Generic Name: clevidipine (kle VID a peen)Brand Names: Cleviprex
Clevidipine is in a group of drugs called calcium channel blockers. Clevidipine relaxes (widens) blood vessels and improves blood flow.
Clevidipine is an injectable medication that is used to treat high blood pressure (hypertension) in people who cannot take medicine by mouth.
Clevidipine may also be used for other purposes not listed in this medication guide.
Before you receive clevidipine, tell your doctor if you have food allergies, pancreatitis, pheochromocytoma (an adrenal gland tumor), heart disease, or a history of high cholesterol.
In an emergency situation, it may not be possible before you are treated to tell your caregivers about any health conditions you have or if you are pregnant or breast-feeding. However, make sure any doctor caring for you afterward knows that you have received this medication.
Tell your doctor about all other heart or blood pressure medications you are using.
high cholesterol or triglyceride levels in your blood;
pancreatitis with high cholesterol or triglycerides;
a kidney disorder called lipoid nephrosis; or
severe narrowing of the aortic valve in your heart (aortic stenosis).
If you have certain conditions, you may need a dose adjustment or special tests to safely receive this medication. If possible before you receive clevidipine, tell your doctor if you have:
pheochromocytoma (an adrenal gland tumor);
heart disease; or
a history of high cholesterol.
In an emergency situation, it may not be possible before you are treated with clevidipine to tell your caregivers if you are pregnant or breast-feeding. However, make sure any doctor caring for your pregnancy or your baby knows that you have received this medication.
Clevidipine is given as an injection through a needle placed into a vein. Your doctor, nurse, or other healthcare provider will give you this injection. You will continue to receive clevidipine until you are able to take blood pressure medication orally (by mouth).Your blood pressure and heart rate will be watched closely while you are receiving clevidipine. Your blood pressure may also need to be checked often for several hours after you stop receiving this medication.
While you are being treated for high blood pressure, keep using your prescribed medications even if you feel fine. High blood pressure often has no symptoms, so you may not know when your blood pressure is high.You may need to use blood pressure medication for the rest of your life. Call your doctor at once if you have any signs of dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).
Clevidipine may be only part of a complete program of treatment that also includes a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you must avoid to help control your condition.Store clevidipine at room temperature away from moisture, heat, and light.
Since clevidipine is given as needed by a healthcare professional, it is not likely that you will miss a dose.
Overdose symptoms may include slow heartbeats, severe dizziness, and fainting.
feeling like you might pass out;
slow heart rate;
urinating less than usual or not at all;
drowsiness, confusion, mood changes, increased thirst, loss of appetite, vomiting;
feeling short of breath, even with mild exertion;
swelling, rapid weight gain; or
chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling.
Less serious side effects may include:
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.
Usual Adult Dose for Hypertension:
Initial dose: IV infusion of 1 to 2 mg/hour (2 to 4 mL/hour)Dose titration: Dose may be doubled at short (90 second) intervals initially. As blood pressure approaches goal, increase in doses should be less than doubling and intervals between dose adjustments should increase to every 5 to 10 minutes. An increase of approximately 1 to 2 mg/hour generally produces an additional 2 to 4 mmHg decrease in systolic pressure.Maintenance dose: The desired therapeutic response for most patients occurs at doses of 4 to 6 mg/hour (8 to 12 mL/hour). Patients with severe hypertension may require doses up to 32 mg/hour (64 mL/hour).Maximum dose: Most patients were treated with maximum doses of 16 mg/hour (32 mL/hour) or less; however, there is limited short-term experience with doses up to 32 mg/hour (64 mL/hour). Due to lipid load restrictions, no more than 1000 mL (or an average of 21 mg/hour) of clevidipine infusion is recommended per 24 hour period. There is little experience with infusion durations beyond 72 hours at any dose.Patients transitioned to an oral antihypertensive agent: Clevidipine should be discontinued or titrated downward while appropriate oral treatment is established.
Tell your doctor about all other heart or blood pressure medications you are using.Tell your doctor if you are also taking a beta-blocker drug (such as Blocadren, Corgard, Inderal, Normodyne, Tenormin, Toprol, Trandate, Zebeta, and others). You should not suddenly stop taking the beta-blocker. Stopping a beta-blocker too quickly can cause serious heart problems that will not be prevented by clevidipine.
There may be other drugs that can interact with clevidipine. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.