Page last updated: 2024-11-01

nifedipine and Altitude Sickness

nifedipine has been researched along with Altitude Sickness in 51 studies

Nifedipine: A potent vasodilator agent with calcium antagonistic action. It is a useful anti-anginal agent that also lowers blood pressure.

Altitude Sickness: Multiple symptoms associated with reduced oxygen at high ALTITUDE.

Research Excerpts

ExcerptRelevanceReference
"Low-concentration NO inhalation on the basis of conventional and nifedipine therapies was very effective in the treatment of high-altitude pulmonary edema, which deserves further and larger scale investigation."9.08[Low-concentration nitrous oxide inhalation in the treatment of high-altitude pulmonary edema]. ( Ma, Y; Wang, W; Zhang, X, 1998)
"Twenty-one mountaineers (1 woman and 20 men) with a history of radiographically documented high-altitude pulmonary edema were randomly assigned to receive either 20 mg of a slow-release preparation of nifedipine (n = 10) or placebo (n = 11) every 8 hours while ascending rapidly (within 22 hours) from a low altitude to 4559 m and during the following three days at this altitude."9.07Prevention of high-altitude pulmonary edema by nifedipine. ( Bärtsch, P; Maggiorini, M; Noti, C; Oelz, O; Ritter, M; Vock, P, 1991)
"We have studied the prophylactic administration of nifedipine and its molecular mechanism involved in reducing the transvascular leakage and inflammation in rats under hypoxia."7.78Nifedipine inhibits hypoxia induced transvascular leakage through down regulation of NFkB. ( M, C; Mathew, T; P, H; S K S, S; S, S, 2012)
"Low-concentration NO inhalation on the basis of conventional and nifedipine therapies was very effective in the treatment of high-altitude pulmonary edema, which deserves further and larger scale investigation."5.08[Low-concentration nitrous oxide inhalation in the treatment of high-altitude pulmonary edema]. ( Ma, Y; Wang, W; Zhang, X, 1998)
"Nifedipine has been shown effective for prevention and treatment of high altitude pulmonary edema (HAPE)."5.07Nifedipine does not prevent acute mountain sickness. ( Bärtsch, P; Goerre, S; Hohenhaus, E; Niroomand, F; Oelz, O; Vock, P, 1994)
"Twenty-one mountaineers (1 woman and 20 men) with a history of radiographically documented high-altitude pulmonary edema were randomly assigned to receive either 20 mg of a slow-release preparation of nifedipine (n = 10) or placebo (n = 11) every 8 hours while ascending rapidly (within 22 hours) from a low altitude to 4559 m and during the following three days at this altitude."5.07Prevention of high-altitude pulmonary edema by nifedipine. ( Bärtsch, P; Maggiorini, M; Noti, C; Oelz, O; Ritter, M; Vock, P, 1991)
"We have studied the prophylactic administration of nifedipine and its molecular mechanism involved in reducing the transvascular leakage and inflammation in rats under hypoxia."3.78Nifedipine inhibits hypoxia induced transvascular leakage through down regulation of NFkB. ( M, C; Mathew, T; P, H; S K S, S; S, S, 2012)
"Both of aminophylline and nifedipine can attenuate pulmonary hypertension in patients with HAPE, but the effect of aminophylline was better than the effect of nifedipine."3.72[Hemodynamic effects of aminophylline and nifedipine in patients with high altitude pulmonary edema]. ( Cheng, GL; Gao, YQ; Li, SZ; Liou, FY; Mou, XB; Tang, HY; Ye, GL; Zhou, XB, 2004)
"High altitude pulmonary edema (HAPE) is characterized by marked pulmonary hypertension."2.67Prevention and treatment of high altitude pulmonary edema by a calcium channel blocker. ( Bärtsch, P; Maggiorini, M; Noti, C; Oelz, O; Ritter, M; Vock, P; Waber, U, 1992)
"High-altitude pulmonary edema is a non-cardiac edema that often precedes acute mountain sickness."2.42[Visiting high altitudes--healthy persons and patients with risk diseases]. ( Fischer, R, 2004)
"Acetazolamide 750 mg was also efficacious (2."2.41Efficacy and harm of pharmacological prevention of acute mountain sickness: quantitative systematic review. ( Dumont, L; Mardirosoff, C; Tramèr, MR, 2000)
"Essentially, acute mountain sickness is self-limiting and benign."2.41[Mountaineering and altitude sickness]. ( Maggiorini, M, 2001)
"High-altitude pulmonary edema (HAPE) occurs in unacclimatized individuals who are rapidly exposed to altitudes in excess of 2450 m."2.39High-altitude pulmonary edema: current concepts. ( Hultgren, HN, 1996)
"Acetazolamide has been used in a dosage of 250 to 500 mg 12 to 24 h."2.38[Prevention and therapy of altitude sickness]. ( Maggiorini, M, 1993)
"Individuals susceptible to high altitude pulmonary edema also show increased hypoxia vasoconstriction of pulmonary arterioles."2.38[Who gets altitude sickness?]. ( Bärtsch, P, 1992)
"High altitude pulmonary edema (HAPE) is a life-threatening altitude illness that usually occurs in insufficiently acclimatized climbers in the first few days at altitudes above 2500 m."1.51Delayed-Onset High Altitude Pulmonary Edema: A Case Report. ( Acharya, S; Bhattarai, A; Wilkes, M; Yadav, JK, 2019)
"Oral nifedipine or placebo was administered to alternating patients."1.38Nifedipine for the treatment of high altitude pulmonary edema. ( Basnet, S; Deshwal, R; Iqbal, M, 2012)
"High altitude pulmonary edema (HAPE) is the leading cause of death from altitude illness and rapid descent is often considered a life-saving foundation of therapy."1.34Treatment of high altitude pulmonary edema at 4240 m in Nepal. ( Fagenholz, PJ; Gutman, JA; Harris, NS; Murray, AF, 2007)
"High-altitude pulmonary edema (HAPE) is a non-cardiogenic edema that is often preceded by symptoms of AMS."1.32[Acute mountain sickness and high-altitude pulmonary edema. How to protect the mountain climber from the effects of the "altitude haze"]. ( Bärtsch, P; Dehnert, Ch; Mairbäurl, H; Schneider, M, 2003)
"High altitude pulmonary edema is characterized hemodynamically by a markedly restricted pulmonary vascular bed."1.28The effect of vasodilators on pulmonary hemodynamics in high altitude pulmonary edema: a comparison. ( Greene, ER; Hackett, PH; Hartig, GS; Levine, BD; Roach, RC, 1992)

