Peringatan Keamanan

Human overdoses of moexipril have not been reported. In case reports of overdoses with other ACE inhibitors, hypotension has been the principal adverse effect noted. Single oral doses of 2 g/kg moexipril were associated with significant lethality in mice. Rats, however, tolerated single oral doses of up to 3 g/kg. Common adverse effects include cough, dizziness, diarrhea, flu syndrome, fatigue, pharyngitis, flushing, rash, and myalgia

Moexipril

DB00691

small molecule approved

Deskripsi

Moexipril is a non-sulfhydryl containing precursor of the active angiotensin-converting enzyme (ACE) inhibitor moexiprilat. It is used to treat high blood pressure (hypertension). It works by relaxing blood vessels, causing them to widen. Lowering high blood pressure helps prevent strokes, heart attacks and kidney problems.

Struktur Molekul 2D

Berat 498.5681
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) Moexipril elimination half-life is approximately 1 hour. Moexiprilat elimination half-life is 2 to 9 hours.
Volume Distribusi * 183 L
Klirens (Clearance) * 441 mL/min

Absorpsi

Moexipril is incompletely absorbed, with bioavailability as moexiprilat of about 13% compared to intravenous (I.V.) moexipril (both measuring the metabolite moexiprilat), and is markedly affected by food, which reduces Cmax and AUC by about 70% and 40%, respectively, after the ingestion of a low-fat breakfast or by 80% and 50%, respectively, after the ingestion of a high-fat breakfast.

Metabolisme

Rapidly converted to moexiprilat, the active metabolite. Conversion to the active metabolite is thought to require carboxyesterases and is likely to occur in organs or tissues, other than the gastrointestinal tract, in which carboxyesterases occur. The liver is thought to be one site of conversion, but not the primary site.

Rute Eliminasi

Moexiprilat undergoes renal elimination.

Interaksi Makanan

4 Data
  • 1. Avoid hypertensive herbs (e.g. bayberry, blue cohosh, cayenne, ephedra, and licorice).
  • 2. Avoid potassium-containing products. Potassium products increase the risk of hyperkalemia.
  • 3. Limit salt intake. Salt may attenuate the antihypertensive effect.
  • 4. Take separate from meals. Take 1 hour before meals.

