Terlipressin is a synthetic analogue of vasopressin, which is an endogenous neurohormone that acts as a vasoconstrictor. It is a prodrug of lypressin, or lysine vasopressin. Compared to endogenous vasopressin, terlipressin has a longer half life and increased selectivity for the V1 receptor. As a potent vasopressor, terlipressin has been investigated in various shock states and conditions with diminished vasomotor tone. It was also studied in hepatorenal syndrome (HRS) and variceal bleeding. The drug was first approved by the FDA in September 2022.
Terlipressin is a vasopressin receptor agonist indicated to improve kidney function in adults with hepatorenal syndrome with rapid reduction in kidney function. The US prescribing information states that patients with a serum creatinine > 5 mg/dL are unlikely to experience benefit from terlipressin.
Wael El-Banna Clinic, Maadi, Cairo, Egypt
Wael El Banna Clinic, Maadi, Egypt
Wael El Banna Clinic, Maadi, Egypt
National Research center, Cairo, Egypt
AP-HP, Hôpital Européen Georges Pompidou, Paris, France
Nanjing Zhongda Hospital, Southeast University, Nanjing, Jiangsu, China
Institute of Liver & Biliary Sciences, New Delhi, Delhi, India
Baylor Scott and White All Saints Medical Center, Fort Worth, Texas, United States
University of Pennsylvania, Philadelphia, Pennsylvania, United States
Piedmont Healthcare, Inc, Atlanta, Georgia, United States
Institute of Liver & Biliary Sciences, New Delhi, Delhi, India
Changhai hospital, Shanghai, China
Hospital Clinic, Barcelona, Spain
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