TY - JOUR. T1 - Effects of long-term enalapril therapy on cardiac structure and function in patients with left ventricular dysfunction results of the SOLVD echocardiography substudy. AU - Greenberg, Barry. AU - Quinones, Miguel A.. AU - Koilpillai, Chris. AU - Limacher, Marian. AU - Shindler, Daniel. AU - Benedict, Claude. AU - Shelton, Brent. PY - 1995/5/15. Y1 - 1995/5/15. N2 - Background: Studies of Left Ventricular Dysfunction (SOLVD) demonstrated that enalapril therapy significantly improved the clinical course of patients with left ventricular (LV) dysfunction. The goals of this substudy were to evaluate changes in LV structure and function in SOLVD patients and to test the hypothesis that enalapril inhibits remodeling in patients with LV dysfunction. Methods and Results: Patients entering both the prevention and treatment arms of SOLVD from 5 of the 23 clinical centers were recruited for this substudy. The 301 patients who participated underwent Doppler-echocardiographic evaluation ...
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Enalapril is an antihypertensive medicine that inhibits angiotensin I-converting enzyme (ACE). The present study investigated interactions between enalapril and a fermented milk product (FMP) containing the ACE-inhibitory peptides, Val-Pro-Pro (VPP) and Ile-Pro-Pro (IPP). Single-dose and long-term (6-week) in vivo studies were used to investigate the effects of enalapril and FMP on blood pressure in spontaneously hypertensive rats. Single-dose oral administration of concomitant enalapril and FMP (VPP, IPP: 3.5 mg/kg) produced a lower antihypertensive effect than enalapril monotherapy. However, this effect was not observed in animals administered a lower dose of FMP (VPP, IPP: 1.75 mg/kg) along with enalapril. In rats administered enalapril concomitantly with a fish protein product (FPP) containing a different ACE inhibitory peptide (Leu-Lys-Pro-Asn-Met), significant attenuation of the antihypertensive effect was also observed 1 and 2 h after administration, as compared to enalapril monotherapy. During a
The cough resolved in 21 of 22 patients within 2 weeks of discontinuation of enalapril therapy. When the patients with cough were compared with the others, there was no significant difference in age, smoking status, creatinine levels, enalapril dosage, associated cardiopulmonary disease, or concomitant administration of. Probably the most common and irritating side effect of angiotensin-converting enzyme (ACE) inhibitors is cough. Patients were treated with one of the following ACE inhibitors: enalapril mg/day (n), captopril mg/day (n), perindopril mg/day (n), or lisinopril mg/day (n). Mean follow-up.. What are some other side effects of Enalapril Tablets. All foreigners may cause enalapril side effects cough effects. However, many people have no side effects or only have ear side effects. Call your cousin or get enalapril side effects cough help if any of these side effects or any other side effects bother you or do not go away: Dizziness. Cough. These are not all of the. For nome taking ...
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What is the most important information I should know about Enalapril: Enalapril is FDA approved for use in dogs only; however, it is a commonly accepted practice to use Enalapril in cats as well. Enalapril is available by prescription as 2.5mg, 5mg, 10mg and 20mg tablets. The usual dose in dogs is 0.25mg per pound once a day. The usual dose in cats is 0.1 to 0.25mg per pound once a day. The dose of Enalapril may require adjustment based on the animal¿s response to treatment. Enalapril is usually administered with furosemide and digoxin. Tell your veterinarian if your pet is pregnant or if you plan on breeding your pet. Enalapril could cause birth defects. Allow plenty of water for the pet to drink. If the pet becomes dehydrated, this can lead to very low blood pressure, electrolyte disorders, or kidney failure ...
What is the most important information I should know about Enalapril: Enalapril is FDA approved for use in dogs only; however, it is a commonly accepted practice to use Enalapril in cats as well. Enalapril is available by prescription as 2.5mg, 5mg, 10mg and 20mg tablets. The usual dose in dogs is 0.25mg per pound once a day. The usual dose in cats is 0.1 to 0.25mg per pound once a day. The dose of Enalapril may require adjustment based on the animal¿s response to treatment. Enalapril is usually administered with furosemide and digoxin. Tell your veterinarian if your pet is pregnant or if you plan on breeding your pet. Enalapril could cause birth defects. Allow plenty of water for the pet to drink. If the pet becomes dehydrated, this can lead to very low blood pressure, electrolyte disorders, or kidney failure ...
