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Dihydropyridines (class)

Raw research findings for this medication. Mostly single studies, not curated or confirmed robust.

About Dihydropyridines

What it is

Dihydropyridines are the largest group of calcium channel blockers. They act mainly on the muscle of artery walls, widening the arteries and lowering blood pressure, with little direct effect on the heart rate. The group includes amlodipine, nifedipine, felodipine, lercanidipine, nimodipine and others, used for high blood pressure, angina and Raynaud's phenomenon. This page collects studies on the group as a whole.

How genes come into it

Nearly all dihydropyridines are broken down by CYP3A4, with CYP3A5 contributing, which is why grapefruit and CYP3A4 blockers raise their levels. The gene studies listed looked at CYP3A5, NUMA1 and NOS1AP. The findings come from a few studies, and there is no CPIC or DPWG guideline.

What research found

Every published finding on gene variants and Dihydropyridines. Upload your DNA file to see which of these rows apply to you.

Rated evidence (1 rated variant)

PharmGKB weighs all studies of a variant and rates how strong the evidence is, from 1A (strongest) to 4.

NOS1AP rs10494366: Level 3. Toxicity. 1.

Other findings (2 findings)

Studies that do not fall into the groups above.

CYP3A5 rs776746: Genotype TT is associated with increased discontinuation of Dihydropyridine derivatives as compared to genotype CC.

NUMA1 rs10898815: Genotypes AA + AG is associated with increased discontinuation of Dihydropyridine derivatives as compared to genotype GG.

Study findings and evidence levels: PharmGKB (CC BY-SA 4.0). Guidelines: CPIC and DPWG, as bundled in PharmCAT. Most studies were done mainly in people of European ancestry.

Related Drugs

More drugs from the same category

Calan (Calcium Channel Blockers)

Calcium Channel Blockers (class) (Calcium Channel Blockers)

Cardene (Calcium Channel Blockers)

Not a prescribing recommendation. This page is educational information about pharmacogenomic research and clinical guidelines - it is not medical or dosing advice, and not a prediction of how any medication will work for you. Never start, stop, or change a medication or dose based on it; talk to your doctor or pharmacist, who can order clinical-grade testing if appropriate.

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Content updated September 2026.

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