My SciELO
Services on Demand
Journal
Article
Indicators
Cited by SciELO
Access statistics
Related links
Cited by Google
Similars in SciELO
Similars in Google
Share
Anales de Medicina Interna
Print version ISSN 0212-7199
Abstract
ROBLES, N. R. et al. Evaluation of lercanidipine in general practice setting. An. Med. Interna (Madrid) [online]. 2003, vol.20, n.6, pp.10-14. ISSN 0212-7199.
Objective: To determine the efficacy and tolerability of a long-acting dihydropyridine in the clinical settings of general practice. Material and methods: 110 essential hypertensives were included (age 62.3 ± 10.8 years, 51 men and 53 women, 38% obese -IMC >30 kg/m2, ten diabetics). 104 patients ended the followup. Patients were treated with lercanidipine 10 mg once daily in the morning. Follow-up lasted 6 months. When blood pressure was not controlled (BP < 140/90 mmHg) in any visit, a second drug was added, excluding calcium channel blockers. Antiadrenergic drugs were recommended. If patients were not controlled in two consecutive visits they were excluded from follow-up. Results: Significant reductions in both systolic (baseline 157.4 ± 11.7 vs 131.1 ± 6.8 mmHg, p < 0,001) and diastolic BP (baseline 94.7 ± 5.8 vs 80.0 ± 5.5 mmHg, p < 0,001) were attained at six months. Mean SBP decrease was 26.7 mmHg and mean DBP reduction was 15.6 mmHg. At the study end, 84.3% of the patients achieved a BP < 140/90 mmHg. Thirty patients needed a second drug to become controlled (26 at the study end). The overall incidence of adverse effects was 4,4% (n=6) and just three patients withdrew the treatment due to untoward effects. Plasmatic cholesterol lowered from 225.3 ± 41.0 to 216.7 ± 25.3 mg/dl (p = 0,03) and urate decreased from 5.6 ± 1.6 to 5.1 ± 1.4 mgldl, p = 0,03). Conclusions: Lercanidipine is a calcium channel blockers of high efficacy and low incidence of adverse effects in the clinical settings of general practice. It seems to have a positive metabolic effects on plasmatic levels of cholesterol and urate.
Keywords : Arterial hypertension; Antihypertensive drugs; Calcium chanel blockers.