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nitrendipine (nitrendipine, KRKA / Unipres)

✓ Approved

Krka · CACNA1C · Small Molecule

What is nitrendipine?

nitrendipine is a small molecule developed by Krka. It is approved for therapeutic indications.

Drug Profile

Brand Namesnitrendipine, KRKA, Unipres
CompanyKrka
Drug ClassSmall Molecule
Molecular TargetCACNA1C
StatusApproved

Mechanism of Action

Molecular Targets

nitrendipine acts on 1 molecular target:

CACNA1Ccalcium voltage-gated channel subunit alpha1 C (CACNL1A1, CACNA1C-IT2)
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Therapeutic Indications

nitrendipine is developed for 1 unique indication across 1 therapeutic area.

Therapeutic AreaConditionPhase
Vascular disordersHypertension✓ Approved

Related Research Articles

PubMedDalton transactions (Cambridge, England : 2003)2026-08-03

An aqua-stable pyridine-functionalized recyclable Zr(IV) MOF for highly efficient catalytic synthesis of 1,4-dihydropyridines containing drug molecules and sustainable synthesis of quinolines.

Mittal Yashi Y, Laha Paltan P, Biswas Shyam S

The design and synthesis of efficient heterogeneous catalysts for organic transformations under sustainable conditions has always remained a significant challenge. In the past decade, MOFs have been extensively employed as heterogeneous catalysts because of their robust nature and tunable porosity, establishing them as a promising class of catalysts. In this endeavor, we present the report of a pyridine-functionalized Zr(IV)-MOF serving as a robust heterogeneous catalyst for the sustainable synthesis of two distinct classes of pharmacologically important heterocyclic drugs under mild conditions. We developed an aqua-stable, pyridine-functionalized Zr(IV)-MOF (1') that serves as a stable heterogeneous catalyst for the multicomponent Hantzsch reaction for the synthesis of 1,4-dihydropyridine (1,4-DHP)-containing drugs and the Friedländer annulation for solvent-free quinoline synthesis, which are two well-established reactions in pharmaceutical synthesis. The catalyst demonstrates excellent catalytic efficacy, broad substrate scope, and high reusability across both reaction pathways. For the Hantzsch condensation, our reported Zr(IV)-MOF enables the synthesis of calcium channel blocker drugs (nemadipine B, nitrendipine, nifedipine and riodipine) under sustainable and mild conditions with high catalytic efficiency. In parallel, the same catalytic system, Zr(IV)-MOF, effectively mediates the Friedländer quinoline synthesis in a solvent-free medium, offering a sustainable alternative to conventional homogeneous acid catalysts for producing biologically active scaffolds. Notably, the reported catalyst restores its structural integrity over repeated catalytic cycles, demonstrating the robustness of this developed MOF. Thus, this study establishes a versatile, robust, and pyridine-functionalized Zr(IV)-MOF as a dual-purpose heterogeneous catalyst, offering a unified, sustainable pathway for achieving two pharmaceutically valuable heterocyclic drug-relevant scaffolds.

PubMedEuropean journal of pharmacology2026-08-01

Nitrendipine synergizes with multiple antibiotics against methicillin-resistant Staphylococcus aureus by disrupting membrane homeostasis.

Ren Xiaomin X, Zhang Huiqiang H, Liu Yuxi Y, Sun Zilong Z et al.

