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Eplerenone vs Amlodipine

Brigham and Women's Hospital · FDA-approved active Small molecule

This is a comparison of two marketed cardiovascular drugs: eplerenone, a selective aldosterone antagonist, and amlodipine, a calcium channel blocker, each working through different pathways to lower blood pressure.

This is a comparison of two marketed cardiovascular drugs: eplerenone, a selective aldosterone antagonist, and amlodipine, a calcium channel blocker, each working through different pathways to lower blood pressure. Used for Hypertension (both agents), Heart failure with reduced ejection fraction (eplerenone), Post-myocardial infarction with left ventricular dysfunction (eplerenone).

At a glance

Generic nameEplerenone vs Amlodipine
SponsorBrigham and Women's Hospital
Drug classAldosterone antagonist (eplerenone); Dihydropyridine calcium channel blocker (amlodipine)
TargetMineralocorticoid receptor (eplerenone); L-type voltage-gated calcium channel (amlodipine)
ModalitySmall molecule
Therapeutic areaCardiovascular
PhaseFDA-approved

Mechanism of action

Eplerenone blocks aldosterone receptors in the kidney and heart, reducing sodium retention and blood volume while providing cardiac protection in heart failure and post-MI settings. Amlodipine blocks L-type calcium channels in vascular smooth muscle, causing vasodilation and reducing peripheral vascular resistance to lower blood pressure. These agents represent different mechanistic approaches to hypertension and cardiovascular disease management.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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