Држава: Канада
Језик: Енглески
Извор: Health Canada
LISINOPRIL
MERCK CANADA INC
C09AA03
LISINOPRIL
2.5MG
TABLET
LISINOPRIL 2.5MG
ORAL
30
Prescription
ANGIOTENSIN-CONVERTING ENZYME INHIBITORS
Active ingredient group (AIG) number: 0121550006; AHFS:
CANCELLED POST MARKET
2005-06-23
PRODUCT MONOGRAPH PRINIVIL ® (lisinopril tablets, Merck Frosst Std.) Tablets 2.5, 5, 10 and 20 mg PHARMACOLOGICAL CLASSIFICATION ANGIOTENSIN CONVERTING ENZYME INHIBITOR MERCK FROSST CANADA LTD. Date of Preparation: Kirkland, Quebec, Canada June 13, 2005 Date of Revision: Control No.: 099121 PRINIVIL ® is a Registered Trademark of Merck & Co., Inc. Used under license . 1 PRODUCT MONOGRAPH NAME OF DRUG PRINIVIL ® (lisinopril tablets, Merck Frosst Std.) Tablets 2.5, 5, 10 and 20 mg PHARMACOLOGICAL CLASSIFICATION Angiotensin Converting Enzyme Inhibitor ACTION AND CLINICAL PHARMACOLOGY PRINIVIL ® (lisinopril tablets, Merck Frosst Std.) is an ACE inhibitor which is used in the treatment of hypertension, congestive heart failure and following myocardial infarction in haemodynamically stable patients. 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 K + . In patients treated with PRINIVIL ® and a thiazide diuretic there was essentially no change in serum potassium (see PRECAUTIONS). ACE is identical to kininase II. Thus, PRINIVIL ® may also block the degradation of bradykinin, a potent vasodilator peptide. However, the role that this plays in the therapeutic effects of PRINIVIL ® is unknown. While the mechanism through which PRINIVIL ® lowers blood pressure is believed 2 to be primarily the suppression of the renin-angiotensin-aldosterone system, PRINIVIL ® also lowers blood pressure in patients with low-renin hypertension. Pharmacodynamics Administration of PRINIVIL ® to patients with hypertension results in a reduction of both supine and standing blood pressure. Abrupt withdrawal of PRINIVIL ® has not been associated with a rapid in Прочитајте комплетан документ