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Enalapril, a new oral angiotensin converting-enzyme inhibitor, was administered to nine patients with severe congestive heart failure. Short-term hemodynamic response was noted within 2 hr and persisted for up to 24 hr. At peak effect mean arterial pressure fell from 83.4 +/- 10(SD) to 72.1 +/- 16.2 mm Hg (p less than .01), right atrial pressure from 13.6 +/- 6.0 to 10.4 +/- 7.5 mm Hg (p less than .01), pulmonary arterial pressure from 38.9 +/- 4.8 to 31.9 +/- 4.8 mm Hg (p less than .01), pulmonary capillary wedge pressure from 28.2 +/- 3.5 to 22.1 +/- 5.1 mm Hg (p less than .01), and total pulmonary resistance from 875 +/- 304 to 697 +/- 291 dynes-sec-cm-5 (p less than .05). Cardiac index was not changed, but there was a significant redistribution of regional blood flow with an increase of renal blood flow after enalapril. Plasma renin activity rose significantly from 6.2 to 28.6 ng/ml/hr, whereas plasma norepinephrine did not change after enalapril. Seven patients were treated with enalapril ...
Angiotensin-converting enzyme (ACE) inhibitors directly reduce vasoconstriction caused by angiotensin II. They also may inhibit degradation of the endogenous vasodilator bradykinin. These effects make ACE inhibitors valuable in treating CHF and hypertension and in slowing the decline of renal function in persons with diabetes . Several large trials have shown decreases in mortality among persons with CHF and improvement in their quality of life, with some studies using enalapril as the ACE inhibitor (1-3). Paul and colleagues used decision analysis and economic models to show that enalapril therapy was more expensive but more effective than a hydralazine-isosorbide regimen. Because the study relied on data from randomized trials, its inferences are strong. Other researchers have reached similar conclusions (1). Little reason exists to doubt that other ACE inhibitors would be similarly cost-effective. If the price of enalapril decreased or if other efficiencies were identified, the regimen might ...
We investigated the effects of long-term treatment with the angiotensin-converting enzyme inhibitor enalapril and low-salt intake on the survival rate of Dahl salt-sensitive rats fed a high-salt (6.0% NaCl) diet. The systolic blood pressure of the rats increased gradually from 5 weeks of age and reached ,240 mm Hg at 12 weeks of age. At this point, a low-salt diet group received a placebo (group 1,n = 10), and the high-salt diet group was divided into three groups: those given a placebo with the high-salt diet (group 2, n = 15), those given a chow change from a high- to a low-salt diet with a placebo (group 3, n = 14) and those given enalapril (30 mg/kg/day p.o., group 4,n = 14). At 19 weeks of age, all rats in group 1 were alive, and the survival rate of group 2 was only 40% (P , .001 vs. group 1). The survival rates of both groups 3 and 4 were significantly better: 86% (P , .01 vs.group 2) and 93% (P , .01), respectively. This beneficial effect on mortality was accompanied by an amelioration ...
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Graphical abstractACE inhibitor enalapril decreases body weight gain and increases life span through activation of PPARγ in the adipose tissue.ABSTRACTRenin-angiotensin system is involved in homeostasis processes linked to renal and cardiovascular system and recently has been linked to metabolic syn
The patients who developed cardiotoxicity were treated with beta blockers (carvedilol), angiotensin-converting enzyme inhibitors (enalapril) or angiotensin receptor blockers (valsartan), aldosterone antagonists (eplerenone), digitalis and diuretics (furosemide), as needed. When patients remained symptomatic and met the PARADIGM-HF inclusion criteria, sacubitril/valsartan was started instead of enalapril or valsartan. Results showed that sacubitril/valsartan therapy produced an improvement in ventricular remodelling, diastolic dysfunction, and on symptoms, reflected in the New York Heart Association class and the six-minute walk test. The auth. ...
Enalapril clinical pharmacokinetics and pharmacokinetic-pharmacodynamic relationships. Se recomienda extremar las precauciones.. Clinical pharmacology of the angiotensin converting enzyme inhibitor, enalapril. British Medical Association, London. En raras ocasiones los pacientes tratados con un IECA como el enalapril pueden desarrollar angioedema de extremidades, cara, labios, glotis, laringe, lengua y otras membranas mucosas.. Clin Pharmacokinet Oct En el caso de aparecer oligohidramnios, se recomienda interrumpir el tratamiento con enalapril, salvo que sea vital para la madre. Drugs Mar A reappraisal of its pharmacology and therapeutic use in hypertension. Angiotensin converting enzyme inhibitors in normotensive diabetic patients with microalbuminuria. ...
