Pays: Canada
Langue: anglais
Source: Health Canada
LISINOPRIL
SIVEM PHARMACEUTICALS ULC
C09AA03
LISINOPRIL
40MG
TABLET
LISINOPRIL 40MG
ORAL
100
Prescription
ANGIOTENSIN-CONVERTING ENZYME INHIBITORS
Active ingredient group (AIG) number: 0121550004; AHFS:
CANCELLED PRE MARKET
2022-05-27
_LISINOPRIL Product Monograph Page 1 of 41 _ 1 PRODUCT MONOGRAPH PR LISINOPRIL (lisinopril tablets USP) Tablets 5 mg, 10 mg, 20 mg and 40 mg ANGIOTENSIN CONVERTING ENZYME INHIBITOR Sivem Pharmaceuticals ULC 4705 Dobrin Street Saint-Laurent, Quebec H4R 2P7 Date of Revision: February 1, 2018 www.sivem.ca Control No.: 212867 _ _ _LISINOPRIL Product Monograph Page 2 of 41 _ PRODUCT MONOGRAPH PR LISINOPRIL (lisinopril tablets USP) Tablets 5 mg, 10 mg, 20 mg and 40 mg Angiotensin Converting Enzyme Inhibitor ACTIONS AND CLINICAL PHARMACOLOGY Lisinopril is an angiotensin converting enzyme (ACE) inhibitor which is used in the treatment of hypertension, congestive heart failure and following myocardial infarction in hemodynamically stable patients. 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 and 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 (RAAS), lisinopril also lowers blood pressure in patients with low-renin hypertension. PHARMACODYNAMICS Hypertension _Adults:_ Administration of lisinopril to patients with hypertension results in a reduction of both supine and standing blood pressure. Abrupt withdrawal of lisinopril has not been associated with a rapid increase in blood pressure. In most patients studied, after oral adm Lire le document complet