Katayama H, Kinoshita Y, Kaneko M, Suzuki N, Kakami K, Takai Y
The First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University.
Aichi Gakuin Daigaku Shigakkai Shi. 1990 Jun;28(2):697-701.
Nifedipine is a new agent belonging to the calcium antagonist group of drugs, applied clinically to circulatory disorders, such as essential hypertension, renal hypertension and angina cordis and has been rapid in gaining popularity in Japan. On the other hand, as do all effective drugs, this drug has side effects, one of which is gingival hyperplasia. The clinical findings are extremely similar to the gingival hyperplasia induced by phenytoin used for the treatment of epilepsy. A 46-year-old man was referred to our hospital whose chief complaint was gingival swelling. He had been receiving nifedipine for his hypertension for about one year. He was diagnosed as having the side-effects of nifedipine due to being treated with 20 mg/day for a year. Nifedipine was discontinued and scaling and oral hygiene resulted in healing.
硝苯地平是一种属于钙拮抗剂类药物的新药,临床用于治疗循环系统疾病,如原发性高血压、肾性高血压和心绞痛,在日本迅速受到欢迎。另一方面,与所有有效药物一样,这种药物也有副作用,其中之一是牙龈增生。临床症状与用于治疗癫痫的苯妥英引起的牙龈增生极为相似。一名46岁男性因牙龈肿胀为主诉被转诊至我院。他因高血压服用硝苯地平约一年。由于每天服用20毫克,服用了一年,他被诊断为硝苯地平副作用。停用硝苯地平并进行洗牙和口腔卫生护理后病情痊愈。