Country: Canada
Language: English
Source: Health Canada
LISINOPRIL (LISINOPRIL DIHYDRATE); HYDROCHLOROTHIAZIDE
TEVA CANADA LIMITED
C09BA03
LISINOPRIL AND DIURETICS
10MG; 12.5MG
TABLET
LISINOPRIL (LISINOPRIL DIHYDRATE) 10MG; HYDROCHLOROTHIAZIDE 12.5MG
ORAL
30/100
Prescription
ANGIOTENSIN-CONVERTING ENZYME INHIBITORS
Active ingredient group (AIG) number: 0222417003; AHFS:
APPROVED
2010-12-08
PRODUCT MONOGRAPH PR TEVA-LISINOPRIL/HCTZ (TYPE P) (lisinopril as lisinopril dihydrate and hydrochlorothiazide) 10/12.5 mg, 20/12.5 mg and 20/25 mg Tablets Angiotensin Converting Enzyme Inhibitor/Diuretic Teva Canada Limited 30 Novopharm Court Toronto, Ontario M1B 2K9 Control No: 169889 Date of Preparation: November 26, 2010 Date of Revision: January 21, 2014 TEVA-LISINOPRIL/HCTZ (TYPE P) Tablets 2 PRODUCT MONOGRAPH Pr TEVA-LISINOPRIL/HCTZ (TYPE P) (lisinopril as lisinopril dihydrate and hydrochlorothiazide) 10/12.5 mg, 20/12.5 mg and 20/25 mg Tablets Angiotensin-Converting Enzyme Inhibitor/Diuretic ACTION AND CLINICAL PHARMACOLOGY TEVA-LISINOPRIL/HCTZ (TYPE P) (lisinopril and hydrochlorothiazide tablets) combines the action of an angiotensin-converting enzyme (ACE) inhibitor, lisinopril, and a diuretic, hydrochlorothiazide. LISINOPRIL Angiotensin-converting enzyme (ACE) is a peptidyl dipeptidase which catalyzes the conversion of angiotensin I to the pressor substance, angiotensin II. Inhibition of ACE results in decreased plasma angiotensin II, which leads to increased plasma renin activity (due to removal of negative feedback of renin release) and decreased aldosterone secretion. Although the latter decrease is small, it results in a small increase in serum potassium. In patients treated with lisinopril plus a thiazide diuretic, there was essentially no change in serum potassium (see PRECAUTIONS). ACE is identical to kininase II. Thus, lisinopril may also block the degradation of bradykinin, a potent vasodilator peptide. However, the role that this plays in the therapeutic effects of lisinopril is unknown. While the mechanism through which lisinopril lowers blood pressure is believed to be primarily the suppression of the renin-angiotensin-aldosterone system, lisinopril also lowers blood pressure in patients with low-renin hypertension. PHARMACODYNAMICS LISINOPRIL Administration of lisinopril to patients with hypertension results in a reduction of both supine and standing blood pressure. Abrupt withdrawal of li Read the complete document