Sistar

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Sistar

Property Description
Active ingredient Felodipine
Form Extended-release tablet
Pharmacological class Calcium Channel Blocker (CCB)
Common use Management of high blood pressure
Origin Synthetic, Dihydropyridine derivative

What is Sistar and its Active Ingredient, Felodipine?

Sistar is a synthetic prescription-only medicine whose identity is defined by its sole active ingredient, Felodipine. Felodipine is chemically classified as a dihydropyridine derivative and belongs to the broad pharmacological class of Calcium Channel Blockers (CCBs). This classification indicates that the compound functions by intervening in the movement of calcium ions at the cellular level within the body. Sistar is a single-ingredient product, focusing the therapeutic action exclusively on the cardiovascular effects of Felodipine. The use of Felodipine as a foundational therapy for uncomplicated essential hypertension is clinically recognized.

Sistar's Form and General Purpose

The medication is formulated as an extended-release tablet, designed for once-daily oral administration. This modified-release oral formulation represents a key differentiating feature of Sistar, engineered to ensure that the Felodipine is released slowly and consistently over a full 24-hour period, providing continuous therapeutic support. The general purpose of Sistar is to act as an effective antihypertensive agent primarily through selective arterial vasodilation. By causing the arteries to widen, the drug helps to reduce the resistance against which the heart must pump blood. Its long-acting properties support the maintenance therapy required for sustained control of high blood pressure (hypertension) and for managing certain cardiovascular symptoms, such as angina pectoris. This sustained-release design is crucial for achieving consistent blood pressure management throughout the day and night, offering a typical, long-term use scenario for adult patients.

Regulatory References

  1. FDA DailyMed (Felodipine Extended-Release Monograph)

What side effects are possible with Sistar?

Possible Side Effects and Safety Information

Sistar (Felodipine) is associated with an official safety profile categorized by the incidence of adverse reactions and their effects on physiological systems. The most frequent reactions are typically related to the drug's mechanism as a vasodilator.

Frequency-Classified Adverse Reactions

The most common adverse reaction documented in regulatory sources is Peripheral Oedema (swelling of the extremities), classified as Very Common (ge 1/10). Other Common (ge 1/100 to < 1/10) effects include Headache, Flushing, and Dizziness.

Less frequent reactions, classified as Uncommon or Rare, affect various System-Organ Classes, including the cardiac system (Palpitations, Tachycardia) and the gastrointestinal system (Nausea, Gingival Hyperplasia—gum enlargement).

Serious Safety Considerations

The official labeling documents rare but serious adverse reactions, such as Hypersensitivity Reactions, which may manifest as Angio-oedema (swelling of the face or throat). There is also a documented potential for the worsening of Angina Pectoris in susceptible individuals, particularly early in treatment.

Time-Related Patterns and Restrictions

Most common adverse reactions are typically dose-dependent and often appear at the start of treatment or following a dose increase. These effects are frequently transient and diminish over time. The drug is strictly contraindicated in pregnancy and in patients with specific cardiac conditions, including decompensated heart failure and unstable angina pectoris. Caution is also required in older adults and those with hepatic impairment, as reduced clearance can lead to elevated plasma concentrations.

Overdose and Emergency Response

Overdose and when to seek help

The official regulatory profile for Sistar (Felodipine) overdose is defined by the profound consequences of over-exaggerated vascular effects.

Documented Overdose Presentations Description
Primary Clinical Signs Marked hypotension (severe lowering of blood pressure) and excessive peripheral vasodilation. Bradycardia (slow heart rate) is a possible manifestation.
Severe Complications Severe hypotension may lead to cerebral ischemia, myocardial ischemia, or transient blindness.

The occurrence of these documented manifestations necessitates immediate action. Seek immediate medical attention and contact a Poison-Control Center for up-to-date information. Immediate mobilization of emergency services is required if the affected person has collapsed, experienced a seizure, has trouble breathing, or cannot be awakened.

