HIGH BLOOD PRESSURE SYMPTOMS CAUSES DIET & TREATMENT

Dr.Armughan Riaz
M.B.B.S, Dip Card
Consultant Cardiologist

 

Comparison of ARBs Angiotensin Receptor Blockers

Comparison of ARBs Angiotensin Receptor Blockers, There are currently seven drugs on the market that are angiotensin II inhibitors. The table below shows characteristics of each of them and may be helpful for your MD in selecting the best one for your situation

Comparison of ARBs Angiotensin Receptor Blockers

 

The ARBs have very comparable scientific profiles. They do, however, have different pharmacokinetic profiles, which can lead to some differences in efficacy. The newer products irbesartan, candesartan, telmisartan, and olmesartan have longer half-lives and duration of action than the older products losartan and valsartan. Twenty-four-hour blood pressure control could possibly be more readily achievable with the newer agents. Losartan and valsartan may need to be administered twice every day in sufferers needing better antihypertensive effects, whereas the agents with longer durations of action have no additional advantage when administered more than once daily. Of course, single dose product is at all times preferred.
Several double-blind, head-to-head comparative trials have evaluated the relative antihypertensive efficacy of the ARBs in sufferers with mild to moderate hypertension. The result is that the longer-appearing products may be more effective than losartan and valsartan at offering 24-hour blood pressure control. However a metaanalysis of 43 trials comparing the antihypertensive effects of ARBs found comparable antihypertensive efficacies inside the ARB class. Whether or not reported differences in efficacy are clinically related regarding morbidity and mortality has not been determined.

There are currently seven drugs on the market that are angiotensin II inhibitors. The table below shows characteristics of each of them and may be helpful for your MD in selecting the best one for your situation

 

Chemical Name Losartan Olmesartan Valsartan Irbesartan Candesartan Telmisartan Eprosartan
Brand Name Cozaar Benicar Diovan, Novartis Avapro,Squibb Antacad Micardis Teveten
               
Introduced 1995 2002          

BP Drop

8/5.5

12.5/11.5

7.5/4.0

10/6.5

10/6

9.5/6

7.5/4.5

Affinity for the AT2 receptor

1,000 12,500 20,000 8,500 10,000 3,000 1,000

Half Life

6-9 hrs

13 hrs

6 hrs

11-15 hrs

9 hrs

24 hrs

5-9 hrs

P450 enzymes
affinity

HIGH None None HIGH Modest None None
Known interactions ketoconazole,
troleandomycin,
cimetidine,
Rifampin
        digoxin  

Crosses Blood Brain Barrier

No No No No Yes Yes No
               

 



Your Comments
Click here to add a comment
There are no comments to display
DeliciousFacebookTwitterStumbleuponGoogle BookmarksTechnorati

 



Popular Pages