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Inspra: profile and news
Cost Cuts Fuel Pfizer Jan 19, 2006 Pfizer Fourth-Quarter and Full-Year 2005 Financial Results Reflect ... Jan 19, 2006 Heart drug to be added to PBS Dec 6, 2005 Australia puts Pfizer heart drug on benefit scheme Dec 6, 2005 Advances in the treatment of heart failure Nov 8, 2005 MP govt eyes greater foreign investment Sep 26, 2005 e-Governance kiosks in shambles Sep 15, 2005 Heart failure drug advised for PBS Aug 30, 2005 Eplerenone shows benefit for patients with damaged hearts Jul 26, 2005 Maker of Heart Drug Intended for Blacks Bases Price on Patients' ... Jul 7, 2005 PRICES FOR BLACK HEART DRUG HIGHER THAN NORMAL: Amount is nearly ... 11 Jul 2005 GSW Worldwide's New York Office Announces New Hires Jul 1, 2005 Finalists Announced For the Fourth Annual Pharmaceutical ... May 11, 2005 How Hated Is Pfizer? Mar 2, 2005 Research and Markets: ARBs Continue To Be The Only Class of ... Feb 15, 2005 Other information Indication For improvement of survival of stable patients with left ventricular systolic dysfunction (ejection fraction <40%) and clinical evidence of congestive heart failure after an acute myocardial infarction. Pharmacology Eplerenone, an aldosterone receptor antagonist similar to spironolactone, has been shown to produce sustained increases in plasma renin and serum aldosterone, consistent with inhibition of the negative regulatory feedback of aldosterone on renin secretion. The resulting increased plasma renin activity and aldosterone circulating levels do not overcome the effects of eplerenone. Eplerenone selectively binds to recombinant human mineralocorticoid receptors relative to its binding to recombinant human glucocorticoid, progesterone and androgen receptors. Mechanism Of Action Eplerenone binds to the mineralocorticoid receptor and thereby blocks the binding of aldosterone (component of the renin-angiotensin-aldosterone-system, or RAAS). Aldosterone synthesis, which occurs primarily in the adrenal gland, is modulated by multiple factors, including angiotensin II and non-RAAS mediators such as adrenocorticotropic hormone (ACTH) and potassium. Aldosterone binds to mineralocorticoid receptors in both epithelial (e.g., kidney) and nonepithelial (e.g., heart, blood vessels, and brain) tissues and increases blood pressure through induction of sodium reabsorption and possibly other mechanisms. Drug Category Antihypertensive Agents; ATC:C03DA04 Brand Names/Synonyms Cgp 30083; Eplerenone; Eplerenone [Usan]; Epoxymexrenone; INSPRA; Inspra; SC-66110 Dosage Forms TABLET (film-coated - 25, 50 mg) Absorption The absolute bioavailability of eplerenone is unknown. Interactions -->Interactions for Eplerenone: Inhibitors of CYP3A4-Eplerenone metabolism is predominantly mediated via CYP3A4. A pharmacokinetic study evaluating the administration of a single dose of INSPRA 100 mg with ketoconazole 200 mg BID, a potent inhibitor of the CYP3A4 pathway, showed a 1.7-fold increase in Cmax of eplerenone and a 5.4-fold increase in AUC of eplerenone. INSPRA should not be used with drugs described as strong inhibitors of CYP3A4 in their labeling. Administration of eplerenone with other CYP3A4 inhibitors (e.g., erythromycin 500 mg BID, verapamil 240 mg QD, saquinavir 1200 mg TID, fluconazole 200 mg QD) resulted in increases in Cmax of eplerenone ranging from 1.4- to 1.6- fold and AUC from 2.0- to 2.9- fold. ACE Inhibitors and Angiotensin II Receptor Antagonists (Congestive Heart Failure Post-Myocardial Infarction)- In EPHESUS, 3020 (91%) patients receiving INSPRA 25 to 50 mg also received ACE inhibitors or angiotensin II receptor antagonists (ACEI/ARB). Rates of patients with maximum potassium levels >5.5 mEq/L were similar regardless of the use of ACEI/ARB. ACE Inhibitors and Angiotensin II Receptor Antagonists (Hypertension)- In clinical studies of patients with hypertension, the addition of INSPRA 50 to 100 mg to ACE inhibitors and angiotensin II receptor antagonists increased mean serum potassium slightly (about 0.09-0.13 mEq/L). In a study in diabetics with microalbuminuria INSPRA 200 mg combined with the ACE inhibitor enalapril 10 mg increased the frequency of hyperkalemia (serum potassium >5.5 mEq/L) from 17% on enalapril alone to 38%. Lithium-A drug interaction study of eplerenone with lithium has not been conducted. Lithium toxicity has been reported in patients receiving lithium concomitantly with diuretics and ACE inhibitors. Serum lithium levels should be monitored frequently if INSPRA is administered concomitantly with lithium. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)-A drug interaction study of eplerenone with an NSAID has not been conducted. The administration of other potassium-sparing antihypertensives with NSAIDs has been shown to reduce the antihypertensive effect in some patients and result in severe hyperkalemia in patients with impaired renal function. Therefore, when INSPRA and NSAIDs are used concomitantly, patients should be observed to determine whether the desired effect on blood pressure is obtained. Chemical IUPAC Name Not Available Chemical Formula C24H30O6 Half Life 4-6 hours Drug Type Approved Drug # Accession No APRD00707 CAS Registry Number 107724-20-9 |
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