Categoria
Triatec
Nombres de marca,
Triatec
Analogos
Triatec
Marca los nombres de mezcla
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Triatec
Formula quimica
C23H32N2O5
Triatec
RX enlace
http://www.rxlist.com/cgi/generic/ramipril.htm
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FDA hoja
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MSDS (hoja de seguridad de materiales)
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Sintesis de referencia
EH Gold et al., Patente de EE.UU.. 4.587.258 (1967).
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Peso molecular
416.511 g/mol
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Punto de fusion
109 oC
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H2O Solubilidad
3,5 mg / L
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Estado
Solid
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LogP
3.149
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Formas de dosificacion
Cápsula
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Indicacion
De diuréticos y digital en la insuficiencia cardíaca congestiva como tratamiento adyuvante y para su uso en la profilaxis de post MI.
Triatec
Farmacologia
Ramipril es un enzima convertidora de angiotensina (ECA) similares al benazepril, fosinopril, y quinapril. Un profármaco inactivo, ramipril se convierte en ramiprilato en el hígado y se utiliza para tratar hipertensión y falla cardiaca, para reducir la proteinuria y enfermedad renal en pacientes con nefropatías, y para evitar accidente cerebrovascular, infarto de miocardio y muerte cardíaca en pacientes de alto riesgo.
Triatec
Absorcion
El grado de absorción es al menos un 50-60% y no es significativamente influenciado por la presencia de alimentos en el tracto gastrointestinal, aunque la tasa de absorción se reduce.
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Toxicidad
Las manifestaciones clínicas más probable sería síntomas atribuibles a la hipotensión. LD50 = 10.933 mg / kg (por vía oral en ratones).
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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 with treatment with ACE inhibitors,
especially following the first dose. 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. Patients should be told that if syncope occurs, ramipril
should be discontinued until the 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 salt substitutes containing potassium without
consulting their 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.
Triatec
Organismos afectados
Humanos y otros mamíferos