REVIEW Azelnidipine is a dihydropyridine calcium channel blocker with selectivity for L-type calcium channels that is approved in Japan for the treatment of patients with hypertension. It has a gradual onset and has a long-lasting hypotensive effect, with little increase in heart rate. Azelnidipine is approved for use in treating ischemic heart disease and cardiac remodeling after myocardial infarction. Azelnidipine has also been shown to have antioxidant effects in endothelial cells and cardiomyocytes.
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Arita M, Hashizume T, Tanigawa K, Yamamoto H, Nishio I. A new Ca-antagonist, azelnidipine, reduced blood pressure during exercise without augmentation of sympathetic nervous system in essential hypertension: a randomized, double-blind, placebo-controlled trial. J Cardiovasc Pharmacol. 1999 Feb;33(2):186-92.