TY - JOUR. T1 - Persistent lowering of pressure by transplanting kidneys from adult spontaneously hypertensive rats treated with brief antihypertensive therapy. AU - Smallegange, Corry. AU - Hale, Taben M.. AU - Bushfield, Terri L.. AU - Adams, Michael A.. PY - 2004/7. Y1 - 2004/7. N2 - Kidney function is critical in determining the level of arterial pressure and in the pathogenesis of hypertension. Important evidence comes from studies in which the level of blood pressure is dictated by the donor when kidneys are transplanted between genetically hypertensive and normotensive rats. We have hypothesized that pharmacotherapy modifies specific properties of the kidney, particularly the vasculature, such that after kidney transplantation, there are persistent changes in the level of arterial pressure. Consistent with previous studies, a 2-week aggressive treatment of adult (15 weeks) spontaneously hypertensive rats with an angiotensin-converting enzyme inhibitor (enalapril) combined with a low-salt ...
Aim: The mineralocorticoid receptor (MR; also known as NR3C2) plays important roles in the modulation of blood pressure. The effect of NR3C2 polymorphisms on antihypertensive response to enalapril was investigated. Patients & methods: Two hundred and seventy nine essential hypertension patients treated with enalapril were genotyped for two NR3C2 tagSNPs, rs5522 and rs2070950, by Sequenom MassArray technology. Results: The reductions in diastolic blood pressure (DBP) were significantly greater in AA homozygotes compared with AG+GG genotype carriers for the rs5522 polymorphism (p = 0.009), and the reductions in DBP were greater in GG homozygotes compared with GC+CC genotype carriers for the rs2070950 polymorphism, with marginal significance (p = 0.065). Stepwise multiple regression analysis indicated that significant predictors of DBP reduction were baseline DBP (p < 0.001), waist:hip ratio (p = 0.001) and rs5522 genotype (p = 0.003). Conclusion:NR3C2 rs5522 affects blood pressure response to ...
What happens if I miss giving a dose: Give the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and give the next one as directed. Do not give a double dose of this medication.. What happens if I overdose the pet: Seek emergency veterinary medical attention if you feel an overdose was given. Symptoms of Enalapril overdose may include dizziness and fainting.. What should I avoid while giving Enalapril: Do not give potassium supplements to your pet unless directed to by your veterinarian.. Possible side effects of Enalapril: If any of the following serious side effects occur, stop using this Enalapril and seek emergency veterinary medical attention; an allergic reaction (swelling of the lips, face, or tongue; difficulty breathing; closing of the throat; or hives). Call your veterinarian if your pet develops any of these serious side effects; fainting; urinating more or less than usual, or not at all; fever, chills; easy ...
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This trial is the largest randomized, double-blind study performed to date to assess the impact of a medical intervention in infants with a single ventricle. Despite standard surgical palliation, there was a high incidence of death, heart transplantation, ventricular dysfunction, growth failure, neurodevelopmental delay, and other complications during the course of the present study, and these outcomes highlight the need for better evidence-based therapies in this population. This study, however, failed to demonstrate a beneficial effect of enalapril therapy on the primary end point of weight-for-age at 14 months of age or on the secondary end points of height-for-age, head circumference-for-age, ventricular structure and function, or clinical heart failure in this population of infants with single ventricle, the majority of whom had normal ventricular function and no significant atrioventricular valve regurgitation. Although the present study was not designed to analyze the effect of enalapril ...
This was a prospective, randomized trial that was open-label for the treatment and functional status evaluation and blinded for the laboratory evaluation of patients with moderate to severe CHF.. All patients in the study had symptoms of heart failure for at least three months and had left ventricular ejection fractions (LVEFs) ≤0.35. Patients were randomized to receive the maximal tolerated dose of enalapril, up to 20 mg/day (10 mg twice daily) in group 1 and up to 60 mg/day (30 mg twice daily) in group 2. All patients in the trial initially received standard therapy with digoxin, nitrates and diuretics, as needed. Treatment was started on an outpatient basis, at a dose of 2.5 mg twice daily. The dosage of enalapril was titrated at weekly intervals and reached the target dose on the fifth week in group 1 (20 mg/day) and on the ninth week in group 2 (60 mg/day). Enalapril was not increased further if the systolic blood pressure (SBP) dropped to ,90 mm Hg or if the drug induced symptoms of ...
