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中国临床药理学与治疗学 ›› 2014, Vol. 19 ›› Issue (6): 701-0.

• 综述与讲座 • 上一篇    下一篇

氨氯地平与其他药物的相互作用研究进展

陈沈珏1,匡泽民2,袁洪2,黄志军2,左笑丛3   

  1. 1. 中南大学湘雅三医院 中南大学药学院
    2. 中南大学湘雅三医院
    3. 中南大学湘雅三医院药剂科
  • 收稿日期:2013-05-31 修回日期:2013-07-18 出版日期:2014-05-26 发布日期:2014-07-01
  • 通讯作者: 袁洪 E-mail:yuanhong01@vip.sina.com
  • 基金资助:

    重大基础研究前期研究专项(973前期专项);十二五国家科技支撑计划;国家自然科学基金项目

Advances in Research on Interactions between Amlodipine and Other drugs

  • Received:2013-05-31 Revised:2013-07-18 Online:2014-05-26 Published:2014-07-01
  • Supported by:

    The National Basic Research Program of China;he Twelfth Five-Year National Science and Technology Support Program

摘要: 氨氯地平属于第三代钙离子拮抗剂(CCB),主要用于心脑血管疾病的治疗。近期的研究发现,氨氯地平与多种药物存在相互作用,这些相互作用主要体现在药动学和药效学两个方面。药动学相互作用主要与肝药酶CYP450以及转运体P-gp(P-糖蛋白)有关。氨氯地平是CYP450和P-gp的底物,影响肝药酶或P-gp活性的药物,如抗病毒药物利托那韦、抗真菌药物伊曲康唑以及大环内酯内抗生素他克莫司等均可改变氨氯地平的药动学特征。药效学相互作用主要表现为疗效的改变,他汀类药物、ACEI (血管紧张素转化酶抑制剂)药物以及ARB(血管紧张素受体拮抗剂)等与氨氯地平具有协同作用,而氯吡格雷等其他药物与氨氯地平合用时,氨氯地平的疗效降低甚至失效。本文就近年来关于氨氯地平的相互作用研究做一综述。

Abstract: Amlodipine is a third-generation calcium antagonists, which is mainly used in the treatment of cardio-cerebrovascular diseases. Recent research demonstrated that there exist interactions between amlodipine and other drugs. These interactions mainly reflect in the aspects of pharmacokinetics and pharmacodynamics. pharmacokinetics interactions is primarily related with hepatic drug metabolizing enzyme CYP450 and transporter P-gp (P-glycoprotein). Amlodipine is a substrate of CYP450 and P-gp. Drugs that affect the activity of CYP450 or P-gp may change the profile the pharmacokinetics of amlodipine, such as antivirals ritonavir, antifungal agents itraconazole and antibiotics tacrolimus and so on. However, pharmacodynamic interactions can be mainly reflected by the change of therapeutic effect or side effect.The statins, the ACEI and ARB have synergistic effect with amlodipine, but others drugs such as clopidogrel will reduce the efficacy of amlodipine, even make amlodipine loss its efficacy. Studies on the interactions between amlodipine and other drugs in recent years are reviewed in this paper.