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.
the First Affiliated Hospital of Sumyetsan University, Guangzhou, Guangdong, China
180 Fenglin Road, Shanghai, Shanghai, China
National Liver Institute, Shebeen Alkom, Menoufiya, Egypt
Hospital Clinic de Barcelona, Barcelona, Spain
Dep. of Visceral Surgery, University Hospital Berne, Berne, Switzerland
Institute of liver and Biliary Sciences, New Delhi, Delhi, India
Surgical intensive care unit, 1st affiliated hospital of Sun Yat-sen university, Guangzhou, Guangdong, China
Novartis Investigative Site, Edinburgh, United Kingdom
Postgraduate Institute of Medical Education and Research Chandigarh, Chandigarh, India
Hospital Moisés Broggi, Sant Joan Despí, Barcelona, Spain
Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Hospital Vall d´Hebron, Barcelona, Spain
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