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Which one of the following is characteristic of nifedipine treatment in patients with essential hypertension?
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(A) Competitively blocks angiotensin II at its receptor
(B) Decreases calcium efflux from skeletal muscle
(C) Decreases renin concentration in the blood
(D) Decreases calcium influx into smooth muscle
(E) Increases calcium excretion in the urine
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Nifedipine is a prototype L-type calcium channel blocker and lowers blood pressure by reducing calcium influx into vascu lar smooth muscle. It has no effect on angiotensin~converting enzyme. Calcium efflux from skeletal muscle cells does not involve the L-type ca2+ channel. The plasma renin level may inert:ase as a result of the compensatory response to reduced blood pressure. Calcium channel blockers have negligible effects on urine calcium. The answer is D.