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Clentiazem is a benzothiazepine derivative and a calcium channel blocker, structurally related to diltiazem. Like diltiazem, clentiazem inhibits the influx of calcium ions through L-type calcium channels in cardiac and vascular smooth muscle, resulting in vasodilation and reduced myocardial workload. This mechanism underlies its potential antihypertensive and antianginal activity. Clentiazem is considered an analog of diltiazem with similar pharmacological effects, but it is not widely approved or marketed in major regions[2][10].
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