País: Estados Unidos
Língua: inglês
Origem: NLM (National Library of Medicine)
MOEXIPRIL HYDROCHLORIDE (UNII: Q1UMG3UH45) (MOEXIPRILAT - UNII:H3753190JS)
Avera McKennan Hospital
MOEXIPRIL HYDROCHLORIDE
MOEXIPRIL HYDROCHLORIDE 7.5 mg
PRESCRIPTION DRUG
Abbreviated New Drug Application
MOEXIPRIL HYDROCHLORIDE- MOEXIPRIL HYDROCHLORIDE TABLET, FILM COATED AVERA MCKENNAN HOSPITAL ---------- MOEXIPRIL HYDROCHLORIDE TABLETS 7.5 MG RX ONLY WARNING: FETAL TOXICITY • • DESCRIPTION Moexipril hydrochloride, the hydrochloride salt of moexipril, has the empirical formula C H N O •HCl and a molecular weight of 535.04. It is chemically described as [3S- [2[R*(R*)],3R*]]-2-[2-[[1-(ethoxycarbonyl)-3-phenylpropyl]amino]-1-oxopropyl]-1,2,3,4-tetrahydro- 6,7-dimethoxy-3-isoquinolinecarboxylic acid, monohydrochloride. It is a non-sulfhydryl containing precursor of the active angiotensin-converting enzyme (ACE) inhibitor moexiprilat and its structural formula is: Moexipril hydrochloride is a fine white to off-white powder. It is soluble (about 10% weight-to- volume) in distilled water at room temperature. Moexipril hydrochloride is supplied as scored, coated tablets containing 7.5 mg and 15 mg of moexipril hydrochloride for oral administration. In addition to the active ingredient, moexipril hydrochloride, the tablet core contains the following inactive ingredients: crospovidone, lactose monohydrate, magnesium oxide, magnesium stearate and povidone. The film coating contains hypromellose, hydroxypropyl cellulose, titanium dioxide, polyethylene glycol 6000, magnesium stearate, ferric oxide red, ferric oxide black and ferric oxide yellow (15 mg tablet only). CLINICAL PHARMACOLOGY MECHANISM OF ACTION Moexipril hydrochloride is a prodrug for moexiprilat, which inhibits ACE in humans and animals. The mechanism through which moexiprilat lowers blood pressure is believed to be primarily inhibition of ACE activity. ACE is a peptidyl dipeptidase that catalyzes the conversion of the inactive decapeptide angiotensin I to the vasoconstrictor substance angiotensin II. Angiotensin II is a potent peripheral vasoconstrictor that also stimulates aldosterone secretion by the adrenal cortex and provides negative feedback on renin secretion. ACE is identical to kininase II, an enzyme that degrades bradykinin, an endothelium-depe Leia o documento completo