Interaksi Obat

1096 Data
Duloxetine The risk or severity of orthostatic hypotension and syncope can be increased when Moexipril is combined with Duloxetine.
Levodopa The risk or severity of hypotension and orthostatic hypotension can be increased when Moexipril is combined with Levodopa.
Risperidone Moexipril may increase the hypotensive activities of Risperidone.
Alfuzosin Alfuzosin may increase the hypotensive activities of Moexipril.
Amifostine Moexipril may increase the hypotensive activities of Amifostine.
Diazoxide Diazoxide may increase the hypotensive activities of Moexipril.
Methylphenidate Methylphenidate may decrease the antihypertensive activities of Moexipril.
Dexmethylphenidate Dexmethylphenidate may decrease the antihypertensive activities of Moexipril.
Obinutuzumab Moexipril may increase the hypotensive activities of Obinutuzumab.
Pentoxifylline Pentoxifylline may increase the hypotensive activities of Moexipril.
Rituximab Moexipril may increase the hypotensive activities of Rituximab.
Desmopressin Desmopressin may decrease the antihypertensive activities of Moexipril.
Phentermine Phentermine may decrease the antihypertensive activities of Moexipril.
Midodrine Midodrine may decrease the antihypertensive activities of Moexipril.
Eletriptan Eletriptan may decrease the antihypertensive activities of Moexipril.
Isoetharine Isoetharine may decrease the antihypertensive activities of Moexipril.
Methysergide Methysergide may decrease the antihypertensive activities of Moexipril.
Cabergoline Cabergoline may decrease the antihypertensive activities of Moexipril.
Etomidate Etomidate may decrease the antihypertensive activities of Moexipril.
Zolmitriptan Zolmitriptan may decrease the antihypertensive activities of Moexipril.
Dihydroergotamine Dihydroergotamine may decrease the antihypertensive activities of Moexipril.
Methylergometrine Methylergometrine may decrease the antihypertensive activities of Moexipril.
Norepinephrine Norepinephrine may decrease the antihypertensive activities of Moexipril.
Phenylephrine Phenylephrine may decrease the antihypertensive activities of Moexipril.
Phenylpropanolamine Phenylpropanolamine may decrease the antihypertensive activities of Moexipril.
Buspirone Buspirone may decrease the antihypertensive activities of Moexipril.
Doxapram Doxapram may decrease the antihypertensive activities of Moexipril.
Lisuride Lisuride may decrease the antihypertensive activities of Moexipril.
Metaraminol Metaraminol may decrease the antihypertensive activities of Moexipril.
Epinephrine Epinephrine may decrease the antihypertensive activities of Moexipril.
Sumatriptan Sumatriptan may decrease the antihypertensive activities of Moexipril.
Ergotamine Ergotamine may decrease the antihypertensive activities of Moexipril.
Nicergoline Nicergoline may decrease the antihypertensive activities of Moexipril.
Methoxamine Methoxamine may decrease the antihypertensive activities of Moexipril.
Propiomazine Propiomazine may decrease the antihypertensive activities of Moexipril.
Alfentanil Alfentanil may decrease the antihypertensive activities of Moexipril.
Fentanyl Fentanyl may decrease the antihypertensive activities of Moexipril.
Orciprenaline Orciprenaline may decrease the antihypertensive activities of Moexipril.
Phenmetrazine Phenmetrazine may decrease the antihypertensive activities of Moexipril.
Trifluoperazine Trifluoperazine may decrease the antihypertensive activities of Moexipril.
Dobutamine Dobutamine may decrease the antihypertensive activities of Moexipril.
Pseudoephedrine Pseudoephedrine may decrease the antihypertensive activities of Moexipril.
Benzphetamine Benzphetamine may decrease the antihypertensive activities of Moexipril.
Ritodrine Ritodrine may decrease the antihypertensive activities of Moexipril.
Bitolterol Bitolterol may decrease the antihypertensive activities of Moexipril.
Almotriptan Almotriptan may decrease the antihypertensive activities of Moexipril.
Diethylpropion Diethylpropion may decrease the antihypertensive activities of Moexipril.
Naratriptan Naratriptan may decrease the antihypertensive activities of Moexipril.
Rizatriptan Rizatriptan may decrease the antihypertensive activities of Moexipril.
Dopamine Dopamine may decrease the antihypertensive activities of Moexipril.
Frovatriptan Frovatriptan may decrease the antihypertensive activities of Moexipril.
Methoxyflurane Methoxyflurane may decrease the antihypertensive activities of Moexipril.
Ergoloid mesylate Ergoloid mesylate may decrease the antihypertensive activities of Moexipril.
Isoprenaline Isoprenaline may decrease the antihypertensive activities of Moexipril.
Arbutamine Arbutamine may decrease the antihypertensive activities of Moexipril.
Dutasteride Dutasteride may decrease the antihypertensive activities of Moexipril.
Nefazodone Nefazodone may decrease the antihypertensive activities of Moexipril.
Pergolide Pergolide may decrease the antihypertensive activities of Moexipril.
Finasteride Finasteride may decrease the antihypertensive activities of Moexipril.
Ergometrine Ergometrine may decrease the antihypertensive activities of Moexipril.
Lisdexamfetamine Lisdexamfetamine may decrease the antihypertensive activities of Moexipril.
Fenoterol Fenoterol may decrease the antihypertensive activities of Moexipril.
Pirbuterol Pirbuterol may decrease the antihypertensive activities of Moexipril.
Ephedra sinica root Ephedra sinica root may decrease the antihypertensive activities of Moexipril.
Ephedrine Ephedrine may decrease the antihypertensive activities of Moexipril.
Mephentermine Mephentermine may decrease the antihypertensive activities of Moexipril.
Procaterol Procaterol may decrease the antihypertensive activities of Moexipril.
Yohimbine Yohimbine may decrease the antihypertensive activities of Moexipril.
Clenbuterol Clenbuterol may decrease the antihypertensive activities of Moexipril.
Bambuterol Bambuterol may decrease the antihypertensive activities of Moexipril.
MMDA MMDA may decrease the antihypertensive activities of Moexipril.
Midomafetamine Midomafetamine may decrease the antihypertensive activities of Moexipril.
2,5-Dimethoxy-4-ethylamphetamine 2,5-Dimethoxy-4-ethylamphetamine may decrease the antihypertensive activities of Moexipril.
4-Methoxyamphetamine 4-Methoxyamphetamine may decrease the antihypertensive activities of Moexipril.
4-Bromo-2,5-dimethoxyamphetamine 4-Bromo-2,5-dimethoxyamphetamine may decrease the antihypertensive activities of Moexipril.
Tenamfetamine Tenamfetamine may decrease the antihypertensive activities of Moexipril.
Chlorphentermine Chlorphentermine may decrease the antihypertensive activities of Moexipril.
Dextroamphetamine Dextroamphetamine may decrease the antihypertensive activities of Moexipril.
Metamfetamine Metamfetamine may decrease the antihypertensive activities of Moexipril.
Phendimetrazine Phendimetrazine may decrease the antihypertensive activities of Moexipril.
Periciazine Periciazine may decrease the antihypertensive activities of Moexipril.
Acepromazine Acepromazine may decrease the antihypertensive activities of Moexipril.
Thioproperazine Thioproperazine may decrease the antihypertensive activities of Moexipril.
Epicaptopril Epicaptopril may decrease the antihypertensive activities of Moexipril.
1-benzylimidazole 1-benzylimidazole may decrease the antihypertensive activities of Moexipril.
Lysergic acid diethylamide Lysergic acid diethylamide may decrease the antihypertensive activities of Moexipril.
Amineptine Amineptine may decrease the antihypertensive activities of Moexipril.
Flibanserin Flibanserin may decrease the antihypertensive activities of Moexipril.
Amibegron Amibegron may decrease the antihypertensive activities of Moexipril.
Naluzotan Naluzotan may decrease the antihypertensive activities of Moexipril.
Cariprazine Cariprazine may decrease the antihypertensive activities of Moexipril.
Mianserin Mianserin may decrease the antihypertensive activities of Moexipril.
Pizotifen Pizotifen may decrease the antihypertensive activities of Moexipril.
Solabegron Solabegron may decrease the antihypertensive activities of Moexipril.
Droxidopa Droxidopa may decrease the antihypertensive activities of Moexipril.
Esmirtazapine Esmirtazapine may decrease the antihypertensive activities of Moexipril.
Vilazodone Vilazodone may decrease the antihypertensive activities of Moexipril.
Nitrous oxide Nitrous oxide may decrease the antihypertensive activities of Moexipril.
Xylometazoline Xylometazoline may decrease the antihypertensive activities of Moexipril.
Isometheptene Isometheptene may decrease the antihypertensive activities of Moexipril.

