Document Detail


Aliskiren/amlodipine combination for the treatment of hypertension.
MedLine Citation:
PMID:  21695283     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The challenge of managing hypertension is exemplified by the limited success of monotherapy and necessity for multiple drug regimens targeting complimentary pathways. Recent evidence suggests that combination therapy including angiotensin-converting enzyme (ACE) inhibitors and calcium channel blockers (CCBs) provides blood pressure control while reducing cardiovascular mortality and morbidity over ACE inhibitor/diuretic therapy. However, CCBs, ACE inhibitors and angiotensin receptor blockers all increase plasma renin activity (PRA), promoting angiotensin I accumulation and angiotensin II production through alternative pathways. While the clinical ramifications of this and other compensatory pathways activating the renin-angiotensin-aldosterone system are unclear, the recently approved aliskiren/amlodipine antihypertensive combination pill has been shown to decrease PRA via aliskiren's direct inhibition of renin. The purpose of this monograph is to review the mechanisms of action, pharmacodynamics, and safety and efficacy profile of the aliskiren/amlodipine combination pill.
Authors:
S S Billecke; P A Marcovitz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Drugs of today (Barcelona, Spain : 1998)     Volume:  47     ISSN:  1699-3993     ISO Abbreviation:  Drugs Today     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-06-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101160518     Medline TA:  Drugs Today (Barc)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  403-17     Citation Subset:  IM    
Copyright Information:
Copyright 2011 Prous Science, S.A.U. or its licensors. All rights reserved.
Affiliation:
William Beaumont Hospital, Ministrelli Women's Heart Center, Royal Oak, Michigan, USA. Scott.Billecke@beaumont.edu.
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