Angiotensin II receptor antagonist

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Revision as of 01:32, 12 May 2008 by imported>Howard C. Berkowitz (little more linking of renin-angiotensin system; needs discussion of applications, role in pregnancy, and new classes)
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Mechanism of action

Angiotensin II receptor antagonists block angiotensin II AT1 receptors. Along with Angiotensin-converting enzyme inhibitors, they act on the renin-angiotensin system; the two classes may be used synergistically.

Applications

These drugs are primarily antihypertensives. They may also be used to protect the kidneys.

Adverse effects

Angiotensin II receptor antagonists can cause hyperkalemia. The rise in potassium has been reported to be both similar to[1] and less that occurs with angiotensin-converting enzyme inhibitors.[2]

References

  1. The ONTARGET Investigators. 2008. Telmisartan, Ramipril, or Both in Patients at High Risk for Vascular Events. N Engl J Med 358, no. 15:1547-1559.
  2. Bakris GL, Siomos M, Richardson D, et al (2000). "ACE inhibition or angiotensin receptor blockade: impact on potassium in renal failure. VAL-K Study Group". Kidney Int. 58 (5): 2084–92. DOI:10.1111/j.1523-1755.2000.00381.x. PMID 11044229. Research Blogging.