Target Protein

Angiotensin-converting enzyme ACE

Referensi & Sumber

Artikel (PubMed)
  • PMID: 11918132
    Asmar R, Sayegh F, Tracz W, Hlawaty M, Olszowska M, Jourde M, Vincent M, Goujoun B, Maldonado J: Reversal of left ventricular hypertrophy with the ACE inhibitor moexipril in patients with essential hypertension. Acta Cardiol. 2002 Feb;57(1):31-2.
  • PMID: 9825188
    Blacher J, Raison J, Amah G, Schiemann AL, Stimpel M, Safar ME: Increased arterial distensibility in postmenopausal hypertensive women with and without hormone replacement therapy after acute administration of the ACE inhibitor moexipril. Cardiovasc Drugs Ther. 1998 Sep;12(4):409-14.
  • PMID: 9617599
    Brogden RN, Wiseman LR: Moexipril. A review of its use in the management of essential hypertension. Drugs. 1998 Jun;55(6):845-60.
  • PMID: 11837383
    Cawello W, Boekens H, Waitzinger J, Miller U: Moexipril shows a long duration of action related to an extended pharmacokinetic half-life and prolonged ACE inhibition. Int J Clin Pharmacol Ther. 2002 Jan;40(1):9-17.
  • PMID: 15286086
    Chrysant SG, Chrysant GS: Pharmacological and clinical profile of moexipril: a concise review. J Clin Pharmacol. 2004 Aug;44(8):827-36.
  • PMID: 15030263
    Chrysant SG, Chrysant GS: Pharmacological profile and clinical use of moexipril. Expert Rev Cardiovasc Ther. 2003 Sep;1(3):345-52.
  • PMID: 17583172
    Chrysant GS, Nguyen PK: Moexipril and left ventricular hypertrophy. Vasc Health Risk Manag. 2007;3(1):23-30.
  • PMID: 2554270
    Grass GM, Morehead WT: Evidence for site-specific absorption of a novel ACE inhibitor. Pharm Res. 1989 Sep;6(9):759-65.
Menampilkan 8 dari 14 artikel.

Contoh Produk & Brand

Produk: 42 • International brands: 0
Produk
  • Moexipril Hydrochloride
    Tablet • 7.5 mg/1 • Oral • US • Generic • Approved
  • Moexipril Hydrochloride
    Tablet • 15 mg/1 • Oral • US • Generic • Approved
  • Moexipril hydrochloride
    Tablet, film coated • 7.5 mg/1 • Oral • US • Approved
  • Moexipril hydrochloride
    Tablet, film coated • 15 mg/1 • Oral • US • Approved
  • Moexipril Hydrochloride
    Tablet, coated • 7.5 mg/1 • Oral • US • Generic • Approved
  • Moexipril Hydrochloride
    Tablet, coated • 15 mg/1 • Oral • US • Generic • Approved
  • Moexipril Hydrochloride
    Tablet, film coated • 7.5 mg/1 • Oral • US • Generic • Approved
  • Moexipril Hydrochloride
    Tablet, film coated • 15 mg/1 • Oral • US • Generic • Approved
Menampilkan 8 dari 42 produk.

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