Wednesday, November 13, 2013

Angiotensin Converting Enzyme Inhibitors, ACEi

商品名(trade name)
generic name
&captopril
&enalapril
&lisinopril
&quinapril
&ramipril
&benazepril
&fosinopril
&moexipril
&perindopril
&trandolapril
藥理作用(Pharmacological Effects)

[inhibit Angiotensin II and aldosterone synthesis
[Bradykinin metabolism decrease-->Prostaglandin synthesis increase→ vasodilation

資料來源:scielo
[Kininase II = ACE
[Salt and water retention decrease
用量與用法(Dosage and Usage)

適應症(Indications)

副作用(Side effect)
}Airway obstruction: bradykinin: Enhance cough reflex
}angioedema: promote vasodialation
}醛固酮(Aldosterone) synthesis block: hyperkalemia
}Angiotensin II formation inhibtion
}}efferent vasoconstriction decrease: more blood need to be filtered
}}Aggravating renal failure
禁忌/交互作用(Contraindications / interaction)
Contraindications
?pregnancy: fetal will hypotension or renal failure-->Teratogenic and stillbirth
nteraction
?do not use with Angiotensin II Receptor Antagonists, ARBs, that's will cause hypokalemia and relatively low BP
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