Document Detail


The effect of tenidap on the anti-hypertensive efficacy of ACE inhibitors in patients treated for mild to moderate hypertension.
MedLine Citation:
PMID:  7547097     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
1. A randomised, placebo controlled, double-blind, parallel group study was conducted to assess the effect of tenidap sodium, a novel cytokine modulating drug, on the stable hypotensive response to the angiotension converting enzyme (ACE) inhibitor enalapril in subjects with mild to moderate, uncomplicated, essential hypertension. 2. Twenty-four male and female hypertensives, aged 33-77 years, received either 120 mg tenidap sodium or matched placebo daily for 22 days concomitantly with enalapril. 3. Mean endpoint supine and standing, systolic and diastolic pressures remained within 10% of baseline in each treatment group. However, the endpoint values were marginally above baseline during double-blind treatment with tenidap and marginally below baseline in the group receiving placebo. The increases in supine and standing systolic pressures in the tenidap group differed significantly from the changes in the placebo group. There were no significant differences between groups in changes in pulse rate. 4. Gastrointestinal side effects of mild to moderate severity attributed to treatment with tenidap were experienced by five subjects, one of whom was withdrawn during the third week of treatment. One subject receiving placebo was withdrawn because of a moderate headache attributed to study treatment. 5. The results of this study suggest that treatment with tenidap may interfere with the anti-hypertensive efficacy of ACE inhibitors. It is recommended that blood pressure should be monitored when tenidap is administered concomitantly with an ACE inhibitor.
Authors:
W G Rapeport; V C Grimwood; J Hosie; P M Sloan; K Korlipara; B D Silvert; I James; G L Mechie; J L Anderton
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  British journal of clinical pharmacology     Volume:  39 Suppl 1     ISSN:  0306-5251     ISO Abbreviation:  Br J Clin Pharmacol     Publication Date:  1995  
Date Detail:
Created Date:  1995-10-26     Completed Date:  1995-10-26     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7503323     Medline TA:  Br J Clin Pharmacol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  57S-61S     Citation Subset:  IM    
Affiliation:
Early Clinical Research Group, Pfizer Central Research, Sandwich, Kent, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Analysis of Variance
Angiotensin-Converting Enzyme Inhibitors / adverse effects,  therapeutic use*
Anti-Inflammatory Agents, Non-Steroidal / adverse effects,  pharmacology*
Double-Blind Method
Drug Interactions
Enalapril / pharmacology,  therapeutic use
Female
Humans
Hypertension / drug therapy*
Indoles / adverse effects,  pharmacology*
Male
Middle Aged
Time Factors
Chemical
Reg. No./Substance:
0/Angiotensin-Converting Enzyme Inhibitors; 0/Anti-Inflammatory Agents, Non-Steroidal; 0/Indoles; 120210-48-2/tenidap; 75847-73-3/Enalapril
Comments/Corrections

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