ISSN 2398-2950      

Benazepril

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Synonym(s): Fortekor 5, Fortekor 20, Lotensin


Introduction

Name

  • Benazepril.

Class of drug

Description

Chemical name

  • Benazepril hydrochloride.
  • [S-(R,R)]-3-[[1-(Ethoxycarbonyl)-3-phenylpropyl]amino]-2,3,4,5-tetrahydro-2-oxo-1H-1-benzazepine-1-acetic acid.

Molecular formula

  • C24H28N2O5.

Storage requirements

  • Store in a dry place.
  • Unused half tablets should be stored in the open blister spaces inside the cardboard box.

Uses

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Indications

  • Treatment of congestive heart failure.
  • Treatment of hypertension Hypertension.
  • May be of benefit in certain cases of renal insufficiency. Benazeprilat has significant hepatic metabolism.

Administration

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Pharmacokinetics

Precautions

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Interactions

with other drugs

  • Concomitant use with potassium-sparing diuretics, eg spironolactone or potassium supplements may result in hyperkalemia.
  • Can be administered in combination with digoxin, diuretics and anti-arrhythmic drugs.
  • May be increased risk of nephrotoxicity when used with NSAIDs.
  • Use with other antihypertensive drugs, eg calcium channel and beta blockers could cause hypotension.
  • Anesthetics and sedative agents may potentiate hypotensive effects.

with diagnostic tests

  • Raised liver enzymes in humans - rare.
  • May increase creatinine concentrations at the start of the therapy.

Adverse Reactions

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • King J N et al(1999) Plasma ACE activity and pharmacokinetics of benazapril and benazeprilat in cats after single and repeated oral administration of benazapril HCl. J Vet Pharm Ther 22 (6), 360-367.

Other sources of information

  • Ramsey I (2017) Small Animal Formulary. 9th edn. 
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