Combination of an ace inhibitor and a diuretic

Details Combination of an ace inhibitor and a diuretic Combination of an ace inhibitor and a diuretic

1995-09-05

1997-11-11

Jordan, Kimberly

Drug, bio-affecting and body treating compositions

Designated organic active ingredient containing

Heterocyclic carbon compounds containing a hetero ring...

514423, A61K 3154, A61K 3140

Patent

active

056864515

ABSTRACT:
Pharmaceutical formulations comprising as active ingredients an angiotensin converting enzyme (ACE) inhibitor at a dose level normally found effective as an antihypertensive and a diuretic at a dose level below its minimum effective dose, demonstrate greater efficacy than would be expected in returning the blood pressure of hypertensive patients to normotensive values.

REFERENCES:
patent: 5256687 (1993-10-01), Becker et al.
Andren, L., et al., "Enalapril with Either a Very Low or Low Dose of Hydrochlorothiazide is Equally Effective in Essential Hypertension", Journal of Hypertension, vol. 1(Suppl. 2), pp. 384-386 (1983).
Becker, R.H.A., et al., "Loop Diuretics Combined with ACE Inhibitor for Treatment of Hypertension: A Study with Furosemide, Piretanide, and Ramipril in Spontaneously Hypertensive Rats", Chemical Abstract, vol. 111(9), 70668H (1989).
MacGregor, G.A., et al., "Captopril in Essential Hypertension; Contrasting Effects of Adding Hydrochlorothiazide or Propranol", British Medical Journal, vol. 284, pp. 693-696 (1982).
Brunner, H.R. et al., "Enhancement By Diuretics of the Antihypertensive Action of Long-Term Angiotensin Converting Enzyme Blockadet", Clinical and Experimental Hypertension, vol. 2(3 & 4), pp. 639-657 (1980).
Pollare, et al., "A Comparison of the Effects of Hydrochlorothiazide and Captopril on Gluccose and Lipid Metabolism in Patients with Hypertension", The New England J. of Med., vol. 321 (13), pp. 868-873, 1989.
Pool, et al., "Controlled Multicenter Study of the Antihypertensive Effects of Lisinopril, Plus Hydrochlorothiazide in the Treatment of 394 Patients with Mild to Moderate Essential Hypertension", J. of Cardio, Phamacol., vol. 9 (Suppl. 3), pp. S36-S42, 1987.
Jounela, et al., "Relation Between Low Dose of Hydrochlorothiazide, Antihypertensive Effect and Adverse Effects", Blood Pressure, vol. 3, pp. 231-235, 1994.
Guul, S.J., et al., "The Efficacy and Tolerability of Enalapril in a Formulation With a Very Low Dose of Hydrochlorothiazide in Hypertensive Patients Resistent to Enalapril Monotherapy", American Journal of Hypertension, Ltd., vol. 8, pp. 727-731 (1995).
New From MSD Research: "A novel therapeutic approach for the treatment of hypertension", Promotional material for Zynetec (1996).
Physicians' Desk Reference, 50th Edition, pp. 742-745, 837-840, 1737-1741, 1765-1768, 2851-2855, (1996).

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