Research

Studies (51)

TimeframeStudies, this research(%)All Research%
pre-19902 (3.92)18.7374
1990's20 (39.22)18.2507
2000's13 (25.49)29.6817
2010's15 (29.41)24.3611
2020's1 (1.96)2.80

Authors

AuthorsStudies
Luks, AM3
Swenson, ER2
Parise, I1
Li, Y1
Zhang, Y2
Bhattarai, A1
Acharya, S1
Yadav, JK1
Wilkes, M1
Fischer, R2
Maimaitiyimin, D1
Tao, Y1
Shi, W1
Upur, H1
Aikemu, A1
Caravita, S1
Faini, A1
Bilo, G1
Lang, M1
Parati, G1
Yanamandra, U1
Nair, V1
Singh, S1
Gupta, A1
Mulajkar, D1
Yanamandra, S1
Norgais, K1
Mukherjee, R1
Singh, V1
Bhattachar, SA1
Patyal, S1
Grewal, R1
Chopra, B1
Chandramoorthi, GD1
Piramanayagam, S1
Marimuthu, P1
Berendsen, RR1
Willems, JH1
Bosch, FH2
Hulsebosch, R1
Kayser, B2
Ghosh, M1
Biswas, D1
Mukherjee, A1
McIntosh, SE2
Grissom, CK1
Auerbach, PS1
Rodway, GW2
Schoene, RB3
Zafren, K1
Hackett, PH3
Bailey, DM1
Dehnert, C1
Menold, E1
Castell, C1
Schendler, G1
Faoro, V1
Gutowski, M1
Evans, KA1
Taudorf, S1
James, PE1
McEneny, J1
Young, IS1
Mairbäurl, H2
Bärtsch, P12
Berger, MM1
Mou, XB1
Li, SZ1
Gao, YQ1
Liou, FY1
Ye, GL1
Tang, HY1
Zhou, XB1
Cheng, GL1
Deshwal, R1
Iqbal, M1
Basnet, S1
S K S, S1
P, H1
Mathew, T1
S, S1
M, C1
Wagner, DR1
Cushing, TA1
Keyes, LE1
Basnyat, B1
Freer, L1
Jones, BE1
Stokes, S1
McKenzie, S1
Nilles, E1
Stoddard, GJ1
Dehnert, Ch1
Schneider, M1
Maggiorini, M7
Fagenholz, PJ1
Gutman, JA1
Murray, AF1
Harris, NS1
Knobloch, J1
Goerre, S2
Wenk, M1
Lüscher, TF1
Niroomand, F2
Hohenhaus, E2
Oelz, O11
Reinhart, WH2
Vock, P5
Hultgren, HN1
Aslam, M1
Khan, MZ1
Dumont, L1
Mardirosoff, C1
Tramèr, MR1
Wang, W1
Zhang, X1
Ma, Y1
Roach, RC2
Jamieson, A1
Kerr, GW1
Ritter, M5
Noti, C4
Waber, U4
Hartig, GS1
Greene, ER1
Levine, BD1
Jenni, R2
Singh, A1
Reeves, JT1

Clinical Trials (7)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Controlled Hyperventilation as Prophylaxis for Acute Mountain Sickness: A Randomized Controlled Trial[NCT02972411]30 participants (Anticipated)Interventional2016-10-31Recruiting
Can Rhodiola Crenulata Intake Improve Oxygen Saturation and Decrease the Incidence of Acute Mountain Sickness.[NCT01536288]Phase 2125 participants (Actual)Interventional2010-10-31Completed
Multicentric Evaluation of the Impact on Hypoxia Sensitivity of Patients With COVID-19[NCT05167357]90 participants (Anticipated)Interventional2021-03-18Recruiting
Sickness Evaluation at Altitude With Acetazolamide at Relative Doses[NCT03828474]Phase 1108 participants (Actual)Interventional2019-08-09Completed
Treatment of High-altitude Sleep Disturbance: A Double-blind Comparison of Temazepam Versus Acetazolamide.[NCT01519544]34 participants (Actual)Interventional2012-03-31Completed
Acute Mountain Sickness Treatment: A Double-blind Comparison of Metoclopramide vs. Ibuprofen[NCT01522326]300 participants (Anticipated)Interventional2012-03-01Completed
The Effect of Riociguat on Gas Exchange, Exercise Performance, and Pulmonary Artery Pressure During Acute Altitude Exposure[NCT02024386]Phase 428 participants (Actual)Interventional2014-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Cardiac Output