The emergence of multidrug-resistant pathogens such as methicillin-resistant Staphylococcus aureus (MRSA) necessitates the development of innovative therapeutic strategies, including the repurposing of non-antibiotic drugs as antibiotic adjuvants. Here, we identified the FDA-approved dihydropyridine calcium channel blocker nitrendipine as a potent synergistic adjuvant that enhances the activity of multiple antibiotic classes against MRSA. Nitrendipine, which itself lacks intrinsic antibacterial activity (MIC > 128 mg/L), reduces the minimum inhibitory concentrations (MICs) of gentamicin, streptomycin, ampicillin, and colistin by 4- to 64-fold. Time-kill assays revealed that the nitrendipine-gentamicin combination achieves rapid, synergistic bactericidal activity within 4 h. This enhanced efficacy was recapitulated in an in vivo Galleria mellonella infection model. Mechanistically, nitrendipine intercalates into the bacterial membrane, leading to proton motive force dissipation and a reduction in negative surface charge. Furthermore, nitrendipine compromises membrane barrier function, inhibits efflux pump, and disrupts amyloid-like structures within the MRSA cell envelope, thereby promoting dose-dependent antibiotic uptake. Collectively, our findings identify nitrendipine as a promising antibiotic adjuvant that sensitizes MRSA to multiple antibiotic classes through a multifactorial mechanism, thereby supporting its repurposing for combination therapy against drug-resistant staphylococcal infections.

PubMedPflugers Archiv : European journal of physiology2026-06-17

Cholesterol-depleting dextrin depolarizes sarcolemma: the contribution of sodium / calcium channels and membrane integrity.

Tupitsyna Arina D AD, Fedorov Nikita S NS, Khabibrakhmanova Venera R VR, Valitova Julia N JN et al.

Skeletal muscle function is critically dependent on the metabolism of cholesterol and its sarcolemmal levels. Decreased cholesterol availability is associated with various pathological conditions, causing muscle weakness. Here, we tested the hypothesis that a reduction in cholesterol content can affect the resting membrane potential, an essential parameter for membrane transport and electro-mechanical coupling in fibers of mouse diaphragm, the main respiratory muscle. 20-min exposure to methyl-β-cyclodextrin (MβCD) concentration-dependently reduced the level of muscle cholesterol. This effect was more pronounced in surface muscle fibers, where MβCD at a concentration of 30 mM decreased cholesterol content by 40% and depolarized the membranes by approximately 20 mV in both junctional and extrajunctional regions of the muscle fibers. MβCD-induced depolarization was inhibited by approximately 20%, 19%, 34%, and 42% with GIIIB µ-conotoxin (Nav1.4 channel inhibitor), nitrendipine (L-type Ca2+ channel blocker), A-784,168 (TRPV1 antagonist), and ruthenium red (nonselective blocker of Ca2+ channels), respectively. MβCD increased sarcoplasmic Ca2+ levels at resting conditions and interfered with sarcolemma integrity in some muscle fibers. Finally, 30 mM MβCD aggravated muscle fatigue and disrupted the recovery of the contraction force at direct stimulation. These results indicate that plasma membrane cholesterol is essential for the maintenance of resting membrane potential due to restricting the activity of Ca2+ (TRPV1, Cav1.1) and Na+ (Nav1.4) channels as well as keeping membrane integrity in skeletal muscle. Cholesterol depletion-induced membrane depolarization might be a potential reason for muscle weakness.

PubMedFrontiers in neuroscience2026-06-01

Autonomic dysreflexia: the concealed killer behind recurrent cerebral hemorrhage in spinal cord injury-a case report with management insights.

Tang Nengzhang N, Zheng Bi'e B, Ni Jun J, Xie Yimiao Y et al.

