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Benazepril


Mechanism of action:

Benazepril is an angiotensin-converting enzyme (ACE) inhibitor that affects physiological systems involved in blood pressure and fluid regulation. In the liver, benazepril is hydrolyzed into its active metabolite, benazeprilat, which inhibits angiotensin-converting enzyme and prevents the conversion of angiotensin I into angiotensin II. This results in vasodilation, increased renal excretion of sodium and water, and consequently reduced blood pressure and cardiac workload. Angiotensin-converting enzyme is also responsible for the breakdown of bradykinin, so inhibition by benazeprilat increases bradykinin levels, further promoting vasodilation and nitric oxide (NO) release.

Reference(s):

1. Gengo FM et al. (1991). The pharmacokinetics of benazepril relative to other ACE inhibitors. Clin Cardiol. 


2. Hou FF et al. (2006). Efficacy and safety of benazepril for advanced chronic renal insufficiency. N Engl J Med. 


3. Ishimitsu T et al. (2007). Benazepril slows progression of renal dysfunction in patients with non-diabetic renal disease. Nephrology (Carlton).

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