Arterial blood samples will be obtained before, during, and after the VO2max exercise test in the hypobaric chamber at a simulated altitude of 15,000 feet. Exercise level will be increased every 3 minutes until test termination criteria are achieved. Samples will be obtained during the fifth minute of rest prior to exercise, during the third minute of each exercise level (referred to as stage below) and during the fifth minute post exercise. Cardiac output (CO) will be calculated using the Fick Principle: CO = V̇O2/(CaO2 - Cv̄O2) where CaO2 and Cv̄O2 represent the arterial and mixed venous oxygen content, respectively. CaO2 and CvO2 will be determined from analysis of the arterial blood samples using an IL GEM 4000 analyzer. VO2 will be reported as the final 30 secon average value of each stage. Subjects in the Riociguat cohorts will be tested prior to receiving drug and 90 minutes after receiving drug (midway through a three hour rest period between altitude exposures). (NCT02024386)
Timeframe: At rest, every 3 minutes during the exercise test and 5 minutes after each exercise test

,
InterventionL/min (Mean)
No Drug: RestAfter Drug: RestNo Drug: Stage 1After Drug: Stage 1No Drug: Stage 2After Drug: Stage 2No Drug: Stage 3After Drug: Stage 3No Drug: Stage 4After Drug: Stage 4No Drug: Stage 5After Drug: Stage 5No Drug: Stage 6After Drug: Stage 6No Drug: Stage 7No Drug: Post ExerciseAfter Drug: Post Exercise
Control Arm7.534007.0700015.748015.222517.388019.677519.790019.780020.377522.210022.247524.196720.880022.506720.440013.924010.9875
Riociguat 0.5 mg8.119038.0757116.124115.568018.088420.621120.908419.553722.084421.579225.264726.480625.967425.386325.421210.98258.7147

Cardiac Output

Arterial blood samples will be obtained before, during, and after the VO2max exercise test in the hypobaric chamber at a simulated altitude of 15,000 feet. Exercise level will be increased every 3 minutes until test termination criteria are achieved. Samples will be obtained during the fifth minute of rest prior to exercise, during the third minute of each exercise level (referred to as stage below) and during the fifth minute post exercise. Cardiac output (CO) will be calculated using the Fick Principle: CO = V̇O2/(CaO2 - Cv̄O2) where CaO2 and Cv̄O2 represent the arterial and mixed venous oxygen content, respectively. CaO2 and CvO2 will be determined from analysis of the arterial blood samples using an IL GEM 4000 analyzer. VO2 will be reported as the final 30 secon average value of each stage. Subjects in the Riociguat cohorts will be tested prior to receiving drug and 90 minutes after receiving drug (midway through a three hour rest period between altitude exposures). (NCT02024386)
Timeframe: At rest, every 3 minutes during the exercise test and 5 minutes after each exercise test

InterventionL/min (Mean)
No Drug: RestAfter Drug: RestNo Drug: Stage 1After Drug: Stage 1No Drug: Stage 2After Drug: Stage 2No Drug: Stage 3After Drug: Stage 3No Drug: Stage 4After Drug: Stage 4No Drug: Stage 5After Drug: Stage 5No Drug: Stage 6After Drug: Stage 6No Drug: Stage 7After Drug: Stage 7No Drug: Post ExerciseAfter Drug: Post Exercise
Riociguat 1.0 mg6.602198.9811914.676214.750116.873616.864818.460318.092720.673820.879822.570121.947722.861223.022722.085022.519811.994910.9727

Mean Arterial Oxygen Saturation (SaO2)

Subject arterial oxygen saturation (SaO2) will be periodically monitored at fixed intervals via arterial blood gas measurements during the VO2max exercise test in the hypobaric chamber at a simulated altitude of 15,000 feet. Measurements will be obtained at rest, every 3 minutes during the exercise test (referred to as a stage below) and at 5 minutes post exercise. Results will be reported as a 30 second average. Subjects in the Riociguat cohorts will be tested prior to receiving drug and 90 minutes after receiving drug (midway through a three hour rest period between altitude exposures). (NCT02024386)
Timeframe: At rest, every 3 minutes during the exercise test and 5 minutes after each exercise test

,
Intervention% oxygen saturation (Mean)
No Drug: RestAfter Drug: RestNo Drug: Stage 1After Drug: Stage 1No Drug: Stage 2After Drug: Stage 2No Drug: Stage 3After Drug: Stage 3No Drug: Stage 4After Drug: Stage 4No Drug: Stage 5After Drug: Stage 5No Drug: Stage 6After Drug: Stage 6No Drug: Stage 7No Drug: Post ExerciseAfter Drug: Post Exercise
Control Arm85.440083.900074.260070.980070.920069.980067.175067.750068.950068.350068.82568.82566.500064.866767.700082.040083.5400
Riociguat 0.5 mg78.333381.966771.280072.580071.080073.450071.525072.250071.340070.900071.325070.100071.500067.300073.966776.350080.5833

Mean Arterial Oxygen Saturation (SaO2)

Subject arterial oxygen saturation (SaO2) will be periodically monitored at fixed intervals via arterial blood gas measurements during the VO2max exercise test in the hypobaric chamber at a simulated altitude of 15,000 feet. Measurements will be obtained at rest, every 3 minutes during the exercise test (referred to as a stage below) and at 5 minutes post exercise. Results will be reported as a 30 second average. Subjects in the Riociguat cohorts will be tested prior to receiving drug and 90 minutes after receiving drug (midway through a three hour rest period between altitude exposures). (NCT02024386)
Timeframe: At rest, every 3 minutes during the exercise test and 5 minutes after each exercise test

