<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> used in the management of cardiovascular disease. Voltage-gated calcium channels - myocardial cells, cells of the conduction system, vascular smooth muscle. various types of CCB have varying effects on these three areas |Examples|Indications|Inotropic - Heart Failure|Side-effects| |Verapamil|Angina, hypertension, arrhythmias|Highly negatively inotropic - don't give with beta-blockers - heart block|Heart failure, constipation, hypotension, bradycardia, flushing| |Diltiazem|Angina, hypertension|Less negatively inotropic than verapamil - caution in heart failure or beta-blockers|Hypotension, bradycardia, heart failure, ankle swelling| |Nifedipine, amlodipine, felodipine (dihydropyridines)|Hypertension, angina, Raynaud's|peripheral vascular smooth muscle > myocardium - don't worsen heart failure|Flushing, headache, ankle swelling|