Autonomic dysreflexia (AD) is a potentially life-threatening complication of high-level spinal cord injury (SCI), marked by paroxysmal hypertension. Although cerebrovascular events can be triggered by severe hypertension, the direct association between AD and intracerebral hemorrhage (ICH) necessitates increased clinical awareness. We present a case of a 71-year-old male with a complete C3 SCI (American Spinal Injury Association Impairment Scale grade A). On May 24, 2025, the patient developed an acute episode of AD following defecation, characterized by a sudden, severe headache and transient loss of consciousness, with elevated blood pressure (BP) of 178/101 mmHg. Emergency computed tomography revealed a right occipital ICH (3.6 × 1.8 cm) with concomitant subarachnoid hemorrhage. A follow-up cranial imaging examination on June 21, 2025, revealed a new contralateral hematoma (3.4 × 3.0 cm) in the left frontal lobe. Notably, a follow-up 24-h ambulatory blood pressure monitoring performed between the two hemorrhagic events (on June 20, 2025) revealed markedly elevated blood pressure variability, with a systolic BP standard deviation of 32.7 mmHg (compared with 31.8 mmHg recorded before the initial hemorrhage). Pre-event 24-h ambulatory blood pressure monitoring performed on March 21, 2025, had already demonstrated marked blood pressure variability (BPV), which may reflect the patient's underlying autonomic dysregulation. The association between this extreme BPV and the subsequent ICH remains a subject for hypothesis generation. The hematomas resolved following a regimen of antihypertensive therapy (nitrendipine), osmotic diuresis (mannitol), and meticulous management of triggering factors. This case demonstrates that AD in high cervical SCI can precipitate severe ICH, with extreme BPV potentially serving as a synergistic risk factor. Clinicians should maintain high vigilance for new-onset severe headache in patients with SCI at or above T6, ensuring prompt BP assessment and identification of AD triggers. Future studies are required to investigate whether long-term BPV stabilization could mitigate hemorrhagic risk in this population.

PubMedEnvironmental pollution (Barking, Essex : 1987)2026-05-28

The assessment of quantitative intestinal morphometry and multi-organ histopathology to reveal sublethal pollution effects in brown trout (Salmo trutta).

Barišić Josip J, Mijošek Pavin Tatjana T, Šariri Sara S, Filipović Marijić Vlatka V

This study investigated morphometric and histopathological alterations in brown trout (Salmo trutta, n = 60) along a pollution gradient in the Krka River from a reference river source (KRS) to a wastewater-impacted site (KRK) and a downstream site in a national park (KNP). Semi-quantitative scoring of the liver and kidney was used as a multi-organ context associated with intestinal responses. Intestinal morphometry showed reduced fold dimensions, altered epithelial structure, modified goblet-cell density and mucus layer thickness and changes in enterocyte nuclear morphology at the downstream sites. Among the analysed parameters, fold dimensions, supranuclear space and goblet-cell-related metrics showed particularly consistent responses along the pollution gradient. These alterations were most pronounced at KRK, while fish from KNP often showed intermediate responses consistent with a partial karst self-purification process. Morphometric changes were generally stronger in spring, whereas histopathological scores of intestines, liver and kidney were higher in autumn, suggesting cumulative tissue injury and seasonal physiological stress. Importantly, intestinal morphometry detected early structural changes, while multi-organ histopathology revealed later-stage damage, demonstrating complementary sensitivity of these approaches. Overall, the integration of quantitative intestinal morphometry with multi-organ histopathological scoring represents a useful tool for biomonitoring freshwater ecosystems exposed to mixed anthropogenic stressors.

PubMedTerapevticheskii arkhiv2026-05-10

[The role and place of rivaroxaban in modern anticoagulant therapy of patients with atrial fibrillation. A review].

Zyryanov S K SK, Baybulatova E A EA, Ogurlieva B B BB

Atrial fibrillation is the most common type of arrhythmia, the "epidemic of the 21st century" and the leading cause of cardioembolic ischemic stroke. Clinical guidelines recommend direct oral anticoagulants as first-line therapy for the prevention of ischemic stroke in patients with atrial fibrillation. Rivaroxaban is a selective, direct factor Xa inhibitor widely used for the prevention of thromboembolic complications. However, optimal patient adherence to anticoagulant therapy is crucial for achieving treatment benefit. Key factors influencing compliance include the frequency of dosing and cost. Poor compliance increases the risk of stroke or transient ischaemic attack by 2-6 times. A meta-analysis of 39 studies (976 494 patients) confirmed higher adherence and persistence with the once-daily regimen compared to the twice-daily regimen (p<0.05). In December 2024, following the expiration of the patent for the original rivaroxaban, generic versions became available in Russia, including Rivaroxia® (KRKA, d.d., Novo Mesto). This high-quality generic, with proven bioequivalence and identical anticoagulant effect, offers an affordable alternative, reducing healthcare costs with a wide range of dosages.

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