- diltiazam, verapamil
- Ca(말초혈관수축), CCB(말초혈관이완, 심수축력 약화)
효과)
- vasodilation, ↓ cardiac contractility, slow SA-AV conduct(서맥)
indication)
- A-fib, flutter, HTN, unstable angina
S/E)
- dysrhythmia
- peripheral edema
- hepatotoxicity
- G-I distress
- ↓BP(SBP 90↓ noti), ↓PR(50↓ noti)
- HA, Dz, confusion, drowsiness
- with or without food, but! 같은시간에 복용 crush X, grape X
interact med)
- CCB가 med효과를 ↑는 약들 : theophyll~, β-blocker, digoxin, lithium, cyclosporin, ~statin, steroid
- CCB의 효과를 올려주는 emd : cimetidine, H2 blocker
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