Intervention% oxygen saturation (Mean)
No Drug: RestAfter Drug: RestNo Drug: Stage 1After Drug: Stage 1No Drug: Stage 2After Drug: Stage 2No Drug: Stage 3After Drug: Stage 3No Drug: Stage 4After Drug: Stage 4No Drug: Stage 5After Drug: Stage 5No Drug: Stage 6After Drug: Stage 6No Drug: Stage 7After Drug: Stage 7No Drug: Post ExerciseAfter Drug: Post Exercise
Riociguat 1.0 mg84.936484.400073.154574.000072.480074.255671.933373.500072.125072.016769.633372.520071.475071.975070.850068.700079.218281.2700

Mean Pulmonary Artery Pressure

Subject pulmonary artery pressures will be continuously monitored during the VO2max exercise test in the hypobaric chamber at a simulated altitude of 15,000 feet. Exercise level will be increased every 3 minutes until test termination criteria are achieved. Measurements will be obtained at rest, every 3 minutes during the exercise test (referred to as a stage below) and at 5 minutes post exercise. Results will be reported as a 30 second average. Subjects in the Riociguat cohorts will be tested prior to receiving drug and 90 minutes after receiving drug (midway through a three hour rest period between altitude exposures). (NCT02024386)
Timeframe: At rest, every 3 minutes during the exercise test and 5 minutes after each exercise test

,
Interventionmm Hg (Mean)
No Drug: RestAfter Drug: RestNo Drug: Stage 1After Drug: Stage 1No Drug: Stage 2After Drug: Stage 2No Drug: Stage 3After Drug: Stage 3No Drug: Stage 4After Drug: Stage 4No Drug: Stage 5After Drug: Stage 5No Drug: Stage 6After Drug: Stage 6No Drug: Stage 7No Drug: Post ExerciseAfter Drug: Post Exercise
Control Arm16.380017.400025.360025.080026.660027.440025.700026.850026.975027.400027.500028.150028.766729.433326.600019.300019.2800
Riociguat 0.5 mg16.866716.683325.000026.116727.280027.060028.020028.050029.740029.375030.840028.500032.650036.100032.933318.950019.2167

Mean Pulmonary Artery Pressure

Subject pulmonary artery pressures will be continuously monitored during the VO2max exercise test in the hypobaric chamber at a simulated altitude of 15,000 feet. Exercise level will be increased every 3 minutes until test termination criteria are achieved. Measurements will be obtained at rest, every 3 minutes during the exercise test (referred to as a stage below) and at 5 minutes post exercise. Results will be reported as a 30 second average. Subjects in the Riociguat cohorts will be tested prior to receiving drug and 90 minutes after receiving drug (midway through a three hour rest period between altitude exposures). (NCT02024386)
Timeframe: At rest, every 3 minutes during the exercise test and 5 minutes after each exercise test

Interventionmm Hg (Mean)
No Drug: RestAfter Drug: RestNo Drug: Stage 1After Drug: Stage 1No Drug: Stage 2After Drug: Stage 2No Drug: Stage 3After Drug: Stage 3No Drug: Stage 4After Drug: Stage 4No Drug: Stage 5After Drug: Stage 5No Drug: Stage 6After Drug: Stage 6No Drug: Stage 7After Drug: Stage 7No Drug: Post ExerciseAfter Drug: Post Exercise
Riociguat 1.0 mg15.654515.490026.945525.154526.580025.510026.411124.137527.275025.216728.033324.200025.925022.700020.400022.500019.127316.6700

Mean Radial Arterial Pressure

Subject systemic arterial pressures will be continuously monitored via radial artery catheterization during the VO2max exercise test in the hypobaric chamber at a simulated altitude of 15,000 feet. Exercise level will be increased every 3 minutes until test termination criteria are achieved. Measurements will be obtained at rest, every 3 minutes during the exercise test (referred to as a stage below) and at 5 minutes post exercise. Results will be reported as a 30 second average. Subjects in the Riociguat cohorts will be tested prior to receiving drug and 90 minutes after receiving drug (midway through a three hour rest period between altitude exposures). (NCT02024386)
Timeframe: At rest, every 3 minutes during the exercise test and 5 minutes after each exercise test

,
Interventionmm Hg (Mean)
No Drug: RestAfter Drug: RestNo Drug: Stage 1After Drug: Stage 1No Drug: Stage 2After Drug: Stage 2No Drug: Stage 3After Drug: Stage 3No Drug: Stage 4After Drug: Stage 4No Drug: Stage 5After Drug: Stage 5No Drug: Stage 6After Drug: Stage 6No Drug: Stage 7No Drug: Post ExerciseAfter Drug: Post Exercise
Control Arm96.560096.7600100.1600102.500107.020105.580109.425111.825112.675112.475114.775114.175108.100107.367101.990.480095.3600
Riociguat 0.5 mg87.833391.600093.516797.1167105.480107.260107.580114.65113.140117.025116.500124.800115.900143.1122.70089.50092.0833

Mean Radial Arterial Pressure

Subject systemic arterial pressures will be continuously monitored via radial artery catheterization during the VO2max exercise test in the hypobaric chamber at a simulated altitude of 15,000 feet. Exercise level will be increased every 3 minutes until test termination criteria are achieved. Measurements will be obtained at rest, every 3 minutes during the exercise test (referred to as a stage below) and at 5 minutes post exercise. Results will be reported as a 30 second average. Subjects in the Riociguat cohorts will be tested prior to receiving drug and 90 minutes after receiving drug (midway through a three hour rest period between altitude exposures). (NCT02024386)
Timeframe: At rest, every 3 minutes during the exercise test and 5 minutes after each exercise test

