Skip to content

Isradipine

Published: July 26, 2026Updated: August 24, 2026

Isradipine is a calcium channel blocker (CCB) medication used primarily to treat high blood pressure (hypertension). It works by relaxing and widening blood vessels, making it easier for the heart to pump blood through the body. This medication is typically prescribed as part of a comprehensive approach to managing cardiovascular health.

Quick summary

Isradipine is a calcium channel blocker used to treat high blood pressure by relaxing and widening blood vessels.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
C08CA03
RxNorm
33910
Generic
Isradipine
Class
atc-c08
Brands
—
Availability
rx
Pregnancy
C
Lactation
caution
Routes
oral
Forms
tablet, capsule
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Doses exceeding 50 mg in adults may cause serious toxicity
Chronic overdose: Prolonged use at supratherapeutic doses leading to symptomatic hypotension and bradycardia
Immediate actions
Activated charcoal within 1-2 hours if presentation is early, gastric lavage for large recent ingestions, IV fluids, continuous cardiac monitoring
Antidote
No specific antidote exists(Supportive care is the mainstay of treatment)
Poison Control: 1-800-222-1222

Special Populations

8 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if benefits outweigh potential risks to fetus

Monitor

regular fetal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if benefits outweigh risks

Monitor

regular fetal growth monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if benefits outweigh risks, may prolong labor

Monitor

fetal monitoring during labor

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

isradipine passes into breast milk, monitor infant for adverse effects

Monitor

monitor infant for hypotension, lethargy

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

start at low dose

Key Recommendations

initiate therapy at low dose, monitor blood pressure closely, increased sensitivity to calcium channel blockers

Monitor

regular blood pressure monitoring, monitor for edema and hypotension

Use with caution and monitor for adverse effects.

?

pediatric_age

children
unknown
FDA Category
N
Dose Adjustment

not established

Key Recommendations

not recommended in children due to limited safety and efficacy data

Monitor

blood pressure monitoring if used

⚠

renal_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

may require dose adjustment

Key Recommendations

use with caution, monitor renal function

Monitor

monitor renal function and blood pressure regularly

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

dose reduction recommended

Key Recommendations

reduce dose in hepatic impairment due to decreased metabolism

Monitor

monitor blood pressure and liver function

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA Approval Year

Value:1990s

General prescribing information

drug_classWHO
2023

Drug class

Value:Calcium Channel Blocker (Dihydropyridine)

Drug class information

usageMedical guidelines
2023

Common uses

Value:Hypertension (high blood pressure)

Common therapeutic uses

mechanismPharmacology references
2023

Mechanism of action

Value:Blocks calcium channels in vascular smooth muscle

Pharmacological mechanism

Isradipine is primarily indicated for the treatment of essential hypertension (high blood pressure without identifiable cause). It may be used alone or in combination with other antihypertensive agents for better blood pressure control.

Isradipine belongs to the dihydropyridine class of calcium channel blockers. It works by blocking calcium from entering vascular smooth muscle cells through L-type calcium channels. This causes relaxation of the blood vessel walls, leading to vasodilation and reduced peripheral vascular resistance, which lowers blood pressure.

Isradipine should be taken exactly as prescribed, typically once or twice daily with or without food. Common side effects may include headache, flushing, dizziness, and peripheral edema. Patients with severe coronary artery disease or recent heart attack should use this medication with caution. Regular blood pressure monitoring is essential during treatment. Alcohol may enhance blood pressure-lowering effects and should be consumed in moderation.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

WellAlly may earn a referral fee from linked resources at no extra cost to you. Editorial content is never influenced by commercial relationships.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy