Calcium Channel Blockers and CKD

Basics

Classification of calcium channel blockers by Dr Becerra Estevez.

This is a short article that aims to discuss the importance of calcium channel blockers in the management of chronic kidney disease. It is worth stating that commonly, chronic kidney disease is managed with an ACE-Inhibitor or an Angiotensin Receptor Blockers (ARB). Patients with fluid overload will also benefit from diuretics. However, according to the KDIGO 2021 Guidelines for the management of blood pressure in patients with CKD, adult patients who are kidney transplant recipients will also benefit from a dihydropyridine calcium channel blocker, such as amlodipine.

  • MOA: Inhibits the transmembrane influx of calcium into the cardiac and smooth muscle. In the vascular smooth muscle results in vasodilation. It is responsible for reducing total peripheral resistance and it reduces coronary vascular resistance.
  • Side Effects: Headache, dizziness, palpitations, increased sleepiness, and swelling of the extremities (edema). 

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