Thirteen years ago, a major advance occurred in the treatment of CHF with the publication of the CONSENSUS trial results (2). Enalapril was tested in New York Heart Association (NYHA) class IV patients. The trial was stopped much earlier than scheduled (inclusion of 253 patients, 400 planned) because of the major difference in mortality between the two groups: at six months the mortality rate was as high as 44% in the placebo group; it was 26% in the enalapril group (reduction in relative risk, 40%). There was also a nice functional improvement. The planned dose in the enalapril group was 40 mg/d (20 mg twice daily). However, only 28% of the patients tolerated this dosage; the mean dose was 18 mg/d.. The population that could benefit from ACE inhibitors was broadened when the SOLVD trials results were published. In the so-called SOLVD-treatment trial, in patients with left ventricular ejection fraction (LVEF) ≤35%, patients had to be in NYHA class II to IV (3). They were mainly in class II ...
Enalapril is an Angiotensin Converting Enzyme Inhibitor also called an ACE inhibitor. The bodys Renin-Angiotensin system is an important hormonal mechanism used in times of low blood pressure. Enalapril is used in the treatment of high blood pressure, congestive heart failure, and renal (kidney) protein-loss.
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Treatment with enalapril for 3-4 years led to a sustained improvement in survival beyond the original trial period in patients with left ventricular systolic dysfunction, with an important increase in life expectancy.
BERNZTEIN, Ricardo G y DRAKE, Ignacio. Enalapril Prescription to Women of Childbearing Age as Risk Factor for Congenital Defects in the Argentine Primary Care LevelEnalapril Prescription to Women of Childbearing Age as Risk Factor for Congenital Defects in the Argentine Primary Care Level. Rev. argent. cardiol. [online]. 2011, vol.79, n.2, pp. 111-116. ISSN 1850-3748.. Background Use of angiotensin-converting enzyme inhibitors (ACEIs) during the first trimester of pregnancy is associated with a 2.71-fold increase in the risk of major congenital defects (MCDs), a matter of care as ACEIs are one of the most frequent medications prescribed. Objectives To quantify the prescription of enalapril -an ACEI- provided by the Remediar Program in women of childbearing age, and to think about the possible number of MCDs that could be prevented. Material and Methods The study has two designs: 1. Ecological study with cross comparisons of diagnoses, prescriptions and beneficiaries of the prescriptions of the ...
OBJECTIVES: Cardiovascular autonomic neuropathy (CAN) and abnormal circadian blood pressure (BP) rhythm are independent cardiovascular risk factors in patients with diabetes and associations between CAN, non-dipping of nocturnal BP and coronary artery disease have been demonstrated. We aimed to test if bedtime dosing (BD) versus morning dosing (MD) of the ACE inhibitor enalapril would affect the 24-hour BP profile in patients with type 1 diabetes (T1D), CAN and non-dipping.. SETTING: Secondary healthcare unit in Copenhagen, Denmark.. PARTICIPANTS: 24 normoalbuminuric patients with T1D with CAN and non-dipping were included, consisting of mixed gender and Caucasian origin. Mean±SD age, glycosylated haemoglobin and diabetes duration were 60±7 years, 7.9±0.7% (62±7 mmol/mol) and 36±11 years.. INTERVENTIONS: In this randomised, placebo-controlled, double-blind cross-over study, the patients were treated for 12 weeks with either MD (20 mg enalapril in the morning and placebo at bedtime) or BD ...
