IV nicardipine is the first dihydropyridine derivative calcium channel
blocker which has received FDA approval for the treatment of hyperten
sion when oral therapy is not feasible. Comparative clinical trials sh
owed that IV nicardipine is superior to nitroglycerin and is as effica
cious as sodium nitroprusside in controlling mild to severe acute hype
rtension in the peri- or post-operative surgical period. With its quic
k onset of action, reliable dose-response relationship, relative short
half-life, good safety profile, and minimum effect on the SA and AV n
odes, IV nicardipine represents an attractive agent for the treatment
of hypertension.