Pharmacokinetics of angiotensin converting enzyme inhibitors.

Détails

ID Serval
serval:BIB_15024170B46E
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Pharmacokinetics of angiotensin converting enzyme inhibitors.
Périodique
British journal of clinical pharmacology
Auteur⸱e⸱s
Burnier M., Waeber B., Nussberger J., Brunner H.R.
ISSN
0306-5251
Statut éditorial
Publié
Date de publication
1989
Peer-reviewed
Oui
Volume
28 Suppl 2
Pages
133S-139S; discussion 140S
Langue
anglais
Notes
Publication types: Journal Article ; Review - Publication Status: ppublish
Résumé
1. The pharmacokinetics of most ACE inhibitors have been evaluated indirectly by the measurements of plasma ACE activity and circulating levels of angiotensin I and II. 2. Although plasma ACE activity is very useful to study the degree and the time-course of ACE inhibition, one has to be aware that very different results can be obtained depending on the substrate employed in the assay. It is therefore impossible to compare the results of different inhibitors unless an identical methodology is used. 3. A clear dissociation between plasma angiotensin II levels and the antihypertensive effects of ACE inhibitors has been reported. This observation is in part linked to problems with the measurement of angiotensin II. New methods of determination of plasma angiotensin II have now allowed demonstration of the complete disappearance of plasma angiotensin II following acute ACE inhibition. During chronic treatment, however, angiotensin II generation is effectively blocked only during part of the day, but blood pressure remains controlled permanently. 4. Among the different pharmacokinetic characteristics of ACE inhibitors presently available, the route of excretion and to a lesser degree the half-life appear to be the most clinically relevant. However, the importance of the ability of ACE inhibitors to inhibit tissue renin-angiotensin systems remains to be defined.
Mots-clé
Angiotensin-Converting Enzyme Inhibitors, Humans
Pubmed
Web of science
Création de la notice
05/03/2008 17:41
Dernière modification de la notice
20/08/2019 13:43
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