Interventionmm Hg (Mean)
No Drug: RestAfter Drug: RestNo Drug: Stage 1After Drug: Stage 1No Drug: Stage 2After Drug: Stage 2No Drug: Stage 3After Drug: Stage 3No Drug: Stage 4After Drug: Stage 4No Drug: Stage 5After Drug: Stage 5No Drug: Stage 6After Drug: Stage 6No Drug: Stage 7After Drug: Stage 7No Drug: Post ExerciseAfter Drug: Post Exercise
Riociguat 1.0 mg93.318291.8000101.54597.627107.270104.867110.122106.425114.650109.517115.267108.240112.025108.825107.900102.40090.354581.7800

Mean Ventilation Rate

Subject ventilation rates will be monitored continuously using a multi-channel A/D converter (PowerLab™) connected to a personal computer, using Chart™ software (ADInstruments, Colorado Springs, CO) during the VO2max exercise test in the hypobaric chamber at a simulated altitude of 15,000 feet. Exercise level will be increased every 3 minutes until test termination criteria are achieved. Measurements will be obtained at rest, every 3 minutes during the exercise test (referred to as a stage below) and at 5 minutes post exercise. Results will be reported as a 30 second average. Subjects in the Riociguat cohorts will be tested prior to receiving drug and 90 minutes after receiving drug (midway through a three hour rest period between altitude exposures). (NCT02024386)
Timeframe: At rest, every 3 minutes during the exercise test and 5 minutes after each exercise test

,
InterventionL/min (Mean)
No Drug: RestAfter Drug: RestNo Drug: Stage 1After Drug: Stage 1No Drug: Stage 2After Drug: Stage 2No Drug: Stage 3After Drug: Stage 3No Drug: Stage 4After Drug: Stage 4No Drug: Stage 5After Drug: Stage 5No Drug: Stage 6After Drug: Stage 6No Drug: Stage 7No Drug: Post ExerciseAfter Drug: Post Exercise
Control Arm18.226616.412846.023842.043563.212460.804070.906069.160389.300892.8173113.354118.521137.837134.869126.44741.793440.7953
Riociguat 0.5 mg14.763417.545438.313440.348852.147359.958867.331573.656089.723397.2645108.857121.556143.373145.65156.66932.392729.6728

Mean Ventilation Rate

Subject ventilation rates will be monitored continuously using a multi-channel A/D converter (PowerLab™) connected to a personal computer, using Chart™ software (ADInstruments, Colorado Springs, CO) during the VO2max exercise test in the hypobaric chamber at a simulated altitude of 15,000 feet. Exercise level will be increased every 3 minutes until test termination criteria are achieved. Measurements will be obtained at rest, every 3 minutes during the exercise test (referred to as a stage below) and at 5 minutes post exercise. Results will be reported as a 30 second average. Subjects in the Riociguat cohorts will be tested prior to receiving drug and 90 minutes after receiving drug (midway through a three hour rest period between altitude exposures). (NCT02024386)
Timeframe: At rest, every 3 minutes during the exercise test and 5 minutes after each exercise test

InterventionL/min (Mean)
No Drug: RestAfter Drug: RestNo Drug: Stage 1After Drug: Stage 1No Drug: Stage 2After Drug: Stage 2No Drug: Stage 3After Drug: Stage 3No Drug: Stage 4After Drug: Stage 4No Drug: Stage 5After Drug: Stage 5No Drug: Stage 6After Drug: Stage 6No Drug: Stage 7After Drug: Stage 7No Drug: Post ExerciseAfter Drug: Post Exercise
Riociguat 1.0 mg16.898118.928940.809541.360564.647661.490581.554878.0649102.49996.850132.789126.372153.233151.843173.819156.97838.163934.7268

Mean Work Rate at Exhaustion

Subject work rates at exhaustion (in watts) will be continuously monitored using an ergometer (exercise bicycle) during the VO2max exercise test in the hypobaric chamber at a simulated altitude of 15,000 feet. Exercise level will be increased every 3 minutes until test termination criteria are achieved. Measurements will be obtained at rest, every 3 minutes during the exercise test (referred to as a stage below) and at 5 minutes post exercise. Results will be reported as a 30 second average. Subjects in the Riociguat cohorts will be tested prior to receiving drug and 90 minutes after receiving drug (midway through a three hour rest period between altitude exposures). (NCT02024386)
Timeframe: At rest, every 3 minutes during the exercise test and 5 minutes after each exercise test

,
Interventionwatts (Mean)
No Drug: RestAfter Drug: RestNo Drug: Stage 1After Drug: Stage 1No Drug: Stage 2After Drug: Stage 2No Drug: Stage 3After Drug: Stage 3No Drug: Stage 4After Drug: Stage 4No Drug: Stage 5After Drug: Stage 5No Drug: Stage 6After Drug: Stage 6No Drug: Stage 7No Drug: Post ExerciseAfter Drug: Post Exercise
Control Arm005050757510010012512515015017517520000
Riociguat 0.5 mg005050757510010012512515015017517520000

Mean Work Rate at Exhaustion

Subject work rates at exhaustion (in watts) will be continuously monitored using an ergometer (exercise bicycle) during the VO2max exercise test in the hypobaric chamber at a simulated altitude of 15,000 feet. Exercise level will be increased every 3 minutes until test termination criteria are achieved. Measurements will be obtained at rest, every 3 minutes during the exercise test (referred to as a stage below) and at 5 minutes post exercise. Results will be reported as a 30 second average. Subjects in the Riociguat cohorts will be tested prior to receiving drug and 90 minutes after receiving drug (midway through a three hour rest period between altitude exposures). (NCT02024386)
Timeframe: At rest, every 3 minutes during the exercise test and 5 minutes after each exercise test

