Categoria
Briem
Nombres de marca,
Briem
Analogos
Briem
Marca los nombres de mezcla
Lotensin HCT (Benazepril Hydrochloride + Hydrochlorothiazide) Lotrel (Benazepril Hydrochloride + Amlodipine Besylate)
Briem
Formula quimica
C24H28N2O5
Briem
RX enlace
http://www.rxlist.com/cgi/generic/benaz.htm
Briem
FDA hoja
Briem
MSDS (hoja de seguridad de materiales)
Briem
Sintesis de referencia
USpat.4, 410.520 (1983)
Briem
Peso molecular
424.49 g/mol
Briem
Punto de fusion
148-149 oC
Briem
H2O Solubilidad
2,229 mg / L
Briem
Estado
Solid
Briem
LogP
3.217
Briem
Formas de dosificacion
Comprimido (5 mg, 10 mg, 20 mg, 40 mg)
Briem
Indicacion
Para el tratamiento de la hipertensión. Se puede utilizar solo o en combinación con diuréticos tiazídicos.
Briem
Farmacologia
Benazepril, un inhibidor de la enzima convertidora de angiotensina (ECA), es un profármaco que, cuando se hidroliza por estarases a su benazeprilato activo, se utiliza para tratar la hipertensión y la insuficiencia cardiaca, para reducir la proteinuria y la enfermedad renal en pacientes con nefropatías, y para evitar accidente cerebrovascular, infarto de miocardio y muerte cardíaca en pacientes de alto riesgo. Benazepril y benazeprilato inhibir la enzima convertidora de angiotensina (ACE) en seres humanos y animales. La ECA es una peptidil dipeptidasa que cataliza la conversión de angiotensina I en la sustancia vasoconstrictora de la angiotensina II. La angiotensina II también estimula la aldosterona la secreción de la corteza suprarrenal.
Briem
Absorcion
Pico en el plasma dentro de 0.5-1.0 horas. El grado de absorción es al menos el 37%, determinado mediante recuperación urinaria y no es significativamente influenciado por la presencia de alimentos en el tracto gastrointestinal.
Briem
Toxicidad
Los síntomas de sobredosis incluyen inflamación de la cara, boca, manos o pies, dificultad para tragar o respirar (de repente), ronquera, fiebre y escalofríos.
Briem
Informacion de Pacientes
Pregnancy
Female patients of childbearing age should be told about the consequences of second- and
third-trimester exposure to ACE inhibitors, and they should also be told that these consequences do not appear to
have resulted from intrauterine ACE inhibitor exposure that has been limited to the first trimester. These patients
should be asked to report pregnancies to their physicians as soon as possible.
Angioedema
Angioedema, including laryngeal edema, can occur at any time with treatment with ACE inhibitors.
Patients should be so advised and told to report immediately any signs or symptoms suggesting angioedema (swelling of
face, eyes, lips, or tongue, or difficulty in breathing) and to take no more drug until they have consulted with the
prescribing physician.
Symptomatic Hypotension
Patients should be cautioned that lightheadedness can occur, especially during the first days of
therapy, and it should be reported to the prescribing physician. Patients should be told that if syncope occurs,
Lotensin should be discontinued until the prescribing physician has been consulted.
All patients should be cautioned that inadequate fluid intake or excessive perspiration, diarrhea, or
vomiting can lead to an excessive fall in blood pressure, with the same consequences of lightheadedness and possible
syncope.
Hyperkalemia
Patients should be told not to use potassium supplements or salt substitutes containing potassium
without consulting the prescribing physician.
Neutropenia
Patients should be told to promptly report any indication of infection (e.g., sore throat, fever),
which could be a sign of neutropenia.
Briem
Organismos afectados
Humanos y otros mamíferos