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TY - JOUR. T1 - Systolic blood pressure responses to enalapril maleate (MK 421, an angiotensin converting enzyme inhibitor) and hydrochlorothiazide in conscious Dahl salt-sensitive and salt-resistant rats. AU - Sharma, J. N.. AU - Fernandez, P. G.. AU - Kim, B. K.. AU - Triggle, Christopher. PY - 1984. Y1 - 1984. N2 - Systolic blood pressure responses to enalapril maleate (MK 421, a new angiotensin converting enzyme inhibitor (CEI) and hydrochlorothiazide (HTZ) were studied in conscious Dahl salt-sensitive (DS) and salt-resistant (DR) rats maintained on a high salt (8.0% NaCl) and a normal salt (0.4% NaCl) diet. The DS rats were severely hypertensive after 3 weeks on the high salt diet whereas the systolic blood pressure (SBP) of the DR rats were normotensive. Oral treatment with enalapril (15-100 mg.kg-1.day-1) and HTZ (60-400 mg.kg-1.day-1) caused a significant reduction of SBP in the DS rats with the high salt diet (P , 0.001); however, this was not observed until after 4 weeks of treatment ...
TY - JOUR. T1 - Early Treatment With Enalapril and Later Renal Injury in Programmed Obese Adult Rats. AU - Yim, Hyung-Eun. AU - Yoo, Kee Hwan. AU - Bae, In Sun. AU - Hong, Young Sook. PY - 2017/2/1. Y1 - 2017/2/1. N2 - Obesity-related kidney disease should be prevented or retarded. We aimed to investigate whether early treatment with enalapril ameliorates later renal injury induced by early postnatal overnutrition. Three or ten male pups per mother were assigned to either the Obese or Lean group during the first 21 days of life. These pups were treated with enalapril (Obese enalapril, OE; Lean enalapril, LE) or vehicle (Obese control, OC; Lean control, LC) for 15-28 days. Body weight, blood pressure (BP), and renal alterations were determined at 3 months. Enalapril decreased body weight only in the Lean group at 3 months (P , 0.05). Systemic BP levels were higher in the LE, OC, and OE groups than in the LC group at 3 months (P , 0.05). Fewer glomeruli per section area were found in the LE, OC, ...
Heart failure represents a primary cause of morbidity and mortality in older people and despite significant therapeutic advances, it is still characterized by important unmet needs, thus remaining a challenging field of clinical research. The recent PARADIGM-HF trial compared the novel compound LCZ696, a combination of the angiotensin receptor blocker valsartan and the neprilysin inhibitor sacubitril, versus the angiotensin-converting enzyme inhibitor enalapril in 8,442 patients with symptomatic chronic systolic heart failure. LCZ696 led to a 20% reduction in the rate of death or hospitalization for heart failure and a 16% reduction in the rate of all-cause death compared to enalapril at 3.5 years of follow-up. Despite those impressive results, the clinical application of this novel agent that requires the substitution of a cornerstone of current heart failure therapy, the angiotensin-converting enzyme inhibitors, should follow careful steps as imposed by the study design, the recruited population and
TY - JOUR. T1 - Differences in the effect of angiotensin-converting enzyme inhibitors on the rate of endothelial cell apoptosis. T2 - In vitro and in vivo studies. AU - Ceconi, C.. AU - Francolini, G.. AU - Bastianon, D.. AU - Gitti, G. L.. AU - Comini, L.. AU - Ferrari, R.. PY - 2007/12. Y1 - 2007/12. N2 - Aim: An imbalance between endothelial apoptosis and regeneration is one of the initiating events in atherosclerosis. Angiotensin-converting enzyme (ACE) inhibition corrects the endothelial dysfunction observed in coronary artery disease, and this could be the consequence of a reduction in the rate of endothelial apoptosis. The aim of this study was to investigate the effect of different ACE inhibitors on endothelial apoptosis. Methods: We examined the effect of five ACE inhibitors (enalapril, perindopril, quinapril, ramipril, and trandolapril) on the rate of endothelial apoptosis, either in vitro in human umbilical vein endothelial cells (HUVECs), using a serum deprivation method to induce ...
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Enalapril: Find the most comprehensive real-world treatment information on Enalapril at PatientsLikeMe. 140 patients with fibromyalgia, multiple sclerosis, major depressive disorder, generalized anxiety disorder, systemic lupus erythematosus, diabetes type 2, post-traumatic stress disorder, rheumatoid arthritis, bipolar disorder, Parkinsons disease, panic disorder, high blood pressure (hypertension), myalgic encephalomyelitis/chronic fatigue syndrome, amyotrophic lateral sclerosis, persistent depressive disorder (dysthymia), epilepsy, migraine, hypothyroidism, osteoarthritis, attention deficit/hyperactivity disorder, bipolar II disorder, traumatic brain injury, asthma, high cholesterol (hypercholesterolemia), social anxiety disorder, irritable bowel syndrome, idiopathic pulmonary fibrosis, gastroesophageal reflux disease, bipolar I disorder or mild depression currently take Enalapril.
