcium) as compared to diuretic.

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Metadata

Authors
Simon, A., & Levenson, J.
Affiliations
Hôpital Broussais (FR)
Venue
Expert Opinion on Pharmacotherapy
Published
2003-01
Volume
4
Issue
1
Pages
95-106
ISSN
  • 1465-6566 (ISSN-L)
  • 1744-7666
OpenAlex
W1970875566
Cited by
14
References
49
Citations by year
2024: 1 · 2023: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2017: 1 · 2016: 1 · 2015: 1
FWCI
0.44
Type
journal article
Language
en
Open access
closed
Locations
  • Expert Opinion on Pharmacotherapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
  • Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
Keywords
nifedipine GITS, antihypertensive therapy, calcium channel blockers, once-daily dosing, INSIGHT trial, stroke prevention, systolic hypertension, elderly patients, Black patients, diabetes mellitus, myocardial infarction, atherosclerosis progression, carotid intima-media thickness, coronary artery calcium, diuretic comparison, morbidity and mortality
MeSH terms
Delayed-Action Preparations, Humans, Hypertension, Nifedipine

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Simon, A., & Levenson, J. (2003). Clinical use of nifedipine GITS in the treatment of hypertension: an overview. Expert Opinion on Pharmacotherapy. https://doi.org/10.1517/14656566.4.1.95

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