Management is symptomatic and supportive. No specific antidote is documented as known for Felodipine overdose, and its removal via hemodialysis is not established. Treatment procedures outlined in regulatory sources include placing the patient supine with the legs elevated and the administration of intravenous fluids to manage severe hypotension. Intravenous Atropine (0.5 to 1 mg) is specified for accompanying bradycardia, and the use of Sympathomimetic drugs may be considered by medical personnel.

Therapeutic Uses of Sistar

What Sistar Treats: Main Uses and Benefits

Sistar (Felodipine) is generally applied across cardiovascular domains where symptoms related to systemic imbalance require consistent, long-term management. The medicine is indicated for the treatment of hypertension, a condition associated with major future health risks.

Core Therapeutic Domains

Sistar is commonly used for conditions involving fluctuating manifestations of high blood pressure, specifically mild-to-moderate essential hypertension, and it is considered relevant for easing symptoms related to physical discomfort in patients with chronic stable angina pectoris. A main therapeutic goal is to support the overall reduction of future cardiovascular risk.

Long-Term Protection and Symptom Relief

The medication is generally used as a maintenance therapy to address symptom clusters that may become disruptive, providing sustained control over elevated pressure readings. By consistently assisting with pressure management, it helps improve day-to-day comfort and supports the goal of lowering the risk of future cardiovascular events, such as strokes and myocardial infarctions. This intervention is applied in clinical settings involving heightened systemic burden.


Quick Fact: Relief for Sustained Vascular Strain Sistar may provide supportive relief for managing the chronic physiological stress associated with elevated blood pressure and can help reduce the frequency of chest discomfort episodes.

Eligibility and Restrictions for Use

The official regulatory profile for Sistar (Felodipine) defines its population eligibility by explicitly stating who may use the medicine and who is strictly prohibited. Sistar is approved for use in adults for conditions such as hypertension.

Populations Who Must Not Use Sistar

Use of Sistar is contraindicated and strictly prohibited by regulatory bodies for several patient groups. These absolute restrictions include patients with known hypersensitivity to Felodipine or other related calcium channel blockers, and all patients who are pregnant. The medicine is also contraindicated in specific acute cardiovascular states, such as acute myocardial infarction, unstable angina pectoris, decompensated heart failure, and the presence of dynamic cardiac outflow obstruction.

Populations with Eligibility Restrictions

Use is not recommended for women who are breastfeeding due to insufficient data on infant safety. The safety and efficacy of Sistar have not been established in the pediatric population and thus is not approved for use in children. Furthermore, a dose restriction applies to both older adults and patients with impaired hepatic function (liver disease) due to age- or condition-related changes in drug clearance. No dose adjustment is typically needed for patients with impaired renal function.

What should I know about interactions with other medicines?

Interactions with Other Medicines and Products


All medications carry a potential for interaction, which can occur when one substance changes the effects of another. For Sistar, drug-drug interactions are primarily evaluated through their impact on drug-metabolizing Cytochrome P-450 (CYP) enzymes and certain drug transporters in the body, such as P-glycoprotein (P-gp).

Coadministration with substances that strongly inhibit major metabolic enzymes may increase the concentration of Sistar in the blood, potentially elevating the risk of side effects. Conversely, coadministration with strong inducers of these enzymes may lower Sistar’s plasma concentration, leading to reduced effectiveness.

Patients should inform their healthcare provider about all prescription drugs, over-the-counter medicines, and herbal supplements currently being taken. This includes common interacting categories such as certain antifungals, antibiotics, anti-retrovirals, and specific heart medications. Adjustments to dosage or increased monitoring may be required to safely manage or avoid clinically significant interactions, ensuring that both Sistar and the coadministered product retain their intended therapeutic effect. Never start or stop any medication or supplement without consulting a qualified healthcare professional.

Mechanism of Action

How Sistar Works

Sistar (Felodipine) exerts its action exclusively through highly targeted pharmacodynamic mechanisms, resulting in physiological changes within the circulatory system.


