Amlodipine-induced gingival overgrowth

J Clin Periodontol. 1994 Apr;21(4):281-3. doi: 10.1111/j.1600-051x.1994.tb00318.x.

Abstract

Amlodipine is a calcium channel blocker used in the management of angina and hypertension. We report 3 cases of gingival overgrowth in adult dentate patients associated with chronic usage of this drug. Gingival changes occurred within 3 months of dosage and appeared to be compounded by the patient's existing periodontal condition. In all 3 patients, there was sequestration of amlodipine in their crevicular fluid. The significance of this finding in relation to the pathogenesis of this unwanted effect remains to be elucidated.

MeSH terms

  • Adult
  • Aged
  • Amlodipine / adverse effects*
  • Amlodipine / analysis
  • Amlodipine / blood
  • Amlodipine / pharmacokinetics
  • Collagen
  • Dental Plaque Index
  • Epithelium / pathology
  • Female
  • Fibroblasts / pathology
  • Gingival Crevicular Fluid / chemistry
  • Gingival Hyperplasia / chemically induced*
  • Gingival Hyperplasia / pathology
  • Humans
  • Male
  • Middle Aged
  • Periodontal Index
  • Periodontal Pocket / complications

Substances

  • Amlodipine
  • Collagen