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Fosinopril

福辛普利
Mechanism of action:
Fosinopril 是一種血管張力素轉化酶抑制劑(angiotensin-converting enzyme inhibitor),屬於福辛普利拉(fosinoprilat)的前驅藥。Fosinopril 在肝臟與腸道被水解成活性型態的 fosinoprilat,會競爭性抑制血管張力素轉化酶(angiotensin-converting enzyme),阻斷血管張力素 I(angiotensin I)轉化為血管張力素 II(angiotensin II),使血管收縮減弱、醛固酮(aldosterone)分泌下降、鈉與水的滯留減少,血容量下降、週邊血管阻力與循環負荷下降。
Reference(s):
1. David D et al. (1995). A comparison of the cough profile of fosinopril and enalapril in hypertensive patients with a history of ACE inhibitor-associated cough. Am J Ther.
2. Sharma S et al. (1999). The hemodynamic effects of long-term ACE inhibition with fosinopril in patients with heart failure. Am J Ther.
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