Lacidipine

Generic Details

Generic Name

Lacidipine

Other Names

  • Lacipil

Drug Class

  • Calcium channel blocker

Chemical Formula

C29H33NO6

Molecular Weight

491.6 g/mol

Mechanism of Action

  • Inhibits the influx of calcium ions into smooth muscle cells, leading to vasodilation

Indications

  • Hypertension

Common Dosage Forms

  • Tablet

Typical Dosage

  • 2-4 mg once daily

Pediatric Dosage

  • Not established

Geriatric Dosage

  • Lower initial doses may be necessary due to decreased clearance

Side Effects

  • Headache
  • Edema
  • Dizziness
  • Flushes
  • Palpitations

Contraindications

  • Hypersensitivity to lacidipine
  • Pregnancy
  • Severe hepatic impairment

Pregnancy Category

  • Not recommended

Lactation Safety

  • Not recommended

Drug Interactions

  • CYP3A4 inhibitors such as ketoconazole may increase lacidipine levels

Overdose Symptoms

  • Hypotension
  • Tachycardia

Antidote for Overdose

  • Intravenous calcium gluconate

Storage Conditions

  • Store at room temperature away from light and moisture

Pharmacokinetics

  • Absorption: Rapidly absorbed from the gastrointestinal tract
  • Distribution: Highly protein bound
  • Metabolism: Metabolized in the liver
  • Excretion: Excreted in the urine and feces

Precautions

  • Use with caution in patients with hepatic impairment
  • Monitor blood pressure closely

Warnings

  • Avoid abrupt withdrawal of lacidipine

Others