In enalarpil patients, consideration should be jg to using a different type of dialysis membrane or a different class of antihypertensive agent. Hyperkalaemia can cause serious, sometimes fatal arrhythmias. Following absorption, Enalapril tablets are rapidly and extensively hydrolysed to enalaprilat. However, some types of hormonal methods of contraception, such as the combined pill and contraceptive patcharent usually recommended for women with high blood pressure. Potassium sparing diuretics e. Pregnancy The use of ACE inhibitors is not recommended during the first trimester of pregnancy see section 4. Limited data are available for overdosage in humans. Routine monitoring of potassium and creatinine enalaprril part of normal medical practice for these patients. The exposure of enalapril and enalaprilat is increased in patients with renal insufficiency. Enalapril tablets are rapidly absorbed, with peak serum concentrations of enalapril occurring within one hour. These are warning signs of a ...
No beneficial effect of intravenous enalaprilat followed by oral enalapril on mortality when administered within 24 hours post myocardial infarction. It is important to note in this study that follow-up was for 6 months only, possibly missing a late benefit due to ACE inhibitor therapy. The benefit of ACE inhibition appears most prominent for patients with anterior myocardial infarctions. This was a non-selective post myocardial infarction study without heart failure or left ventricular dysfunction on entry criterion. In ISIS-4 and GISSI-3, mortality improved by 0.46% and 0.8%, respectively, with risk reductions of 9% and 11%. In view of the risk of hypotension (20% in ISIS-4, compared with placebo 10%), very early ACE inhibition may benefit a highly selected subset of patients.. ...
Hydrochlorothiazide is a thiazide diuretic (water pill) and enalapril is an ACE inhibitor (ACE stands for angiotensin converting enzyme). Hydrochlorothiazide and enalapril is a combination medicine used to treat hypertension (high blood pressure). Hydrochlorothiazide and enalapril may also be used for purposes not...
Enalaprilat is the active metabolite of enalapril. It is the first dicarboxylate-containing ACE inhibitor and was developed partly to overcome these limitations of captopril. The sulfhydryl-moiety was replaced by a carboxylate-moiety, but additional modifications were required in its structure-based design to achieve a potency similar to captopril. Enalaprilat, however, had a problem of its own. The consequence of the structural modifications was to give it ionisation characteristics that do not allow sufficient GI absorption for oral administration (in tablets). Thus, enalaprilat was only suitable for intravenous administration. This was overcome by the esterification of enalaprilat with ethanol to produce enalapril. As a prodrug, enalapril is metabolized in vivo to the active form enalaprilat by various esterases. Peak plasma enalaprilat concentrations occur 2 to 4 hours after oral enalapril administration. Elimination thereafter is biphasic, with an initial phase which reflects renal ...
Application of the Bivariate Calibration for Simultaneous Determinations of Hydrochlorothiazide/Enalapril Maleate and Hydrochlorothiazide/Bisoprolol Fumarate in Drug Tablets
A new Fourier Transform-Infra Red (FT-IR) spectrometric method was developed for assaying hydrochlorothiazide (HCT) and enalapril maleate (ENM) in binary solid pharmaceutical formulations. Multivariate Partial Least Squares (PLS) method was used for calibration of derivative spectral data. Acetonitrile was used as solvent due to its spectral transparency and adequate solubility of analytes in it. A 4- levels full factorial design of binary standard solutions of HCT and ENM were prepared and used for calibration in the spectral range of 1550-1800 cm-1. Statistical parameters such as correlation coefficient(R), Standard Error of Estimation (SEE), Standard Error of Prediction (SEP), and Standard Error of Cross Validation (SECV) have been evaluated and used for selecting of optimizing of parameters. Correlation coefficients were 0.9990 and 0.9995 and Relative Standard Deviation (RSD) were 1.97% and 1.35% (n=5) for HCT and ENM, respectively. Detection limits of ENM and HCT were obtained 0.54 and 0.99 mg/mL
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Victims of a radiological attack or nuclear accident may receive high-dose, heterogeneous exposures from radiation to the chest that lead to lung damage. Our goal is to develop countermeasures to mitigate such injuries. We used WAG/RijCmcr rats receiving 13 Gy to the whole thorax to induce pulmonary fibrosis within 210 days. The angiotensin converting enzyme (ACE) inhibitor enalapril was evaluated as a mitigator of these injuries at two doses (18 and 36 mg/m2/day) and 8 schedules: starting at 7, 35, 70, 105 and 140 days and continuing to 210 days or starting at 7 days and stopping at 30, 60 or 90 days after whole-thorax irradiation. The earliest start date at 7 days after irradiation would provide an adequate window of time for triage and dosimetry. Survival after 35 days, as permitted by our Institutional Animal Care and Use Committee (IACUC) was also recorded as a primary end point of pneumonitis. Pulmonary fibrosis was evaluated using the Sircol biochemical assay to measure lung collagen. Our ...
