Peringatan Keamanan

Overdose with angiotensin II would be expected to result in hypertension, necessitating close monitoring and supportive care FDA Label. Effects are also expected to be brief as the half-life of angiotensin II is less than one minute FDA Label.

In the ATHOS-3 clinical study there was a higher incidence of arterial and venous thrombotic and thromboembolic events in patients who received angiotensin II compared to placebo treated patients. The major imbalance was in deep venous thromboses - which prompts the potential need to use concurrent venous thromboembolism (VTE) prohphylaxis FDA Label.

Adverse effects of noticeable potential (>= 10%) include thromboembolic events (ie. like deep vein thrombosis) including arterial and venous thrombotic events, thrombocytopenia, tachycardia, and fungal infection. Effects whose potential are < 10% include delirium, acidosis, hyperglycemia, peripheral ischemia FDA Label.

Concomitant use of angiotensin converting enzymes (ACE) inhibitors may increase the response of angiotensin II FDA Label.

Concomitant use of angiotensin II blockers (ARBs) may decrease the response to angiotensin II FDA Label.

There are no formal data regarding the safe use of angiotensin II in pregnant women. However, septic or other distributive shock is a medical emergency that can be fatal if left untreated. Delaying treatment in pregnant women with hypotension associated with septic or otherdistributive shock is likely to increase the risk of maternal and fetal morbidity and mortality FDA Label.

There is no formal data regarding whether or not angiotensin II may become present in human milk and there is no data available on the effects of angiotensin II on the breastfed child or the effects on milk production FDA Label.

The safety and efficacy of angiotensin II in pediatric patients has not yet been established FDA Label.

There is no difference in the safety or efficacy between patients less than 65 years old and those 65 years or older when treated with angiotensin II FDA Label.

There is no difference in pharmacokinetics between male and female patients FDA Label.

The pharmacokinetics of angiotensin II are not expected to be influenced by renal impairment or hepatic impairment FDA Label.

Angiotensin II

DB11842

biotech approved investigational

Deskripsi

Angiotensin II is under investigation for the treatment of Sepsis, Septic Shock, Diabetes Mellitus, and Acute Renal Failure. Angiotensin II has been investigated for the treatment, basic science, and diagnostic of Hypertension, Renin Angiotensin System, and Idiopathic Membranous Nephropathy.

As of December 21, 2017 the FDA approved La Jolla Pharmaceutical's Giapreza (angiotensin II) Injection for Intravenouse Infusion for the indication of acting as a vasoconstrictor to increase blood pressure in adults with septic or other distributive shock. The novelty of the medication lies in the fact that it is the first and only use of synthetic human angiotensin II to help maintain body blood pressure.

Shock is the inability to maintain blood flow to vital tissues and the potential resultant organ failure and death within hours, no matter young or o ld. As distributive shock is the most common type of shock in the inpatient setting and affects up to one third of patients in the intensive care unit, the FDA determined that there is a need for treatment options for critically ill hypotensive patients who do not adequately respond to currently available therapies.

Struktur Molekul 2D

Struktur tidak tersedia

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) The plasma half-life of intravenously administered angiotensin II is less than one minute [FDA Label].
Volume Distribusi The official prescribing information for angiotensin II notes that no specific studies have yet been conducted that examine the distribution of angiotensin II [FDA Label].
Klirens (Clearance) The official prescribing information notes that the clearnace of angiotensin II is not dependent on hepatic function or renal function [FDA Label].

Absorpsi

Following the intravenous infusion of angiotensin II in adult patients with septic or other distributive shock, the serum levels of angiotensin II observed were similar at baseline and hour 3 after the intravenous infusion. After 3 hours of treatment, the serum level of angiotensin I (the angiotensin II precursos peptide) is however, reduced by about 40% FDA Label.

Metabolisme

It is metabolized by aminopeptidase A and angiotensin converting enzyme 2 to angiotensin-(2-8) angiotensin III and angiotensin-(1-7), respectively in plasma, erythrocytes and many of the major organs (i.e. intestine, kidney, liver and lung). Angiotensin II type 1 receptor (AT1) mediated activity of angiotensin III is approximately 40% of angiotensin II; however, aldosterone synthesis activity is similar to angiotensin II. Angiotensin-(1-7) exerts the opposite effects of angiotensin II on AT1 receptors and causes vasodilation FDA Label. Nevertheless, the official prescribing information also notes that no formal studies have been conducted that examine the metabolism of angiotensin II FDA Label.

Rute Eliminasi

The official prescribing information notes that no specific studies have been conducted that examine the elimination of angiotensin II.

Interaksi Obat

10 Data
Patent Blue The risk or severity of hypotension can be increased when Patent Blue is combined with Angiotensin II.
Thyrotropin alfa Thyrotropin alfa may increase the vasoconstricting activities of Angiotensin II.
Liothyronine Liothyronine may increase the vasoconstricting activities of Angiotensin II.
Levothyroxine Levothyroxine may increase the vasoconstricting activities of Angiotensin II.
Liotrix Liotrix may increase the vasoconstricting activities of Angiotensin II.
Tiratricol Tiratricol may increase the vasoconstricting activities of Angiotensin II.
Thyroid, porcine Thyroid, porcine may increase the vasoconstricting activities of Angiotensin II.
Lidocaine The risk or severity of hypertension can be increased when Angiotensin II is combined with Lidocaine.
Oxytocin The risk or severity of hypertension can be increased when Angiotensin II is combined with Oxytocin.
Chloroprocaine The risk or severity of adverse effects can be increased when Angiotensin II is combined with Chloroprocaine.

Target Protein

Type-2 angiotensin II receptor AGTR2
Type-1 angiotensin II receptor AGTR1

Referensi & Sumber

Artikel (PubMed)
  • PMID: 25886853
    Correa TD, Takala J, Jakob SM: Angiotensin II in septic shock. Crit Care. 2015 Mar 16;19:98. doi: 10.1186/s13054-015-0802-3.

Contoh Produk & Brand

Produk: 5 • International brands: 0
Produk
  • Giapreza
    Injection • 0.5 mg/1mL • Intravenous • US • Approved
  • Giapreza
    Injection, solution, concentrate • 2.5 mg/ml • Intravenous • EU • Approved
  • Giapreza
    Injection, solution, concentrate • 2.5 mg/ml • Intravenous • EU • Approved
  • Giapreza
    Injection, solution, concentrate • 2.5 mg/ml • Intravenous • EU • Approved
  • Giapreza
    Injection • 2.5 mg/1mL • Intravenous • US • Approved

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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