Details
Stereochemistry | RACEMIC |
Molecular Formula | C18H19Cl2NO4 |
Molecular Weight | 384.254 |
Optical Activity | ( + / - ) |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCOC(=O)C1=C(C)NC(C)=C(C1C2=C(Cl)C(Cl)=CC=C2)C(=O)OC
InChI
InChIKey=RZTAMFZIAATZDJ-UHFFFAOYSA-N
InChI=1S/C18H19Cl2NO4/c1-5-25-18(23)14-10(3)21-9(2)13(17(22)24-4)15(14)11-7-6-8-12(19)16(11)20/h6-8,15,21H,5H2,1-4H3
DescriptionSources: http://www.drugbank.ca/drugs/DB01023Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/pro/felodipine.html
Sources: http://www.drugbank.ca/drugs/DB01023
Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/pro/felodipine.html
Felodipine is a long-acting 1,4-dihydropyridine calcium channel blocker (CCB)b. It acts primarily on vascular smooth muscle cells by stabilizing voltage-gated L-type calcium channels in their inactive conformation. By inhibiting the influx of calcium in smooth muscle cells, felodipine prevents calcium-dependent myocyte contraction and vasoconstriction. Felodipine is the most potent CCB in use and is unique in that it exhibits fluorescent activity. In addition to binding to L-type calcium channels, felodipine binds to a number of calcium-binding proteins, exhibits competitive antagonism of the mineralcorticoid receptor, inhibits the activity of calmodulin-dependent cyclic nucleotide phosphodiesterase, and blocks calcium influx through voltage-gated T-type calcium channels. Felodipine is used to treat mild to moderate essential hypertension.
CNS Activity
Sources: http://www.drugbank.ca/drugs/DB01023
Curator's Comment: Animal studies have demonstrated that felodipine crosses the blood-brain barrier and the placenta.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1994 Sources: http://www.drugbank.ca/drugs/DB01023 |
0.17 µM [IC50] | ||
Target ID: Cholangiocarcinoma Mz-ChA-1 cells Sources: https://www.ncbi.nlm.nih.gov/pubmed/21179572 |
26.0 µM [IC50] | ||
Target ID: CHEMBL3721 Sources: https://www.ncbi.nlm.nih.gov/pubmed/15601807 |
0.726 µM [IC50] | ||
Target ID: CHEMBL1940 Sources: http://www.drugbank.ca/drugs/DB01023 |
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Target ID: CHEMBL1919 Sources: http://www.drugbank.ca/drugs/DB01023 |
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Target ID: CHEMBL3317336 Sources: http://www.drugbank.ca/drugs/DB01023 |
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Target ID: CHEMBL4138 Sources: http://www.drugbank.ca/drugs/DB01023 |
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Target ID: CHEMBL3805 Sources: http://www.drugbank.ca/drugs/DB01023 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | PLENDIL Approved UsePLENDIL is indicated for the treatment of hypertension, to lower blood pressure. Launch Date1991 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
23.1 nM EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2015166/ |
10 mg 2 times / day steady-state, oral dose: 10 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FELODIPINE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: FEMALE / MALE food status: FASTED |
|
6.2 nM EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/3396260/ |
5 mg 2 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FELODIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
17.1 nM EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/3396260/ |
5 mg 2 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FELODIPINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
|
35.6 nM EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2015166/ |
10 mg 2 times / day steady-state, oral dose: 10 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DEHYDROFELODIPINE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
100.9 nM × h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2015166/ |
10 mg 2 times / day steady-state, oral dose: 10 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FELODIPINE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: FEMALE / MALE food status: FASTED |
|
33.7 nM × h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/3396260/ |
5 mg 2 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FELODIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
87.5 nM × h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/3396260/ |
5 mg 2 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FELODIPINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
|
142 nM × h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2015166/ |
10 mg 2 times / day steady-state, oral dose: 10 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DEHYDROFELODIPINE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
23.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2015166/ |
10 mg 2 times / day steady-state, oral dose: 10 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FELODIPINE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: FEMALE / MALE food status: FASTED |
|
14.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/3396260/ |
5 mg 2 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FELODIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
27.5 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/3396260/ |
5 mg 2 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FELODIPINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
20 mg 1 times / day multiple, oral Highest studied dose Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, 51.5 (39-68) n = 50 Health Status: unhealthy Condition: hypertension Age Group: 51.5 (39-68) Sex: M+F Population Size: 50 Sources: |