Interventionwatts (Mean)
No Drug: RestAfter Drug: RestNo Drug: Stage 1After Drug: Stage 1No Drug: Stage 2After Drug: Stage 2No Drug: Stage 3After Drug: Stage 3No Drug: Stage 4After Drug: Stage 4No Drug: Stage 5After Drug: Stage 5No Drug: Stage 6After Drug: Stage 6No Drug: Stage 7After Drug: Stage 7No Drug: Post ExerciseAfter Drug: Post Exercise
Riociguat 1.0 mg005050757510010012512515015017517520020000

Reviews

13 reviews available for nifedipine and Altitude Sickness

ArticleYear
COVID-19 Lung Injury and High-Altitude Pulmonary Edema. A False Equation with Dangerous Implications.
    Annals of the American Thoracic Society, 2020, Volume: 17, Issue:8

    Topics: Acetazolamide; Altitude Sickness; Betacoronavirus; Carbonic Anhydrase Inhibitors; Coronavirus Infect

2020
Travelling safely to places at high altitude - Understanding and preventing altitude illness.
    Australian family physician, 2017, Volume: 46, Issue:6

    Topics: Acclimatization; Acetazolamide; Altitude; Altitude Sickness; Anticonvulsants; Antiemetics; Calcium C

2017
Research advances in pathogenesis and prophylactic measures of acute high altitude illness.
    Respiratory medicine, 2018, Volume: 145

    Topics: Acetazolamide; Acute Disease; Altitude Sickness; Calcium Channel Blockers; Carbonic Anhydrase Inhibi

2018
[Visiting high altitudes--healthy persons and patients with risk diseases].
    MMW Fortschritte der Medizin, 2004, Feb-19, Volume: 146, Issue:8

    Topics: Acclimatization; Acetazolamide; Acute Disease; Altitude; Altitude Sickness; Anti-Inflammatory Agents

2004
High altitude-induced pulmonary oedema.
    Cardiovascular research, 2006, Oct-01, Volume: 72, Issue:1

    Topics: Acclimatization; Altitude Sickness; Disease Susceptibility; Humans; Hypertension, Pulmonary; Nifedip

2006
[Prevention and therapy of altitude sickness].
    Therapeutische Umschau. Revue therapeutique, 1993, Volume: 50, Issue:4

    Topics: Acetazolamide; Altitude Sickness; Dexamethasone; Humans; Hyperbaric Oxygenation; Nifedipine

1993
High-altitude pulmonary edema: current concepts.
    Annual review of medicine, 1996, Volume: 47

    Topics: Acclimatization; Altitude Sickness; Animals; Calcium Channel Blockers; Capillary Permeability; Disea

1996
The role of drugs in high altitude disorders.
    JPMA. The Journal of the Pakistan Medical Association, 1996, Volume: 46, Issue:4

    Topics: Acetazolamide; Altitude Sickness; Calcium Channel Blockers; Dexamethasone; Glucocorticoids; Humans;

1996
Efficacy and harm of pharmacological prevention of acute mountain sickness: quantitative systematic review.
    BMJ (Clinical research ed.), 2000, Jul-29, Volume: 321, Issue:7256

    Topics: Acetazolamide; Acute Disease; Altitude Sickness; Calcium Channel Blockers; Confidence Intervals; Dex

2000
[Mountaineering and altitude sickness].
    Therapeutische Umschau. Revue therapeutique, 2001, Volume: 58, Issue:6

    Topics: Acetazolamide; Acute Disease; Altitude Sickness; Brain Edema; Diuretics; Glucocorticoids; Humans; Mo

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
High-altitude illness.
    The New England journal of medicine, 2001, Jul-12, Volume: 345, Issue:2

    Topics: Acetazolamide; Altitude Sickness; Brain Edema; Calcium Channel Blockers; Diagnosis, Differential; Di

2001
[Pathophysiology, prevention and therapy of altitude pulmonary edema].
    Schweizerische medizinische Wochenschrift, 1992, Aug-04, Volume: 122, Issue:31-32

    Topics: Aldosterone; Altitude Sickness; Cell Membrane Permeability; Epinephrine; Humans; Hypertension, Pulmo

1992
[Who gets altitude sickness?].
    Schweizerische medizinische Wochenschrift, 1992, Feb-29, Volume: 122, Issue:9

    Topics: Altitude Sickness; Blood Pressure; Disease Susceptibility; Humans; Hypoxia; Mountaineering; Nifedipi

1992

Trials

6 trials available for nifedipine and Altitude Sickness

ArticleYear
Managing High-Altitude Pulmonary Edema with Oxygen Alone: Results of a Randomized Controlled Trial.
    High altitude medicine & biology, 2016, Volume: 17, Issue:4

    Topics: Adult; Altitude; Altitude Sickness; Anti-Inflammatory Agents; Combined Modality Therapy; Dexamethaso

2016
Endothelin-1 in pulmonary hypertension associated with high-altitude exposure.
    Circulation, 1995, Jan-15, Volume: 91, Issue:2

    Topics: Adult; Altitude; Altitude Sickness; Arteries; Blood Gas Analysis; Double-Blind Method; Endothelins;

1995
Nifedipine does not prevent acute mountain sickness.
    American journal of respiratory and critical care medicine, 1994, Volume: 150, Issue:3

