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 Aga Khan University Hospital, Karachi, Sindh, Pakistan
Department of Anesthesiology and Intensive care of the University of Rome "La Sapienza", Rome, Viale del Policlinico 155, Italy
San Giovanni Battista Hospital, Turin, Italy
The Aga Khan University Hospital, Karachi, Sindh, Pakistan
Hospital Clinic, Barcelona, Spain
Hvidovre Hospital, Copenhagen, Hvidovre, Denmark
Northwestern Memorial Hospital, Chicago, Illinois, United States
University of Medicine & Dentistry of New Jersey - NJMS, Newark, New Jersey, United States
Albert Einstein Medical Center, Philadelphia, Pennsylvania, United States
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