Země: Kanada
Jazyk: angličtina
Zdroj: Health Canada
CAPTOPRIL
BRISTOL-MYERS SQUIBB CANADA
C09AA01
CAPTOPRIL
25MG
TABLET
CAPTOPRIL 25MG
ORAL
100
Prescription
ANGIOTENSIN-CONVERTING ENZYME INHIBITORS
Active ingredient group (AIG) number: 0114954001; AHFS:
CANCELLED POST MARKET
2011-11-01
PRODUCT MONOGRAPH PR CAPOTEN * (CAPTOPRIL) TABLETS, USP, 12.5, 25, 50 AND 100 MG ANGIOTENSIN-CONVERTING ENZYME INHIBITOR Bristol-Myers Squibb Canada Date of Preparation: 2365 Cote-de-Liesse. August 28, 1981 Montreal, Canada H4N 2M7 Date of Revision: * TM of Bristol-Myers Squibb Canada November 8, 2006 Control Number: 107808 1 PRODUCT MONOGRAPH NAME OF DRUG CAPOTEN (CAPTOPRIL) Tablets, USP - 12.5, 25, 50 and 100 mg THERAPEUTIC CLASSIFICATION Angiotensin-Converting Enzyme Inhibitor ACTIONS AND CLINICAL PHARMACOLOGY CAPOTEN (captopril) is an angiotensin converting enzyme inhibitor which is used in the treatment of hypertension and heart failure. The mechanism of action of CAPOTEN has not yet been fully elucidated. It appears to lower blood pressure and be an adjunct in the therapy of congestive heart failure primarily through suppression of the renin-angiotensin-aldosterone system; however, there is no consistent correlation between renin levels and response to the drug. Renin, an enzyme synthesized by the kidneys, is released into the circulation where it acts on a plasma globulin substrate to produce angiotensin I, a relatively inactive decapeptide. Angiotensin I is then converted by angiotensin converting enzyme (ACE) to angiotensin II, a potent endogenous vasoconstrictor substance. Angiotensin II also stimulates aldosterone secretion from the adrenal cortex, thereby contributing to sodium and fluid retention. CAPOTEN prevents the conversion of angiotensin I to angiotensin II by inhibition of ACE, a peptidyldipeptide carboxy hydrolase. ACE is identical to "bradykininase" and CAPOTEN may also interfere with the degradation of the vasopressor peptide, bradykinin. However, the effectiveness of captopril in therapeutic doses appears to be unrelated to potentiation of the actions of bradykinin. Increased concentrations of bradykinin or prostaglandin E 2 may also have a role in the therapeutic effect of captopril, especially in low-renin hypertension. Inhibition of ACE results in decreased plasma angiotensin II and inc Přečtěte si celý dokument