Eplerenone for hypertension

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Eplerenone (Inspra), a new aldosterone antagonist for the treatment of systemic hypertension and heart failure.

Eplerenone is the second oral aldosterone antagonist available in the USA for the treatment of essential hypertension and heart failure. Treatment has been associated with reductions in blood pressure and improved survival (15% reduction in total mortality) for patients with heart failure who are in stable condition after a myocardial infarction. Due to the selectivity of eplerenone for the ald...

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Eplerenone: cardiovascular protection.

Data from animal studies and clinical trials indicate that aldosterone causes cardiovascular and renal injury through mineralocorticoid receptor-dependent mechanisms. However, although aldosterone receptor antagonism reduces mortality in patients with congestive heart failure, the progestational and antiandrogenic side effects of the nonspecific aldosterone receptor antagonist, spironolactone, ...

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Eplerenone ethanol solvate

EPLERENONE [SYSTEMATIC NAME: 7α-(methoxy-carbon-yl)-3-oxo-9α,11-ep-oxy-17α-pregn-4-ene-21,17-carbolactone], an aldo-sterone receptor antagonist, crystallizes from ethanol as a monosolvate, C(24)H(30)O(6)·C(2)H(6)O. The eplerenone mol-ecule has two five-membered rings, three six-membered rings and one three-membered ring. Both five-membered rings display envelope conformations, while the three s...

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Eplerenone Final RGB

• Monographs for unlicensed drugs/indications must not be circulated to prescribers. • Not to be used for commercial purposes. • The information contained herein will be superseded in due course. • Copyright UKMIPG 2002. Date Published:December 2003 Monograph Number:3/03/05 Region of Origin to whom queries should be directed:West Midlands/National Prescribing Centre NEW DRUGS IN CLINICAL DEVELO...

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History of hypertension and eplerenone in patients with acute myocardial infarction complicated by heart failure.

In the Eplerenone Post-Acute Myocardial Infarction Heart Failure Efficacy and Survival Study (n=6632), eplerenone-associated reduction in all-cause mortality was significantly greater in those with a history of hypertension (Hx-HTN). There were 4007 patients with Hx-HTN (eplerenone: n=1983) and 2625 patients without Hx-HTN (eplerenone: n=1336). Propensity scores for eplerenone use, separately c...

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ژورنال

عنوان ژورنال: Cochrane Database of Systematic Reviews

سال: 2017

ISSN: 1465-1858

DOI: 10.1002/14651858.cd008996.pub2