Molecular Blockade of Arterial Ca^2+ Channels

The core mechanism involves the selective blockade of L-type Voltage-Dependent Calcium Channels ( L-VDCCs) found predominantly in the smooth muscle cells lining the arteries. Felodipine binds to these channels and inhibits the influx of extracellular calcium ions ( Ca^2+), which are necessary for the initiation of muscle contraction.


Modulation of Vascular Tone and Contraction

Interrupting the Ca^2+ influx directly interferes with the excitation-contraction coupling pathway, preventing the activation of the machinery required for the arterial walls to constrict. This mechanistic intervention leads to the relaxation of the arterial smooth muscle cells, resulting in the modulation of the intrinsic tone of the blood vessels.


Reduction of Systemic Vascular Resistance

The widespread relaxation and vasodilation across the peripheral arterial network creates a significant system-level consequence: a reduction in Systemic Vascular Resistance (SVR). This physiological effect decreases the overall pressure load ( afterload) that the heart must overcome, influencing the pressure dynamics within the circulatory pathways.

Dosage and Administration Information

How to Use Sistar: Official Administration Guidelines

Sistar, which contains felodipine, is used according to a standardized schedule defined by regulatory agencies. It is formulated as an extended-release tablet and is strictly for oral administration.


Standard Administration Protocol

Instruction Detail
Route and Form Must be swallowed whole with water; do not crush, chew, or divide the tablet, as this compromises the extended-release mechanism.
Dosing Schedule Taken once daily, typically in the morning. The starting dose for most adults is 5 mg once daily.
Dose Adjustment Dose changes, within the maintenance range of 2.5 mg to a maximum of 10 mg daily, should be made at intervals of generally not less than two weeks.
Intake Conditions The tablet may be taken without food or with a light meal. Intake with grapefruit juice is strictly prohibited due to its potential to interfere with the intended drug effects.

Population-Specific Use

Specific official instructions exist for certain groups. For older adults (geriatric patients), treatment is often initiated with the lowest available strength, 2.5 mg once daily. A similar 2.5 mg starting dose is also recommended for patients with impaired liver function to account for reduced drug clearance. Dose adjustment is generally not necessary for patients with kidney impairment.

This framework ensures the consistent, long-term delivery of the medicine as mandated by official health authorities.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Sistar (Felodipine)

Sistar's active ingredient, Felodipine, has been the subject of extensive clinical investigation, with research findings primarily reported by governmental health agencies and in peer-reviewed scientific literature. The research landscape describes the types of studies conducted and what physiological outcomes were monitored in patients.


Evidence for Use in High Blood Pressure (Essential Hypertension)

The majority of clinical research for Felodipine has focused on studies of high blood pressure. Research examined this condition using numerous Randomized Controlled Trials (RCTs). These studies were designed to evaluate the outcomes of Felodipine alone (monotherapy) and in combination with other common blood pressure medications.

The primary outcomes studied were objective measurements of blood pressure, specifically monitoring the change in systolic and diastolic blood pressure across a 24-hour dosing period. Research has also explored whether the use of the drug was associated with changes in cardiac structure, including measurements of Left Ventricular Hypertrophy.


Evidence for Use in Chronic Stable Angina Pectoris

Felodipine was studied for the management of chest discomfort associated with chronic stable angina pectoris. Research in this area primarily consists of short-term RCTs, often structured as crossover designs.

Studies monitored outcomes related to functional or activity level, such as changes measured in patient's exercise capacity during standardized tests. Researchers also examined patient-reported outcomes describing perceived discomfort, focusing on the frequency of weekly angina episodes.


Research Gaps and Areas of Uncertainty

Research remains limited regarding larger, dedicated RCTs designed specifically to evaluate the long-term reduction in major cardiovascular events (like stroke or heart attack) for Felodipine alone. Comparative survival data is often analyzed within broader studies comparing drug classes rather than in trials specific to Felodipine alone. Furthermore, data for children and adolescents remain limited for this extended-release formulation.

Frequently Asked Questions (FAQ)

Common questions about Sistar (FAQ)

Q: Is Sistar a controlled substance?

