Nifedipine inhibits voltage-dependent L-type calcium channels, which leads to vascular (and other) smooth muscle relaxation and negative inotropic and chronotropic effects on the heart. Available for Android and iOS devices. Conclusions from the meta-analyses, favouring the use of nifedipine as a tocolytic agent, are not supported by close examination of the data. OBJECTIVE: To estimate whether maintenance nifedipine tocolysis after arrested preterm labor prolongs pregnancy and improves neonatal outcomes. Life-threatening pulmonary oedema and/or cardiac failure are definite risks and have been reported. Nifedipine was introduced as a tocolytic agent at a time when beta-agonists and magnesium sulphate dominated the arena for the prevention of preterm birth. It reduces afterload, peripheral resistance and BP; increases coronary blood flow and causes reflex tachycardia. Nifedipine (Adalat) is marketed as an anti-hypertensive agent. Oral dosage - immediate-release capsules. Unable to load your delegates due to an error 2015 Sep;8(3):126-32. doi: 10.1177/1753495X15589223. Select one or more newsletters to continue. The oral administration route, the availability of immediate and slow-release preparations, the low incidence of (mild) side effects, and its limited costs explain the attraction to this medication from the obstetric field and its rapid and widespread distribution. The tocolytic effectiveness and "safety" of nifedipine has been studied primarily in normal pregnancies. Vasodilation, followed by a baroreceptor-mediated increase in sympathetic tone then results in indirect cardiostimulation. The tocolytic effectiveness and "safety" of nifedipine has been studied primarily in normal pregnancies. InnoPran XL 120 mg (120 InnoPran XL LOGO Reliant)
The quality of the studies suffers particularly from performance bias because the majority of them failed to ensure adequate blinding to treatment both for providers and patients. Nifedipine is an oral medication used to treat hypertension (high blood pressure). Learn about side effects, warnings, dosage, and more. 2011 Jan;28(1):57-66. doi: 10.1055/s-0030-1262512. Name must be less than 100 characters Please enable it to take advantage of the complete set of features! Adults. Adalat CC/Afeditab CR/Nifediac CC/Nifedical XL/Nifedipine/Procardia XL Oral Tab ER: 30mg, 60mg, 90mg Adalat/Nifedipine/Procardia Oral Cap: 10mg, 20mg . In particular, the safety aspects of nifedipine for tocolysis have been under-assessed. Pharmacokinetics of nifedipine slow-release during sustained tocolysis Int J Clin Pharmacol Ther. INNOPRAN XL should be administered once daily at bedtime and should be taken consistently either on an empty stomach or with food. [2015] 1.9 Maternal corticosteroids. Wiley Epub 2015 Jun 10.Kancirová I, Jašová M, Waczulíková I, Ravingerová T, Ziegelhöffer A, Ferko M. eCollection 2018 Sep.Case Rep Obstet Gynecol. 1.8.3 Offer nifedipine for tocolysis to women between 26 +0 and 33 +6 weeks of pregnancy who have intact membranes and are in suspected or diagnosed preterm labour. Pregnant subjects in this study, using nifedipine slow-release tablets, showed a larger volume of distribution and a shorter elimination half-life than for non-pregnant subjects as published in the literature. Currently, over 40 studies have been published on nifedipine's tocolytic effectiveness, including seven meta-analyses. Indications, dose, contra-indications, side-effects, interactions, cautions, warnings and other safety information for NIFEDIPINE. Based on its pharmacological properties, one should be cautious to administer nifedipine when the maternal cardiovascular condition is compromised, such as with intrauterine infection, twin pregnancy, maternal hypertension, cardiac disease, etc. Doses above 120 mg have no additional effects on blood pressure Am J Perinatol. COVID-19 is an emerging, rapidly evolving situation. Unable to load your collection due to an error Conclusions from the meta-analyses, favouring the use of nifedipine as a tocolytic agent, are not supported by close examination of the data. Clipboard, Search History, and several other advanced features are temporarily unavailable. INNOPRAN XL should be administered once daily at bedtime and should be taken consistently either on an empty stomach or with food. Description: Nifedipine prevents Ca ion from entering the slow channels of cardiac and smooth muscles during depolarisation, producing peripheral and coronary vasodilatation. eCollection 2018.Pharmaceuticals (Basel).
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