Pharmacokinetics of angiotensin converting enzyme inhibitors.

Details

Serval ID
serval:BIB_15024170B46E
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Pharmacokinetics of angiotensin converting enzyme inhibitors.
Journal
British journal of clinical pharmacology
Author(s)
Burnier M., Waeber B., Nussberger J., Brunner H.R.
ISSN
0306-5251
Publication state
Published
Issued date
1989
Peer-reviewed
Oui
Volume
28 Suppl 2
Pages
133S-139S; discussion 140S
Language
english
Notes
Publication types: Journal Article ; Review - Publication Status: ppublish
Abstract
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.
Keywords
Angiotensin-Converting Enzyme Inhibitors, Humans
Pubmed
Web of science
Create date
05/03/2008 17:41
Last modification date
20/08/2019 13:43
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