Official regulatory databases and medical classification lists do not designate the active ingredient in Sistar as a controlled substance. It is classified as a prescription-only medicine belonging to the pharmacological class of calcium channel blockers.

Q: Does Sistar interact with alcohol?

Regulatory safety information indicates that alcohol use may be avoided or limited while using this medication. Alcohol intake may increase the absorption of the drug into the blood, potentially leading to side effects like increased dizziness or an uncomfortable drop in blood pressure.

Q: How long does it usually take before a person notices the effects of Sistar?

The blood pressure-lowering effect typically begins within two and a half to five hours after taking the extended-release tablet. This initial action helps the medication provide continuous therapeutic support over a full 24-hour period.

Q: Is the generic version of Sistar exactly the same as the brand name?

Generic versions of the active ingredient are reviewed by regulatory bodies like the FDA for bioequivalence. This means they are considered to be therapeutically equivalent to the brand-name product, containing the same active ingredient and acting in the body in the same way.

Q: What should a person do if they miss a dose of Sistar?

Official patient information defines a 12-hour window for managing a missed dose. Within this window, the standard procedure is to take the dose as soon as possible. Beyond this time, the guidance is to skip the dose and resume the normal schedule, as taking a double dose is not permitted.

Q: Is Sistar widely available outside of the United States?

The active ingredient in Sistar is subject to harmonized regulatory standards across various regions, including numerous European Union Member States. This indicates the medicine is generally approved and available in many countries outside the United States.

Q: Are there any known issues with suddenly stopping Sistar?

Official patient guidance warns that suddenly stopping this medication may lead to a rise in blood pressure. Abrupt cessation may increase the risk of heart-related issues or worsen conditions like angina. The management of any change to the treatment plan is conducted under the supervision of a qualified healthcare professional.

Q: Does Sistar require any regular monitoring or blood tests?

The official product information does not mandate routine blood tests for all patients. However, medical professionals may assess specific physiological functions, such as liver and kidney function, to ensure the medication is functioning correctly and safely.

Q: Why do some forums discuss Sistar being used for something other than its approved use?

The approved indication for Sistar is essential hypertension. However, the active ingredient is noted in medical literature as being studied and sometimes used for other conditions, such as chronic stable angina pectoris. Official regulatory bodies define the approved uses based on substantial clinical evidence.

Q: How long does Sistar stay in a person’s system?

Based on official pharmacokinetics data, the elimination half-life of the active ingredient is approximately 25 hours. This figure represents the time it takes for half of the medication to be cleared from the body.

Q: What if Sistar does not seem to be helping after the initial treatment period?

Regulatory guidelines establish that the dose should be adjusted based on the patient's individual response to treatment. These changes are typically assessed at intervals of generally not less than two weeks, allowing time to fully evaluate effectiveness before making further adjustments.

Q: What is the meaning of the specific term 'contraindication' on the Sistar label?

The term 'contraindication' is a medical term used in official labeling to describe a specific condition or factor. It signifies a situation where the use of the medicine would be potentially harmful to the patient, and thus is strictly prohibited.

Q: Is Sistar a drug that requires a tapering schedule when discontinuing?

Official guidance recommends that treatment changes, including cessation, should always be managed clinically to avoid a sudden rise in blood pressure. While a mandatory tapering schedule is not explicitly outlined, the process of discontinuing treatment is managed under the supervision of a healthcare provider.

Q: How does the use of Sistar compare to other common treatments for this condition?

Sistar belongs to the pharmacological class of dihydropyridine calcium channel blockers. Official drug descriptions note that this class has a high selectivity for affecting vascular tissue, meaning it primarily works to widen the arteries, compared to other types of cardiovascular medication.

Q: Is it normal to feel a specific minor effect, like drowsiness, when starting Sistar?

Official drug monographs list drowsiness as a reported side effect of the active ingredient. As with many medications, common adverse reactions often appear when starting treatment and may lessen over time.

Q: Are there any long-term side effects associated with Sistar?

