В статье представлены данные клинических исследований, в которых изучались эффективность и профиль безопасности современного антагониста кальция (АК) III поколения лерканидипина. Результаты исследований демонстрируют, что лечение лерканидипином приводит к выраженному снижению систолического и диастолического артериального давления без существенного влияния на частоту сердечных сокращений. Уникальные фармакокинетические особенности препарата обеспечивают его отличную эффективность и безопасность, хорошую переносимость, удобство приема и высокую приверженность лечению данным АК у пациентов с артериальной гипертензией. Дополнительные свойства лерканидипина позволяют рекомендовать применение данного АК при сочетанной патологии.
The article presents data from clinical trials that have examined the efficacy and safety of modern calcium antagonist (CA) III generation of lercanidipine. The results of studies show that treatment with lercanidipine leads to a marked reduction in systolic and diastolic blood pressure without significant effect on heart rate. Unique pharmacokinetic characteristics of the drug provide its excellent efficacy and safety, good tolerability, convenience, acceptance and high adherence CA data in patients with hypertension. Additional properties of lercanidipine allow us to recommend the use of the CA in comorbidity.
1. Задионченко В.С., Шехян Г.Г., Ялымов А.А., Варенцов С.И. Лерканидипин – антагонист кальция III поколения: обзор эффективности в терапии артериальной гипертензии. Системные гипертензии. 2013; 4: 76–9.
2. Bang L, Chapman T, Goa K. Lercanidipine – a review of its efficacy in management of hypertension. Drugs 2003; 22: 2449–72.
3. Borghi С, Prandin MG, Dormi A et al. The use of lercanidipine can improve the individual tolerability in dihydropyridine calcium blockers in hypertensive patients. J Hypertens 2000; 18 (Suppl. 2): S155–S156.
4. Toyo-Oka T, Nayler WG. Third generation calcium entry blockers. Blood Press 1996; 5: 206–8.
5. Acanfora D, Trojano L, Gheorghiade M et al. A randomized, double-blind comparison of 10 and 20 mg lercanidipine in patients with stable effort angina: effects on myocardial ischemia and heart rate variability. Am J Ther 2002; 9 (5): 444–53.
6. Fogari R, Mugellini A, Zoppi A et al. Differential effects of lercanidipine and nifedipine GITS on plasma norepinephrine in chronic treatment of hypertension. Am J Hypertens 2003; 16 (7): 596–9.
7. Morisco C, Trimarco B. Efficacy and tolerability of lercanidipine in comparison and in combination with atenolol in patients with mild to moderate hypertension in double-blind controlled study. J Cardiovasc Pharmacol 1997; 29 (Suppl. 2): S26–S30.
8. Paterna S, Licata A, Arnone S et al. Lercanidipine in two different dosage regimens as a sole treatment for severe essential hypertension. J Cardiovasc Pharmacol 1997; 29 (Suppl. 2): S50–S53.
9. Policicchio D, Magliocca R, Malliani A. Efficacy and tolerability of lercanidipine in comparison and in combination with atenolol in patients with mild to moderate essential hypertension: a comparative study with slow-release nifedipine. J Cardiovasc Pharmacol 1997; 29 (Suppl. 2): S31–S35.
10. Barbagallo M, Sangiorgi GB. Efficacy and tolerability of lercanidipine in monotherapy in elderly patients with isolated systolic hypertension. Aging Clin Exp Res 2000; 12 (5): 375–9.
11. Barrios V, Navarro A, Esteras A et al. Antihypertensive efficacy and tolerability of lercanidipine in daily clinical practice. The ELYPSE study. Blood Press 2002; 11 (2): 95–100.
12. Romito R, Pansini M, Perticone F et al. Comparative effect of lercanidipine, felodipine and nifedipine GITS on blood pressure and heart rate in patients with mild to moderate arterial hypertension: The Lercanidipine in Adults (LEAD) Study. J Clin Hyprtens 2003; 5 (4): 249–53.
13. Cherubini A, Fabris F, Ferrari E et al. Comparative effects of lercanidipine, lacidipine and nifidepine GITS on blood pressure and heart rate in elderly hypertensive patients: the ELderly and LErcanidipine (ELLE) study. Arch Gerontol Geriatr 2003; 3: 203–12.
14. Zanchetti A. Emerging data on calcium-channel blockers: the COHORT study. Clin Cardiol 2003; 26 (Suppl. 2): II 17–20.
15. Cafiero M, Giasi M. Long-term (12-month) treatment with lercanidipine in patients with mild to moderate hypertension. J Cardiovasc Pharmacol 1997; 29 (Suppl. 2): S45–9.
16. Dalla Vestra M, Pozza G, Mosca A et al. Effect of lercanidipine compared with ramipril on albumin excretion rate in hypertensive Type 2 diabetic patients with microalbuminuria: DIAL study (diabete, ipertensione, albuminuria, lercanidipina). Diabetes Nutr Metab 2004; 17 (5): 259–66.
17. Robles NR, Ocon J, Gomez CF et al. Lercanidipine in Patients with Chronic Renal Failure: The ZAFRA study. Ren Fail 2005; 27 (1): 73–80.
18. Sabbatini M, Leonardi A, Testa R et al. Effect of calcium antagonists on glomerular arteriolesin spontaneously hypertensive rats. Hypertension 2000; 35 (3): 775–9.
1 Кафедра терапии и семейной медицины ГБОУ ВПО МГМСУ им. А.И.Евдокимова Минздрава России;
2 ГБУЗ Городская клиническая больница №24 Департамента здравоохранения г. Москвы, филиал №1
1 Therapy and Family medicine department, Evdokimov State Medical University, Russian Ministry of Health;
2 Municipal Hospital №24, Moscow Health Department, branch №1