Skip to main content
Log in

The effect of nisoldipine on renal function in the long-term treatment of hypertension in patients with and without renal impairment

  • Originals
  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

The effect of nisoldipine on renal function after 6 weeks treatment was investigated in hypertensive patients with and without renal impairment.

Nisoldipine was well tolerated and an effective antihypertensive agent when administered over a period of 6 weeks. There were no significant changes in glomerular filtration, cardiac output, plasma renin activity or serum biochemistry during nisoldipine administration. Effective renal plasma flow was unaffected by treatment in the patients with normal renal function, but in the patients with renal insufficiency, the value decreased by a mean of 12%.

Nisoldipine had no major untoward effects on renal function after 6 weeks administration, but minor changes in renal haemodynamics in the patients with renal insufficiency would suggest that careful monitoring of renal function is indicated in such patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Ahr G, Wingender G, Kuhlmann J (1987) Pharmacokinetics of nisoldipine. In: Hugenholtz PG, Meyer J (eds) Nisoldipine. Springer, Berlin Heidelberg New York, pp 59–66

    Google Scholar 

  • Al-Shamma HMH, Hainsworth R, Silverton NP (1987) A modified single breath method for estimation of cardiac output in humans at rest and during exercise. Clin Sci 72: 437–441

    Google Scholar 

  • Boelaert J, Valcke Y, Dammekens H, De Vriese G, Ahr G, Schurgers M, Daneels R, Bogaert MG (1988) Pharmacokinetics of nisolidpine in renal dysfunction. Eur J Clin Pharmacol 34: 207–209

    Google Scholar 

  • Diamond JR, Cheung JY, Fang LST (1984) Nifedipine induced renal dysfunction. Am J Med 77: 905–909

    Google Scholar 

  • Hainsworth R, Al-Shamma YMH (1988) Cardiovascular responses to upright tilting in healthy subjects. Clin Sci 74: 17–22

    Google Scholar 

  • Harries JD, Mildenberger RR, Malowany AS, Drummond KN (1972) A computerized cumulative integral method for the precise measurement of the glomerular filtration rate. Proc Soc Exp Biol Med 140: 1148–1155

    Google Scholar 

  • Hulthen UL, Katzman PL, Hokfelt B (1987) Effect of long-term felodipine treatment on renal vascular tone, glomerular filtration rate and renal tubular function in essential hypertension. Drugs 34 [Suppl 3]: 67–68

    Google Scholar 

  • Kazda S, Garthoff B, Meyer H, Schlobmonn K, Stoepel K, Towart R, Vater W, Welringer E (1980) Pharmacology of a new clacium antagonist compound. Isobutyl methyl 1,4-dihydro2-6-dimethyl-4-(2-nitrophenyl)-3,5-pyridinedecarboxylate (Nisoldipine. Bay K5552). Arzneimittelforsch Drug Res 30: 2144–2162

    Google Scholar 

  • Kiowski W, Bertel O, Erne P, Bolli P, Hulthen UL, Ritz R, Buhler FR (1983) Haemodynamic and reflex responses to acute and chronic antihypertensive therapy with the calcium entry blocker nifedipine. Hypertension 5 [Suppl 1]: 70–74

    Google Scholar 

  • Lee SM, Williams R, Warnock D, Emmett M, Wolbach RA (1986) The effects of nicardipine in hypertensive subjects with impaired renal function. Br J Clin Pharmacol 22: 297S-306S

    Google Scholar 

  • Leonetti G, Gradnik R, Terzoli L, Fruscio L, Rupoli C, Cuspidi L, Zanchetti (1986) Effects of single and repeated doses of the calcium antagonist felodipine on blood pressure, renal function, electrolytes and water balance, and renin-angiotensin-aldosterone system in hypertensive patients. J Cardiovasc Pharmacol 8: 1243–1248

    Google Scholar 

  • Maxwell GM, Crompton S, Rencis V (1982) Effect of nisoldipine upon the general and coronary haemodynamics of the anaesthetized dog. J Cardiovasc Pharmacol 43: 393–397

    Google Scholar 

  • Menard J, Catt KJ (1972) Measurement of renin activity, concentration and substrate in rat plasma by radioimmunoassay of angiotensin I. Endocrinology 90: 422–430

    Google Scholar 

  • Meredith PA, Pasanisi F, Elliot HL, Reid JL (1985) The effect of nisoldipine on apparent liver blood flow and effective renal plasma flow. Br J Clin Pharmacol 20: 235–237

    Google Scholar 

  • Pasanisi F, Meredith PA, Reid JL (1985) The pharmacodynamics and pharmacokinetics of a new calcium antagonist nisoldipine in normotensive and hypertensive subjects. Eur J Clin Pharmacol 29: 21–24

    Google Scholar 

  • Pederson OL, Mikkelsen E, Christensen NJ, Kornerup HJ, Pedersen EB (1979) Effect of nifedipine on plasma renin, aldosterone and catecholamines in arterial hypertension. Eur J Clin Pharmacol 15: 235–240

    Google Scholar 

  • Simon G, Snyder DK (1984) Altered pressor responses in long-term nitrendipine treatment. Clin Pharmacol Ther 36: 315–319

    Google Scholar 

  • Smith SA, Rafiqi EI, Gardener EG, Young MA, Littler WA (1987) Renal effects of nicardipine in essential hypertension: Differences between acute and chronic therapy. J Hypertens 5: 693–697

    Google Scholar 

  • Yokoyama S, Kaburagi T (1983) Clinical effects of intravenous nifedipine on renal function. J Cardiovasc Pharmacol 5: 67

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wilson, J., Wahbha, M.M.A.E., Martin, P.G. et al. The effect of nisoldipine on renal function in the long-term treatment of hypertension in patients with and without renal impairment. Eur J Clin Pharmacol 37, 437–441 (1989). https://doi.org/10.1007/BF00558120

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00558120

Key words

Navigation