    Topics: Acute Disease; Adult; Altitude; Altitude Sickness; Disease Susceptibility; Double-Blind Method; Fema

1994
[Low-concentration nitrous oxide inhalation in the treatment of high-altitude pulmonary edema].
    Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases, 1998, Volume: 21, Issue:4

    Topics: Administration, Inhalation; Adult; Altitude Sickness; Aminophylline; Dexamethasone; Drug Therapy, Co

1998
Prevention and treatment of high altitude pulmonary edema by a calcium channel blocker.
    International journal of sports medicine, 1992, Volume: 13 Suppl 1

    Topics: Acute Disease; Administration, Sublingual; Adult; Altitude Sickness; Double-Blind Method; Humans; Hy

1992
Prevention of high-altitude pulmonary edema by nifedipine.
    The New England journal of medicine, 1991, Oct-31, Volume: 325, Issue:18

    Topics: Adult; Altitude Sickness; Blood Pressure; Delayed-Action Preparations; Female; Humans; Male; Middle

1991

Other Studies

32 other studies available for nifedipine and Altitude Sickness

ArticleYear
Delayed-Onset High Altitude Pulmonary Edema: A Case Report.
    Wilderness & environmental medicine, 2019, Volume: 30, Issue:1

    Topics: Adult; Altitude Sickness; Humans; Male; Nifedipine; Oxygen; Pulmonary Edema

2019
[Acute mountain sickness : How can it be treated and how can it be avoided?].
    Der Internist, 2014, Volume: 55, Issue:3

    Topics: Acetazolamide; Acute Disease; Altitude Sickness; Anti-Inflammatory Agents; Dexamethasone; Diuretics;

2014
Investigation of the Hepato-Protective Effects of Imdur in a Rat Model of Chronic Mountain Sickness.
    Clinical laboratory, 2015, Volume: 61, Issue:9

    Topics: Altitude Sickness; Animals; Biomarkers; Blood Pressure; C-Reactive Protein; Chronic Disease; Glutath

2015
Role of acetazolamide and telmisartan/nifedipine-GITS combination in antagonizing the blood pressure rise induced by high altitude exposure.
    International journal of cardiology, 2016, Dec-15, Volume: 225

    Topics: Acetazolamide; Altitude; Altitude Sickness; Benzimidazoles; Benzoates; Blood Pressure; Gastrointesti

2016
An insilico approach to high altitude pulmonary edema - Molecular modeling of human beta2 adrenergic receptor and its interaction with Salmeterol & Nifedipine.
    Journal of molecular modeling, 2008, Volume: 14, Issue:9

    Topics: Adrenergic beta-2 Receptor Agonists; Albuterol; Altitude Sickness; Amino Acid Sequence; Binding Site

2008
[Serious and sometimes fatal consequences of high-altitude pulmonary oedema].
    Nederlands tijdschrift voor geneeskunde, 2008, Dec-20, Volume: 152, Issue:51-52

    Topics: Acetazolamide; Acute Disease; Adult; Altitude Sickness; Fatal Outcome; Female; Glucocorticoids; Huma

2008
High-altitude medicines: a short-term genotoxicity study.
    Toxicology and industrial health, 2010, Volume: 26, Issue:7

    Topics: Acetazolamide; Adult; Altitude Sickness; Analysis of Variance; Cell Survival; Cells, Cultured; Comet

2010
Wilderness Medical Society consensus guidelines for the prevention and treatment of acute altitude illness.
    Wilderness & environmental medicine, 2010, Volume: 21, Issue:2

    Topics: Acetazolamide; Acute Disease; Albuterol; Altitude Sickness; Brain Edema; Carbolines; Dexamethasone;

2010
High-altitude pulmonary hypertension is associated with a free radical-mediated reduction in pulmonary nitric oxide bioavailability.
    The Journal of physiology, 2010, Dec-01, Volume: 588, Issue:Pt 23

    Topics: Adult; Altitude Sickness; Antihypertensive Agents; Female; Free Radicals; Hemodynamics; Humans; Hype

2010
[Hemodynamic effects of aminophylline and nifedipine in patients with high altitude pulmonary edema].
    Zhongguo ying yong sheng li xue za zhi = Zhongguo yingyong shenglixue zazhi = Chinese journal of applied physiology, 2004, Volume: 20, Issue:1

    Topics: Adult; Altitude; Altitude Sickness; Aminophylline; Humans; Hypertension, Pulmonary; Male; Nifedipine

2004
Nifedipine for the treatment of high altitude pulmonary edema.
    Wilderness & environmental medicine, 2012, Volume: 23, Issue:1

    Topics: Adaptation, Physiological; Adult; Altitude Sickness; Bed Rest; Calcium Channel Blockers; Cross-Secti

2012
Nifedipine inhibits hypoxia induced transvascular leakage through down regulation of NFkB.
    Respiratory physiology & neurobiology, 2012, Jul-31, Volume: 183, Issue:1

    Topics: Altitude Sickness; Animals; Calcium Channel Blockers; Capillary Permeability; Disease Models, Animal

2012
Medical and sporting ethics of high altitude mountaineering: the use of drugs and supplemental oxygen.
    Wilderness & environmental medicine, 2012, Volume: 23, Issue:3

    Topics: Acetazolamide; Altitude Sickness; Dexamethasone; Humans; Mountaineering; Nifedipine; Oxygen; Oxygen

2012
Performance-enhancing drugs-commentaries.
    Wilderness & environmental medicine, 2012, Volume: 23, Issue:3

    Topics: Acetazolamide; Altitude Sickness; Dexamethasone; Humans; Mountaineering; Nifedipine; Oxygen; Oxygen