Most common adverse effects are transient and lessen over time. However, official safety data has noted non-transient effects, such as Peripheral Oedema (swelling of the extremities) and Gingival Hyperplasia (gum enlargement), which may persist with long-term use.

Q: Can Sistar be taken with common over-the-counter painkillers like ibuprofen or acetaminophen?

The active ingredient in Sistar has been noted to interact with certain non-steroidal anti-inflammatory drugs (NSAIDs) and may affect the metabolism of acetaminophen. These interactions could potentially decrease Sistar's effectiveness, necessitating clinical consideration regarding co-administration.

Q: Where can I find the official prescribing information for Sistar?

The official, regulatory prescribing information for Sistar's active ingredient is publicly available. You can find these documents on governmental websites, such as the FDA's DailyMed database or the European Medicines Agency's Summary of Product Characteristics (SmPC) database.

Q: Has Sistar been approved by the FDA or other major regulatory bodies?

Yes, the active ingredient in Sistar has been approved by the FDA under a New Drug Application (NDA) for the management of hypertension. Approval is based on clinical evidence establishing its safety and efficacy for its approved use.

Q: What does the term 'mechanism of action' mean when referring to Sistar?

The 'mechanism of action' refers to the specific physical process by which the drug produces its effect in the body. For Sistar, this involves selectively blocking certain calcium channels in the smooth muscle cells of the arteries to cause them to relax and widen.

Q: Can Sistar cause changes in appetite or weight?

Official safety data includes changes in appetite and weight among the reported adverse effects. These reports include instances of both rapid weight gain and unusual weight loss, as well as a loss of appetite.

Q: Are there different forms of Sistar (e.g., tablet, liquid, injection)?

The medication is officially approved and regulated as an extended-release tablet only. The available forms are strictly limited to the oral tablet in specific strengths (2.5 mg, 5 mg, and 10 mg).

Q: What is the difference between the different available strengths of Sistar?

The different available strengths of the extended-release tablet are regulated to allow for dose titration. This allows healthcare providers to adjust the amount of medicine over time to achieve the target blood pressure while minimizing side effects, often starting with a lower strength for specific patient groups.

Q: What is the official purpose of the warnings in the patient information leaflet?

Warnings and contraindications are officially mandated for inclusion in patient information leaflets. Their purpose is to inform patients about serious safety considerations, specific clinical conditions where the drug should not be used, and the risk of known adverse effects identified during clinical trials.

Q: Can Sistar affect a person's ability to drive or operate machinery?

Official regulatory information states that side effects like dizziness and low blood pressure may affect a person's ability to drive or operate machinery. Official guidance suggests that these activities should be approached with caution until the patient is aware of the medication's effect.

Q: Is Sistar often prescribed as a first-line treatment?

Sistar's active ingredient is approved for the management of essential hypertension. It is described in authoritative clinical literature as a foundational therapy, reflecting its common and established role as a starting option for uncomplicated hypertension.

Q: Does Sistar interact with caffeine?

While a direct, explicit interaction is not detailed on the label, clinical trial protocols have previously restricted the use of products containing high levels of caffeine. This indicates a need for caution and clinical consideration regarding the concurrent use of caffeine.

How should Sistar be stored and disposed of?

Storage and Disposal Requirements for Sistar

The official labeling for Sistar (Felodipine extended-release tablets) mandates specific conditions to maintain product stability and safety. These requirements are defined by regulatory authorities.

Storage Scope Requirement Constraint
Temperature Store at 20 C to 25 C (68 F to 77 F). Keep from freezing or excess heat [1.1, 2.1].
Protection Keep in the original container, tightly closed, away from light and moisture [1.1, 2.3]. Must be stored out of the reach of children [1.1, 2.3].

Disposal Instructions:

Unused or expired Sistar must not be flushed down the toilet or poured into a drain due to environmental concerns [2.2]. The medication should be properly discarded according to local and national waste disposal regulations, often utilizing a drug take-back program or consulting a healthcare professional for guidance [1.1, 2.2].

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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