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Efficacy of amlodipine in pediatric bone marrow transplant patients.

AbstractThe calcium antagonist amlodipine may have the potential for expanded use in children owing to its physiochemistry and pharmacokinetic profile that facilitates once-daily dosing in a liquid formulation. Its safety and efficacy have not been previously evaluated in children. A retrospective analysis of 15 pediatric bone marrow transplant patients who had amlodipine incorporated into their antihypertensive drug regimen reveals significantly lower blood pressure as compared with baseline therapy (123.5+/-2.1 mmHg and 117.2+/-2.2 mmHg, systolic blood pressure before and during amlodipine, P<0.05; 81.5+/-1.8 mmHg and 75.5+/-2.6 mmHg, diastolic blood pressure before and during amlodipine, P<0.05). Amlodipine provided improved blood pressure control in this cohort and may provide a valuable pharmacologic alternative for treatment of pediatric hypertension.
AuthorsS Khattak, J W Rogan, E F Saunders, J G Theis, G S Arbus, G Koren (Affiliation: Division of Clinical Pharmacology and Toxicology, The Hospital for Sick Children, The University of Toronto, Ontario, Canada.)
JournalClinical pediatrics (Clin Pediatr (Phila)) Vol. 37 Issue 1 Pg. 31-5 (Jan 1998) ISSN: 0009-9228 UNITED STATES
PMID9475697 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Amlodipine
Topics
  • Adolescent
  • Age Factors
  • Amlodipine (administration & dosage, pharmacokinetics)
  • Bone Marrow Transplantation
  • Child
  • Child, Preschool
  • Cohort Studies
  • Female
  • Humans
  • Hypertension (drug therapy)
  • Infant
  • Kidney (drug effects)
  • Male
  • Postoperative Care