2012
Management of high altitude pulmonary edema in the Himalaya: a review of 56 cases presenting at Pheriche medical aid post (4240 m).
    Wilderness & environmental medicine, 2013, Volume: 24, Issue:1

    Topics: Acetazolamide; Altitude Sickness; Dexamethasone; Emergency Treatment; Female; Humans; Hypertension,

2013
[Acute mountain sickness and high-altitude pulmonary edema. How to protect the mountain climber from the effects of the "altitude haze"].
    MMW Fortschritte der Medizin, 2003, Feb-20, Volume: 145, Issue:8

    Topics: Acetazolamide; Acute Disease; Altitude Sickness; Anti-Inflammatory Agents; Carbonic Anhydrase Inhibi

2003
[Your patient wants to go to the mountains. You protect him from mountain sickness and altitude edema].
    MMW Fortschritte der Medizin, 2005, Apr-07, Volume: 147, Issue:14

    Topics: Acetazolamide; Altitude Sickness; Anticonvulsants; Brain Edema; Carbolines; Carbonic Anhydrase Inhib

2005
Statement on high-altitude illnesses. An Advisory Committee Statement (ACS).
    Canada communicable disease report = Releve des maladies transmissibles au Canada, 2007, Apr-01, Volume: 33, Issue:ACS-5

    Topics: Acetazolamide; Acute Disease; Altitude Sickness; Canada; Dexamethasone; Humans; Methazolamide; Nifed

2007
Treatment of high altitude pulmonary edema at 4240 m in Nepal.
    High altitude medicine & biology, 2007,Summer, Volume: 8, Issue:2

    Topics: Acetazolamide; Adult; Albuterol; Altitude; Altitude Sickness; Bed Rest; Emergency Treatment; Female;

2007
[Malaria prevention with mefloquine].
    Deutsche medizinische Wochenschrift (1946), 1995, Aug-18, Volume: 120, Issue:33

    Topics: Altitude Sickness; Calcium Channel Blockers; Chloroquine; Drug Interactions; Humans; Malaria; Mefloq

1995
[Acute mountain sickness and high altitude pulmonary edema].
    Deutsche medizinische Wochenschrift (1946), 1993, Mar-19, Volume: 118, Issue:11

    Topics: Acetazolamide; Altitude Sickness; Dexamethasone; Humans; Nifedipine; Pulmonary Edema

1993
[Altitude illness].
    Nederlands tijdschrift voor geneeskunde, 1995, Dec-02, Volume: 139, Issue:48

    Topics: Acetazolamide; Adult; Altitude Sickness; Diuretics; Female; Humans; Male; Nifedipine; Pulmonary Edem

1995
Death from high-altitude pulmonary edema preventable by appropriate treatment.
    Wilderness & environmental medicine, 2000,Winter, Volume: 11, Issue:4

    Topics: Altitude Sickness; Delayed-Action Preparations; Emergency Treatment; Humans; Nifedipine; Pulmonary E

2000
Treatment of high-altitude pulmonary oedema.
    Lancet (London, England), 1992, Dec-12, Volume: 340, Issue:8833

    Topics: Adult; Altitude Sickness; Female; Humans; Nifedipine; Pulmonary Edema

1992
The effect of vasodilators on pulmonary hemodynamics in high altitude pulmonary edema: a comparison.
    International journal of sports medicine, 1992, Volume: 13 Suppl 1

    Topics: Altitude Sickness; Echocardiography, Doppler; Hemodynamics; Humans; Hydralazine; Nifedipine; Phentol

1992
High altitude sickness.
    The Medical letter on drugs and therapeutics, 1992, Sep-04, Volume: 34, Issue:878

    Topics: Acetazolamide; Altitude Sickness; Dexamethasone; Humans; Nifedipine; Oxygen Inhalation Therapy; Pulm

1992
[Fibrin formation: not a cause but consequence of altitude pulmonary edema].
    Fortschritte der Medizin, 1992, Apr-10, Volume: 110, Issue:10

    Topics: Acute Disease; Altitude Sickness; Fibrinopeptide A; Humans; Mountaineering; Nifedipine; Pulmonary Ed

1992
Nifedipine for high altitude pulmonary oedema.
    Lancet (London, England), 1991, Mar-02, Volume: 337, Issue:8740

    Topics: Altitude Sickness; Humans; Nifedipine; Pulmonary Edema

1991
Blood rheology in acute mountain sickness and high-altitude pulmonary edema.
    Journal of applied physiology (Bethesda, Md. : 1985), 1991, Volume: 71, Issue:3

    Topics: Acute Disease; Adult; Altitude Sickness; Blood Flow Velocity; Blood Viscosity; Erythrocyte Aggregati

1991
When lungs on mountains leak. Studying pulmonary edema at high altitudes.
    The New England journal of medicine, 1991, Oct-31, Volume: 325, Issue:18

    Topics: Altitude Sickness; Humans; Mountaineering; Nifedipine; Pulmonary Edema

1991
Nifedipine for high altitude pulmonary oedema.
    Lancet (London, England), 1989, Nov-25, Volume: 2, Issue:8674

    Topics: Acute Disease; Administration, Sublingual; Adult; Altitude Sickness; Delayed-Action Preparations; Ec

1989
A case of high-altitude pulmonary edema treated with nifedipine.
    JAMA, 1987, Feb-13, Volume: 257, Issue:6

    Topics: Altitude Sickness; Emergencies; Humans; Hypoxia; Male; Nifedipine; Pulmonary Edema

1987