Effect of two different doses of nitrendipine on steady-state plasma digoxin level and systolic time intervals

Eur J Clin Pharmacol. 1986;31(4):391-5. doi: 10.1007/BF00613512.

Abstract

The effect of two different doses of nitrendipine on plasma digoxin levels, urinary recovery and systolic time intervals was investigated in 8 healthy volunteers. Following a loading dose, digoxin 0.25 mg b.d.p.o. was given alone for 2 weeks. Then 0.25 mg digoxin b.d. was administered for two 1-week periods combined with nitrendipine 10 mg or 20 mg once daily. The study was completed with another digoxin monotherapy phase lasting 7 days. Nitrendipine 20 mg daily led to a significant increase in plasma digoxin levels and in its area under the plasma concentration-time curve AUC (0-12) was 9.7 ng ml-1h when digoxin alone was given and 11.2 ng ml-1h on co-administration of the calcium antagonist. Urinary recovery and renal clearance of digoxin were slightly but not significantly increased by nitrendipine. Nitrendipine 10 mg once daily caused a small, insignificant tendency to elevate the plasma digoxin level. Nitrendipine co-administration (10 and 20 mg once daily) did not significantly alter systolic time intervals, as non-invasively measured haemodynamic parameters, compared to digoxin treatment alone. Thus, nitrendipine 20 mg daily caused a significant increase in plasma digoxin concentrations and in its AUC, which would rarely be of clinical relevance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Digoxin / blood*
  • Dose-Response Relationship, Drug
  • Drug Interactions
  • Female
  • Hemodynamics / drug effects*
  • Humans
  • Kinetics
  • Male
  • Nitrendipine / pharmacology*
  • Systole / drug effects

Substances

  • Digoxin
  • Nitrendipine