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A crossover comparison of extended release felodipine with prolonged action nifedipine in hypertension
In a crossover design, control of blood pressure by extended release felodipine was compared with control by prolonged action nifedipine in 21 children with renal hypertension. Compliance with once daily felodipine was higher than with nifedipine, at 95.6 (SEM 2.7)% v 78.9 (6.0)% (p = 0.02). Mean di...
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Published in: | Archives of disease in childhood 1995-08, Vol.73 (2), p.154-156 |
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creator | Moncica, I Oh, P I ul Qamar, I Scolnik, D Arbus, G S Hebert, D Balfe, J W Koren, G |
description | In a crossover design, control of blood pressure by extended release felodipine was compared with control by prolonged action nifedipine in 21 children with renal hypertension. Compliance with once daily felodipine was higher than with nifedipine, at 95.6 (SEM 2.7)% v 78.9 (6.0)% (p = 0.02). Mean diastolic blood pressure was lower during the day with felodipine than with nifedipine, at 77.6 (2.4) v 84.4 (2.8) mm Hg (p = 0.05). Similarly, blood pressure load (the percentage of the day during which the child had blood pressure exceeding the upper limits of normal for age) was lower for felodipine than for nifedipine: 43.5 (5.5)% v 61.3 (6.3)%. There was an opposite trend during the night, though this did not reach statistical significance. These data suggest that once a day felodipine is effective in children with hypertension. This may be because of improved compliance. |
doi_str_mv | 10.1136/adc.73.2.154 |
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Compliance with once daily felodipine was higher than with nifedipine, at 95.6 (SEM 2.7)% v 78.9 (6.0)% (p = 0.02). Mean diastolic blood pressure was lower during the day with felodipine than with nifedipine, at 77.6 (2.4) v 84.4 (2.8) mm Hg (p = 0.05). Similarly, blood pressure load (the percentage of the day during which the child had blood pressure exceeding the upper limits of normal for age) was lower for felodipine than for nifedipine: 43.5 (5.5)% v 61.3 (6.3)%. There was an opposite trend during the night, though this did not reach statistical significance. These data suggest that once a day felodipine is effective in children with hypertension. This may be because of improved compliance.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/adc.73.2.154</identifier><identifier>PMID: 7574861</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Adolescent ; Antihypertensive agents ; Antihypertensive Agents - therapeutic use ; Biological and medical sciences ; Blood pressure ; Cardiovascular system ; Child ; Cross-Over Studies ; Delayed-Action Preparations ; Drug Administration Schedule ; Felodipine ; Felodipine - therapeutic use ; Humans ; Hypertension ; Hypertension, Renal - drug therapy ; Medical sciences ; Nifedipine ; Nifedipine - therapeutic use ; Patient Compliance ; Pediatrics ; Pharmacology. Drug treatments</subject><ispartof>Archives of disease in childhood, 1995-08, Vol.73 (2), p.154-156</ispartof><rights>1995 INIST-CNRS</rights><rights>Copyright BMJ Publishing Group LTD Aug 1995</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b506t-8da33e743b82c191ccf07566f74a1714aa7add39bc882215de71bae71a41a64f3</citedby><cites>FETCH-LOGICAL-b506t-8da33e743b82c191ccf07566f74a1714aa7add39bc882215de71bae71a41a64f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3079869278/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3079869278?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,21378,21394,27924,27925,33611,33612,33877,33878,43733,43880,53791,53793,74221,74397</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3627573$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7574861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moncica, I</creatorcontrib><creatorcontrib>Oh, P I</creatorcontrib><creatorcontrib>ul Qamar, I</creatorcontrib><creatorcontrib>Scolnik, D</creatorcontrib><creatorcontrib>Arbus, G S</creatorcontrib><creatorcontrib>Hebert, D</creatorcontrib><creatorcontrib>Balfe, J W</creatorcontrib><creatorcontrib>Koren, G</creatorcontrib><title>A crossover comparison of extended release felodipine with prolonged action nifedipine in hypertension</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>In a crossover design, control of blood pressure by extended release felodipine was compared with control by prolonged action nifedipine in 21 children with renal hypertension. Compliance with once daily felodipine was higher than with nifedipine, at 95.6 (SEM 2.7)% v 78.9 (6.0)% (p = 0.02). Mean diastolic blood pressure was lower during the day with felodipine than with nifedipine, at 77.6 (2.4) v 84.4 (2.8) mm Hg (p = 0.05). Similarly, blood pressure load (the percentage of the day during which the child had blood pressure exceeding the upper limits of normal for age) was lower for felodipine than for nifedipine: 43.5 (5.5)% v 61.3 (6.3)%. There was an opposite trend during the night, though this did not reach statistical significance. These data suggest that once a day felodipine is effective in children with hypertension. This may be because of improved compliance.</description><subject>Adolescent</subject><subject>Antihypertensive agents</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Blood pressure</subject><subject>Cardiovascular system</subject><subject>Child</subject><subject>Cross-Over Studies</subject><subject>Delayed-Action Preparations</subject><subject>Drug Administration Schedule</subject><subject>Felodipine</subject><subject>Felodipine - therapeutic use</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension, Renal - drug therapy</subject><subject>Medical sciences</subject><subject>Nifedipine</subject><subject>Nifedipine - therapeutic use</subject><subject>Patient Compliance</subject><subject>Pediatrics</subject><subject>Pharmacology. 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Compliance with once daily felodipine was higher than with nifedipine, at 95.6 (SEM 2.7)% v 78.9 (6.0)% (p = 0.02). Mean diastolic blood pressure was lower during the day with felodipine than with nifedipine, at 77.6 (2.4) v 84.4 (2.8) mm Hg (p = 0.05). Similarly, blood pressure load (the percentage of the day during which the child had blood pressure exceeding the upper limits of normal for age) was lower for felodipine than for nifedipine: 43.5 (5.5)% v 61.3 (6.3)%. There was an opposite trend during the night, though this did not reach statistical significance. These data suggest that once a day felodipine is effective in children with hypertension. This may be because of improved compliance.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>7574861</pmid><doi>10.1136/adc.73.2.154</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Antihypertensive agents Antihypertensive Agents - therapeutic use Biological and medical sciences Blood pressure Cardiovascular system Child Cross-Over Studies Delayed-Action Preparations Drug Administration Schedule Felodipine Felodipine - therapeutic use Humans Hypertension Hypertension, Renal - drug therapy Medical sciences Nifedipine Nifedipine - therapeutic use Patient Compliance Pediatrics Pharmacology. Drug treatments |
title | A crossover comparison of extended release felodipine with prolonged action nifedipine in hypertension |
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