Product image of Manidipine Arrow (Manidipine Dihydrochloride) supplied by GNH India

Manidipine Arrow

Active Ingredient:
Manidipine Dihydrochloride
Origin:
EU

Manidipine Arrow (Manidipine Dihydrochloride)

Manidipine, the active ingredient in Manidipine Arrow, is a calcium channel blocker presented as an oral tablet for oral use. It treats hypertension in adult patients by lowering elevated blood pressure.

GNH India supplies Manidipine Arrow as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Arrow Generiques

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Indications & Clinical Uses

  • Manidipine is indicated for the management of hypertension, acting on the vascular smooth‑muscle tone to reduce systemic blood pressure.
  • Hypertension: lowers systolic and diastolic pressure and helps achieve target blood pressure goals in patients with essential hypertension.

How It Works

  • Manidipine selectively inhibits L‑type calcium channels in vascular smooth‑muscle cells, preventing calcium influx that is required for contraction. This vasodilatory effect reduces peripheral vascular resistance, leading to a decrease in arterial pressure without significant negative inotropic effects on the heart.

Side Effects

Manidipine may cause a range of adverse reactions, most of which are mild and transient.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Flushing: transient warmth and redness of the skin.
  • Peripheral edema: swelling of the ankles or feet.
  • Dizziness or light‑headedness, especially after standing.
  • Tachycardia: increased heart rate.
  • Fatigue: general feeling of tiredness.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure requiring medical attention.
  • Myocardial infarction: rare occurrence of heart attack.
  • Hepatic dysfunction: abnormal liver enzyme elevations.
  • Allergic reactions: rash, pruritus, or urticaria.
  • Angioedema: swelling of face, lips, or throat.
  • Cardiac arrhythmias: irregular heart rhythms.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate patient‑specific factors and monitor for potential risks.

  • Blood pressure monitoring: check regularly to avoid excessive hypotension.
  • Hepatic impairment: use with caution and consider dose adjustment.
  • Concomitant antihypertensives: assess for additive blood‑pressure‑lowering effects.
  • Elderly patients: start at the lowest effective dose and monitor tolerance.
  • Severe hypotension: contraindicated in patients with markedly low blood pressure.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Manidipine can interact with several drug classes, influencing its efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): may increase plasma concentrations.
  • Grapefruit juice: can elevate drug levels and risk of hypotension.
  • Other potent vasodilators: may cause additive hypotensive effects.

Moderate Interactions (Monitor Closely):\n- Diuretics: may enhance antihypertensive response, requiring dose adjustment.

  • Beta‑blockers: combined effect on heart rate and blood pressure.
  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may reduce antihypertensive efficacy.
  • Calcium supplements: could attenuate vasodilatory action.
  • Alcohol: may increase dizziness and hypotension.

Frequently Asked Questions

Manidipine Arrow contains the active ingredient manidipine, which is prescribed to lower high blood pressure in adults diagnosed with hypertension. By reducing peripheral vascular resistance, it helps achieve and maintain target blood‑pressure levels and lowers the risk of cardiovascular complications associated with uncontrolled hypertension.

Manidipine selectively blocks L‑type calcium channels in the smooth muscle of blood vessels. This inhibition prevents calcium‑induced contraction, causing the vessels to relax and widen (vasodilation). The resulting decrease in peripheral resistance leads to a reduction in arterial pressure without significantly affecting heart contractility.

The appropriate dose of Manidipine Arrow is determined by the prescribing healthcare professional based on the individual’s clinical condition, response to therapy, and any concomitant medications. Patients should follow the prescriber’s instructions and not alter the dose without medical guidance.

The safety of manidipine in pregnancy and lactation has not been established, and the pregnancy category is listed as unknown. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and this decision must be made by a qualified healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Manidipine belongs to the dihydropyridine calcium‑channel blocker class, which primarily causes arterial vasodilation. Compared with ACE inhibitors or ARBs, it has a lower incidence of cough but may cause more peripheral edema. Its once‑daily dosing and selective vascular action make it a useful alternative for patients who cannot tolerate other classes.

Manidipine Arrow tablets should be stored at room temperature, below 25 °C, in the original packaging to protect them from moisture and light. Keep the container tightly closed and out of reach of children. No refrigeration is required.

Manidipine Arrow is taken orally, usually once daily with or without food, as directed by the prescriber. Swallow the tablet whole with a glass of water; do not crush or chew it unless specifically instructed by a healthcare professional.

Serious adverse events, although rare, include severe hypotension, myocardial infarction, hepatic dysfunction, allergic reactions such as rash or angioedema, and cardiac arrhythmias. Patients should seek immediate medical attention if they experience symptoms like fainting, chest pain, severe dizziness, or swelling of the face or throat.

Manidipine Arrow is contraindicated in patients with known severe hypotension, cardiogenic shock, or a history of allergic reactions to calcium‑channel blockers. Caution is advised for individuals with significant liver impairment, elderly patients, or those taking interacting medications. The prescriber should evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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