Drugs online research references
Arq Bras Cardiol. 1994 Jan;62(1):1-5.
[Glucose tolerance test and insulin secretion in patients with essential hypertension. Effect of enalapril]
[Article in Portuguese]
Neves Fde A, Mezzomo NF, Kohlmann NE, Kohlmann Junior O, Zanella MT, Ribeiro AB.
Escola Paulista de Medicina, Sao Paulo.
PURPOSE--To investigate the effects of enalapril upon glucose and insulin metabolism in patients with essential hypertension. METHODS--After 4 weeks of washout and 2 weeks of placebo therapy, 10 hypertensive patients were treated with enalapril for 12-14 weeks. Intravenous glucose tolerance test (IVGTT) during 182 minutes was performed before and after treatment. Venous blood samples were drawn for glucose and insulin determinations. RESULTS--Enalapril caused a significant fall on systolic (-19 +/- 3 mmHg) and diastolic (-10 +/- 2 mmHg) blood pressure. During IVGTT, enalapril induced a small decrease in the area under the curve of glucose (placebo 18,966 +/- 732.6 mg/dl.min and enalapril 17,575 +/- 916.1 mg/dl.min) associated with a small increase in the area under the curve of insulin (placebo 3,155 +/- 446.99 mU/ml.min and enalapril 3.577 +/- 393.92 mU/ml.min). A small rise in the disappearance rate of glucose (Kg) was also observed following enalapril (placebo 2.09 +/- 0.33 and enalapril 2.56 +/- 0.53). The insulin responsiveness to glucose increased significantly from 0.16 +/- 0.020 during placebo to 0.21 +/- 0.023 during enalapril. The insulin sensitivity remained unchanged (placebo 1.97 +/- 0.24 and enalapril 1.83 +/- 0.21). CONCLUSION--In hypertensive patients, the treatment with enalapril induced a small increase (not significant) in glucose tolerance caused by a significant rise in insulin responsiveness to glucose since no modification in insulin sensitivity was observed.
online pharmacy ref source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8010891&dopt=Abstract
Zentralbl Veterinarmed A. 1994 Mar;41(2):121-7.
Short term effects of acute inhibition of the angiotensin-converting enzyme on the renin-angiotensin system and plasma atrial natriuretic peptide in healthy dogs fed a low-sodium diet versus a normal-sodium diet.
Koch J, Pedersen HD, Jensen AL, Flagstad A, Poulsen K, Bie P.
Small Animal Hospital, Department of Clinical Studies, Royal Veterinary and Agricultural University, Frederiksberg C, Denmark.
The purpose of the present study was to quantify some of the short term responses of the renin-angiotensin system (RAS) to a recommended dosage of the angiotensin-converting enzyme inhibitor enalapril in clinically healthy dogs fed a normal-sodium and a low-sodium diet. A single dose of enalapril (0.5 mg/kg PO) was given to eight clinically healthy male Beagle dogs after a period where the dogs were fed a normal-sodium diet and low-sodium diet, respectively. Serum angiotensin-converting enzyme activity (ACE), plasma renin activity (PRA), plasma aldosterone concentration (PAC), and plasma atrial natriuretic peptide (ANP) concentration were measured during the following twenty-four hour period. The data indicate that enalapril induced a potent blockade of the renin-angiotensin system (RAS) for at least twenty-four hour. Specifically, enalapril during low-sodium diet elicited an exaggerated increase in PRA and a diminished decrease in ACE and ANP when compared to the results of the drug during normal-sodium diet. Long term controlled studies of enalapril in dogs with congestive heart failure (CHF) are warranted in order to determine the duration of action and optimal dose of enalapril.
online pharmacy ref source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8091887&dopt=Abstract
Am J Physiol. 1994 Apr;266(4 Pt 1):L389-96.
Analysis of angiotensins I, II, and III in pulmonary vascular bed of the rat.
Nossaman BD, Feng CJ, Wang J, Kadowitz PJ.
Department of Anesthesiology, Tulane University School of Medicine, New Orleans, Louisiana 70112-2699.
The inhibitory effects of losartan (Dup 753), a nonpeptide angiotensin (ANG) II-type 1 receptor antagonist, on responses to ANG I, II, and III were investigated in the isolated perfused lung of the rat. Under conditions of constant pulmonary blood flow and left atrial pressure, injections of ANG I, II, and III into the pulmonary arterial perfusion circuit caused dose-related increases in pulmonary arterial pressure. Responses to ANG I, II, and III were reproducible with respect to time, and Dup 753, in a dose of 3 nM/ml injected into the perfusion circuit, decreased responses to the three peptides. Dup 753 had no significant effect on pressor responses to norepinephrine, serotonin, or BAY K 8644, and Dup 753 had no significant effect on mean baseline pulmonary arterial or airway pressure. Captopril and enalaprilat, ANG II-converting enzyme inhibitors, decreased the pressor response to ANG I while increasing the pressor response to ANG II and III. In addition, responses to ANG I, II, and III were similar when compared on a molar basis, suggesting the three peptides had similar pressor activity in the isolated perfused rat lung. Pressor responses to the angiotensin peptides were greater compared with responses to pressor agents that increase vascular resistance by various mechanisms, and Dup 753 did not significantly alter the pressor response to ventilatory hypoxia.(ABSTRACT TRUNCATED AT 250 WORDS)
online pharmacy ref source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8179016&dopt=Abstract
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