Why the study?
Does amlodipine once daily improve blood pressure reduction in patients with mild to moderate hypertension?
Does amlodipine once daily improve blood pressure reduction in patients with mild to moderate hypertension?
Amlodipine is an effective once-daily calcium antagonist that produces smooth, dose-dependent blood pressure reductions in patients with mild to moderate hypertension.
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Supports amlodipine titration for hypertension control; confirms dose-dependent efficacy of once-daily calcium antagonists in RCTs.
The antihypertensive efficacy and suitability for once daily dosing of amlodipine, a new calcium antagonist, was studied in a series of 205 patients with mild to moderate hypertension. The study was conducted double-blind in 13 centres. The starting doses of amlodipine were 1.25, 2.5 and 5 mg, respectively, which were doubled after 4 weeks if normotension or a preset target blood pressure was not reached. Target blood pressure was reached in 25% of patients with placebo, 41% with 2.5 mg of amlodipine, 56% with 5 mg of amlodipine and 73% with 10 mg of amlodipine once daily. The drug was well tolerated at all dose levels and no changes occurred in heart rate, body weight or electrocardiogram during treatment. Amlodipine is a useful new calcium antagonist for the treatment of hypertension producing smooth, dose-dependent blood pressure reductions with convenient once daily dosing.
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Frick et al. (1989) studied this question.
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