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=CC=CC(Cl)=C2Cl)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 |
|
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 |
|
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 |
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 |
|
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 |
|
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 |
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) Health Status: unhealthy Age Group: 51.5 (39-68) Sex: M+F 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) Health Status: unhealthy Age Group: 51.5 (39-68) Sex: M+F 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) Health Status: unhealthy Age Group: 51.5 (39-68) Sex: M+F 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) Health Status: unhealthy Age Group: 51.5 (39-68) Sex: M+F 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) Health Status: unhealthy Age Group: 51.5 (39-68) Sex: M+F 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) Health Status: unhealthy Age Group: 51.5 (39-68) Sex: M+F 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) Health Status: unhealthy Age Group: 51.5 (39-68) Sex: M+F 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 |
|---|---|---|
| Early identification of clinically relevant drug interactions with the human bile salt export pump (BSEP/ABCB11). | 2013-12 |
|
| Evaluation of in vitro cytochrome P450 induction and inhibition activity of deoxyelephantopin, a sesquiterpene lactone from Elephantopus scaber L. | 2013-10 |
|
| Cystic fibrosis: a new target for 4-Imidazo[2,1-b]thiazole-1,4-dihydropyridines. | 2011-06-09 |
|
| A cell protection screen reveals potent inhibitors of multiple stages of the hepatitis C virus life cycle. | 2010-02-23 |
|
| Chloride channels as drug targets. | 2009-02 |
|
| Felodipine reduces cardiac expression of IL-18 and perivascular fibrosis in fructose-fed rats. | 2008-02-25 |
|
| Molecular mechanisms of felodipine suppressing atherosclerosis in high-cholesterol-diet apolipoprotein E-knockout mice. | 2008-02 |
|
| Structure-activity relationship of 1,4-dihydropyridines as potentiators of the cystic fibrosis transmembrane conductance regulator chloride channel. | 2007-07 |
|
| Optimal treatment of obesity-related hypertension: the Hypertension-Obesity-Sibutramine (HOS) study. | 2007-04-17 |
|
| Lercanidipine in the treatment of hypertension. | 2007-03 |
|
| 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. | 1998-09 |
|
| Influence of felodipine on experimental seizures and activity of different antiepileptic drugs in mice. | 1998-07-15 |
|
| Significance of blood pressure levels achieved with felodipine anti-hypertensive treatment on cardiovascular structure and function changes. | 1998-07 |
|
| A comparison of nisoldipine coat-core and felodipine in the treatment of mild-to-moderate hypertension. | 1998-06 |
|
| 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. | 1997-08-05 |
|
| Cardiovascular effects of a low-dose combination of ramipril and felodipine in spontaneously hypertensive rats. | 1997-06 |
|
| Calcium antagonists, a useful additional therapy in treatment resistant hypertension: comparison of felodipine ER and nifedipine Retard by 24-h ambulatory blood pressure monitoring. | 1997-01 |
|
| Felodipine in the treatment of severe refractory hypertension. | 1996-09 |
|
| Losartan potassium: a review of its pharmacology, clinical efficacy and tolerability in the management of hypertension. | 1996-05 |
|
| Global efficacy and tolerability of losartan, an angiotensin II subtype 1-receptor antagonist, in the treatment of hypertension. | 1996 |
|
| Isradipine. An update of its pharmacodynamic and pharmacokinetic properties and therapeutic efficacy in the treatment of mild to moderate hypertension. | 1995-04 |
|
| Efficacy and tolerability of extended-release felodipine and extended-release nifedipine in patients with mild-to-moderate essential hypertension. | 1994-07-01 |
|
| Mono- and combination therapy with felodipine or enalapril in elderly patients with systolic hypertension. | 1994-03 |
|
| Comparison of effects of felodipine versus hydrochlorothiazide on arterial diameter and pulse-wave velocity in essential hypertension. | 1993-10-01 |
|
| General toxicity of the new calcium antagonist felodipine in dogs. | 1993-07 |
|
| A multicenter comparison of isradipine and felodipine in the treatment of mild-to-moderate hypertension. The Physician's Study Group. | 1993-03 |
|
| Felodipine clinical pharmacokinetics. | 1991-12 |
|
| Felodipine: a new dihydropyridine calcium-channel antagonist. | 1991-11 |
|
| Acute effects on exercise tolerance of felodipine and diltiazem, alone and in combination, in stable effort angina. | 1991-01 |
|
| Extended release felodipine in essential hypertension. Variations in blood pressure during whole-day continuous ambulatory recording. | 1991-01 |
|
| Felodipine ER formulation in the treatment of mild hypertension: efficacy and tolerability vs placebo. | 1990-10 |
|
| The influence of infusion rate on the hemodynamic effects of felodipine. | 1990-09 |
|
| The efficacy and tolerability of long-term felodipine treatment in hypertension. The Scandinavian Multicenter Group. | 1990-06 |
|
| Cardiovascular-risk reduction: initial diuretic therapy compared with calcium-antagonist (felodipine) therapy for primary hypertension. | 1989-09-04 |
|
| Felodipine. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in hypertension. | 1988-10 |
|
| Antihypertensive effect of felodipine or hydralazine when added to beta-blocker therapy. | 1988-07 |
|
| A double-blind comparison of felodipine and hydrochlorothiazide added to metoprolol to control hypertension. | 1988 |
|
| Catecholamines, renin-angiotensin-aldosterone, and cardiovascular response during exercise following acute and long-term calcium antagonism with felodipine in essential hypertension. | 1987-10 |
|
| Baroreflex control of renin release in spontaneously hypertensive rats after administration of felodipine. | 1987 |
|
| Felodipine, a new calcium antagonist, as monotherapy in mild or moderate hypertension. Cooperative study group. | 1987 |
|
| Monotherapy with felodipine, a new calcium antagonist, in mild and moderate hypertension. | 1987 |
|
| Felodipine compared to nifedipine as "third-line drug" in resistant hypertension. | 1986-11 |
|
| Felodipine can replace minoxidil in the treatment of refractory hypertension. | 1985-12 |
|
| Renal and antihypertensive effects of felodipine in hypertensive patients. | 1985-12 |
|
| Renal and cardiovascular effects of acute and chronic administration of felodipine to SHR. | 1985-07-11 |
|
| Haemodynamic effects of single-dose felodipine in normal man. | 1985 |
|
| Effects of felodipine on resistance and capacitance vessels in patients with essential hypertension. | 1985 |
|
| Comparative trial of felodipine and nifedipine in refractory hypertension. | 1985 |
|
| Antihypertensive effect of felodipine combined with beta-blockade. A comparison between 2 and 3 daily dosages. | 1985 |
|
| Hemodynamic effects of felodipine at rest and during exercise in exertional angina pectoris. | 1983-09-01 |
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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| Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C333
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WHO-ATC |
C08CA02
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WHO-VATC |
QC09BB05
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WHO-VATC |
QC08CA02
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NDF-RT |
N0000007556
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LIVERTOX |
NBK548294
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NDF-RT |
N0000175421
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NDF-RT |
N0000000069
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WHO-ATC |
C09BB05
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72509-76-3
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m5257
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FELODIPINE
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DB01023
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1142
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4316
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D015736
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3333
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DTXSID4023042
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SUB11963MIG
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Felodipine
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4877
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OL961R6O2C
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X-2
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OL961R6O2C
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4190
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100000089989
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CHEMBL1480
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C29046
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ACTIVE MOIETY
METABOLITE (PARENT)