Eprosartan
生产企业:Abbott laboratories
Eprosartan is an ARB used to treat hypertension, diabetic nephropathy, and congestive heart failure.
Eprosartan is an ARB used to treat hypertension, diabetic nephropathy, and congestive heart failure.
Eprosartan blocks the vasoconstrictor and aldosterone-secreting effects of angiotensin II by selectively blocking the binding of angiotensin II to the AT receptor found in many tissues (e.g., vascular smooth muscle, adrenal gland). There is also an AT receptor found in many tissues but it is not known to be associated with cardiovascular homeostasis. Eprosartan does not exhibit any partial agonist activity at the AT receptor. Its affinity for the AT receptor is 1,000 times greater than for the AT receptor. In vitro binding studies indicate that eprosartan is a reversible, competitive inhibitor of the AT receptor. Eprosartan has also been shown to bind to AT receptors both presynaptically and synaptically. Its action on presynaptic AT receptors results in the inhibition of sympathetically stimulated noradrenaline release. Unlike ACE inhibitors, eprosartan and other ARBs do not interfere with response to bradykinins and substance P, which allows for the absence of adverse effects that are present in ACE inhibitors (eg. dry cough).
For the management of hypertension alone or in combination with other classes of antihypertensive agents. Also used as a first-line agent in the treatment of diabetic nephropathy, as well as a second-line agent in the treatment of congestive heart failure (only in those intolerant of ACE inhibitors).