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Related Experiment Videos

Sustained-release verapamil formulations for treating hypertension.

W H Frishman1, E J Lazar

  • 1Department of Medicine, Hospital of The Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York 10461.

Journal of Clinical Pharmacology
|May 1, 1992
PubMed
Summary

Verapamil, a key calcium-channel blocker for hypertension, now offers improved formulations for convenient once-daily dosing. These newer verapamil options provide sustained blood pressure control and better patient compliance.

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Area of Science:

  • Cardiovascular Pharmacology
  • Pharmacokinetics
  • Hypertension Management

Background:

  • Verapamil, a foundational calcium-channel blocker, is widely used for systemic hypertension.
  • Its short half-life necessitates frequent dosing, impacting patient adherence.
  • Advancements in drug delivery have led to improved verapamil formulations.

Purpose of the Study:

  • To review the evolution of verapamil formulations for hypertension treatment.
  • To highlight the benefits of newer sustained-release and pellet-filled capsule formulations.
  • To assess the impact on dosing frequency, efficacy, and patient convenience.

Main Methods:

  • Review of clinical data and pharmacokinetic studies on verapamil formulations.
  • Comparison of traditional verapamil dosing with sustained-release and new capsule formulations.

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  • Analysis of factors influencing verapamil absorption and blood pressure control.
  • Main Results:

    • Sustained-release verapamil allows once-daily dosing up to 240 mg/d, with higher doses requiring twice-daily administration.
    • New pellet-filled capsule formulations (Verelan) offer controlled 24-hour blood pressure control with once-daily dosing, irrespective of dose.
    • These advanced formulations improve peak-to-trough plasma levels and allow administration without regard to food intake.

    Conclusions:

    • Newer verapamil formulations significantly enhance convenience and therapeutic outcomes for hypertension management.
    • Once-daily dosing and improved pharmacokinetic profiles of advanced verapamil formulations increase patient adherence.
    • Verapamil remains a vital therapeutic option, with formulation advancements optimizing its clinical utility.