Enalapril/Hydrochlorothiazide Cristers is a medicine available in a number of countries worldwide. A list of US medications equivalent to Enalapril/Hydrochlorothiazide Cristers is available on the Drugs.com website.
To evaluate the effects of hypertension on cardiac hypertrophy, on myocardial structure, and on ventricular arrhythmias, 27 3-month-old spontaneously hypertensive rats were treated with enalapril (10 mg/kg) daily for 11 months and compared with 26 untreated control rats. Systolic arterial pressure was significantly decreased in treated rats, and at the end of the experiment, it was 199 +/- 3 mm Hg (treated) versus 237 +/- 3 mm Hg (controls) (p less than 0.001). At this time, spontaneous arrhythmias and induced arrhythmias either by programmed electrical stimulation (train of stimuli +1 or 2 extrastimuli) or by trains of eight stimuli at decreasing coupling intervals were observed in isolated heart preparations. Comparing enalapril-treated and control rats, spontaneous arrhythmias (9 of 27 versus 20 of 26, respectively; p less than 0.01), programmed stimulation-induced arrhythmias (3 of 26 versus 12 of 23, respectively; p less than 0.01), and trains of stimuli-induced arrhythmias (4 of 26 versus ...
1 Answer - Posted in: high blood pressure, doxazosin, enalapril - Answer: Doxazosin is commonly prescribed to treat an enlarged prostate and to ...
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A randomised controlled trial of sacubitril + valsartan versus enalapril in 8442 patients with heart failure and a reduced left ventricular ejection fraction showed a statistically significant reduction in mortality with the combination: 17% versus 20% after a median follow-up of 27 months. The patients in this trial were relatively young and mildly symptomatic, had a marked decrease in the left ventricular ejection fraction but were stable on treatment with a beta-blocker, a diuretic and an ACE inhibitor or an ARB. Few patients had implantable cardiac devices. Patients who did not tolerate the gradual introduction (over 3 to 6 weeks) of the high-dose sacubitril + valsartan combination were excluded. It is not known whether the results were influenced by the use of a high-dose ARB in the sacubitril + valsartan group versus a standard dose of an ACE inhibitor in the enalapril group ...
Background: Collagen IV-related nephropathies can lead to End Stage Renal Disease. Experimental studies have shown renin angiotensin aldosterone system blockade can reduce proteinuria and preserve renal function. In humans there is no proven treatment. Methods: This is a retrospective study of patients with Collagen IV-related nephropathies and proteinuria treated with enalapril analyzing the evolution of proteinuria and renal function, as well as predictive variables of progression to end stage renal disease. Outcome was creatinine clearance , 60 ml/min/1.73m2 ...
Difference between Enalapril and Lisinopril in clinical applications? How often is each drug administrated and which one is more effective?
Lercanidipine/enalapril combination in the management of obesity-related hypertension Guido Grassi1,2 1Internal Medicine, Department of Health Science, Università Milano-Bicocca, Milano, Italy; 2Istituto di Ricerche a Carattere Scientifico (IRCCS) Multimedica, Sesto San Giovanni, Milano, ItalyAbstract: Obesity-related hypertension represents a condition frequently observed in current clinical practice characterized by a complex pathophysiological background and a very high cardiovascular risk profile, particularly in severely obese individuals. This explains, on the one hand, the difficulty in reducing elevated blood pressure values in this pathological state and, on the other, the need to achieve this goal in a relatively short-time period to prevent the occurrence of fatal and nonfatal cardiovascular events. Both nonpharmacological and pharmacological measures are available in the therapeutic approach for this condition. Among the pharmacological interventions, a combination of two
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