Fozinopril (fosinopril)
FOZINOPRIL (Fosinopril).
(4S) -4 - Tsiklogeksil-1- [R-[(S) -1-hydroxy metilpropoksi] (4-fenilbutil) fosfinil] acetyl] -L- propionat overcome.
Issued in the form of sodium salt.
Synonyms: Daynatsil, Monopril, Staril, Fozinorm, Monopril.
White or not white crystalline powder. Soluble in water, methanol and ethanol.
Has the balance of molecules in the L-overcome (like lizinoprilu), but fosfinilnuyu group (P = = O).
Represents prolekarstvo, the body becomes active metabolite fozinoprilat.
From other inhibitors fozinopril APF is the better ability to reduce blood levels endotelina, is a powerful factor and factor vazokonstriktornym remodelirovaniya receptacles.
When you receive inside almost completely absorbed, bioavailability of approximately 40%, S-max 3 h, T? - 11.5 h; output from the urine and bile.
Apply with arterial hypertension and chronic heart failure.
As published in foreign literature data in patients post-heart attack miokarda, long (2) receipt fozinoprila led to a decline in the frequency of deaths and cases of severe heart failure.
Assign inside of 0.01 g (10 mg) 1 every day. If necessary, gradually increase the dose to 0,02-0,04 g (20-40 mg) per day.
Possible side effects: dispersion, cough, bronchospasm, angionevrotichesky swelling, pain in the chest, muscles and joints; Ortostaticheskaya hypotension, cardiac, arrhythmia, proteinuriya, oliguriya, fotosensibilizatsiya, skin itching.
The product contraindications in pregnancy, breast-feeding and childhood.
Form release: pills to 0.01 and 0.02 g (10 and 20 mg) (N. 10, 14, 20, 28).
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