Disc. AE: Headache, Ankle edema... AEs leading to discontinuation/dose reduction: Headache (18%) Sources: Ankle edema (6%) Flushing (6%) Nausea (2%) Palpitation (2%) Vertigo (2%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Headache | 18% Disc. AE |
20 mg 1 times / day multiple, oral Highest studied dose Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, 51.5 (39-68) n = 50 Health Status: unhealthy Condition: hypertension Age Group: 51.5 (39-68) Sex: M+F Population Size: 50 Sources: |
Nausea | 2% Disc. AE |
20 mg 1 times / day multiple, oral Highest studied dose Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, 51.5 (39-68) n = 50 Health Status: unhealthy Condition: hypertension Age Group: 51.5 (39-68) Sex: M+F Population Size: 50 Sources: |
Palpitation | 2% Disc. AE |
20 mg 1 times / day multiple, oral Highest studied dose Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, 51.5 (39-68) n = 50 Health Status: unhealthy Condition: hypertension Age Group: 51.5 (39-68) Sex: M+F Population Size: 50 Sources: |
Vertigo | 2% Disc. AE |
20 mg 1 times / day multiple, oral Highest studied dose Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, 51.5 (39-68) n = 50 Health Status: unhealthy Condition: hypertension Age Group: 51.5 (39-68) Sex: M+F Population Size: 50 Sources: |
Ankle edema | 6% Disc. AE |
20 mg 1 times / day multiple, oral Highest studied dose Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, 51.5 (39-68) n = 50 Health Status: unhealthy Condition: hypertension Age Group: 51.5 (39-68) Sex: M+F Population Size: 50 Sources: |
Flushing | 6% Disc. AE |
20 mg 1 times / day multiple, oral Highest studied dose Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, 51.5 (39-68) n = 50 Health Status: unhealthy Condition: hypertension Age Group: 51.5 (39-68) Sex: M+F Population Size: 50 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
yes [IC50 0.726 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
yes | ||||
yes | ||||
Page: 6.0 |
yes | yes (co-administration study) Comment: Co-administration of another extended release formulation of felodipine with itraconazole resulted in approximately 8-fold increase in the AUC, more than 6-fold increase in the Cmax, and 2-fold prolongation in the half-life of felodipine. Page: 6.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Effects of felodipine on resistance and capacitance vessels in patients with essential hypertension. | 1985 |
|
Antihypertensive effect of felodipine combined with beta-blockade. A comparison between 2 and 3 daily dosages. | 1985 |
|
Renal and cardiovascular effects of acute and chronic administration of felodipine to SHR. | 1985 Jul 11 |
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Monotherapy with felodipine, a new calcium antagonist, in mild and moderate hypertension. | 1987 |
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Antihypertensive effect of felodipine or hydralazine when added to beta-blocker therapy. | 1988 Jul |
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Felodipine: a new dihydropyridine calcium-channel antagonist. | 1991 Nov |
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Efficacy and tolerability of extended-release felodipine and extended-release nifedipine in patients with mild-to-moderate essential hypertension. | 1994 Jul-Aug |
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Mono- and combination therapy with felodipine or enalapril in elderly patients with systolic hypertension. | 1994 Mar |
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Losartan potassium: a review of its pharmacology, clinical efficacy and tolerability in the management of hypertension. | 1996 May |
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Effect of the calcium antagonist felodipine as supplementary vasodilator therapy in patients with chronic heart failure treated with enalapril: V-HeFT III. Vasodilator-Heart Failure Trial (V-HeFT) Study Group. | 1997 Aug 5 |
|
Improved tolerability of felodipine compared with amlodipine in elderly hypertensives: a randomised, double-blind study in 535 patients, focusing on vasodilatory adverse events. The International Study Group. | 1998 Sep |
|
Stroke precipitated by moderate blood pressure reduction. | 2000 Nov |
|
The effect of nonsteroidal anti-inflammatory drugs on blood pressure in patients treated with different antihypertensive drugs. | 2003 Jan-Feb |
|
Prediction of genotoxicity of chemical compounds by statistical learning methods. | 2005 Jun |
|
Lercanidipine in the treatment of hypertension. | 2007 Mar |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/pro/felodipine.html
Usual Adult Dose for Hypertension
Initial dose: 5 mg orally once a day
Maintenance dose: 2.5 to 10 mg orally once a day
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/8713491
the maximum contraction to NA in rat vessels exposed to felodipine (0.1 umol/L) was reduced by 37%, and the contraction to K+ (62 mmol/L) was reduced by 84% compared with vehicle-treated arteries.
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C333
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C08CA02
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QC08CA02
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NBK548294
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N0000000069
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C09BB05
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FELODIPINE
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DB01023
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3333
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Felodipine
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C29046
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ACTIVE MOIETY
METABOLITE (PARENT)