Quinapril

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Quinapril
Clinical data
Trade namesAccupril, others
Other namesQuinapril hydrochloride (USAN US)
AHFS/Drugs.comMonograph
MedlinePlusa692026
License data
Routes of
administration		By mouth
ATC code
Legal status
Legal status
Pharmacokinetic data
Protein binding97%
Elimination half-life2 hours
Identifiers
  • (3S)-2-[(2S)-2-[[(2S)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]amino]propanoyl]-3,4-dihydro-1H-isoquinoline-3-carboxylic acid
JSmol)
Melting point120 to 130 °C (248 to 266 °F)
  • O=C(OCC)[C@@H](N[C@H](C(=O)N2[C@H](C(=O)O)Cc1c(cccc1)C2)C)CCc3ccccc3
  • InChI=1S/C25H30N2O5/c1-3-32-25(31)21(14-13-18-9-5-4-6-10-18)26-17(2)23(28)27-16-20-12-8-7-11-19(20)15-22(27)24(29)30/h4-12,17,21-22,26H,3,13-16H2,1-2H3,(H,29,30)/t17-,21-,22-/m0/s1 checkY
  • Key:JSDRRTOADPPCHY-HSQYWUDLSA-N checkY
  (verify)

Quinapril, sold under the brand name Accupril

diabetic kidney disease.[1][3] It is a first line treatment for high blood pressure.[3] It is taken by mouth.[1][3]

Common side effects include headaches, dizziness, feeling tired, and cough.

high blood potassium.[3] Use in pregnancy and breastfeeding is not recommended.[4] It is among a class of drugs called ACE inhibitors and works by decreasing renin-angiotensin-aldosterone system activity.[3]

Quinapril was patented in 1980 and came into medical use in 1989.

generic medication.[6] In 2020, it was the 253rd most commonly prescribed medication in the United States, with more than 1 million prescriptions.[7][8]

Medical uses

Quinapril is

thiazide diuretics, and with diuretics and digoxin for heart failure.[1]

Contraindications

Contraindications include:[9]

  • Pregnancy
  • Impaired renal and liver function
  • Patients with a history of angioedema related to previous treatment with an ACE inhibitor
  • Hypersensitivity to Quinapril

Side effects

fatigue
.

Mechanism of action

Quinapril inhibits

vasoconstrictor and increases blood pressure through a variety of mechanisms. Due to reduced angiotensin production, plasma concentrations of aldosterone are also reduced, resulting in increased excretion of sodium in the urine and increased concentrations of potassium
in the blood.

Partial Recall

In April of 2022, Pfizer voluntarily recalled five batches of the drug because of the presence of a nitrosamine, NNitroso-quinapril. Testing found that the amount of nitrosamines was above the acceptable daily intake level (all humans are exposed to nitrosamines up to a certain daily level by cured and grilled meats, water, dairy products, and vegetables) set by the U.S.'s Food and Drug Administration (FDA). Though long-term ingestion of NNitroso-quinapril potentially might cause cancer in some individuals, there is not believed to be an imminent risk of harm.[11][12]

References

  1. ^ a b c d e "Accupril- quinapril hydrochloride tablet, film coated Accupril- quinapril tablet, film coated". DailyMed. 26 August 2021. Retrieved 25 March 2022.
  2. ^ "ACCUPRIL® Indications and Usage (quinapril HCl) | Pfizer Medical Information - US". www.pfizermedicalinformation.com. Retrieved 25 October 2023.
  3. ^ a b c d e f "Quinapril Hydrochloride Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists. Retrieved 3 March 2019.
  4. ^ "Quinapril Pregnancy and Breastfeeding Warnings". Drugs.com. Retrieved 3 March 2019.
  5. ISBN 9783527607495
    .
  6. ISBN 9780857113382
    .
  7. ^ "The Top 300 of 2020". ClinCalc. Retrieved 7 October 2022.
  8. ^ "Quinapril - Drug Usage Statistics". ClinCalc. Retrieved 7 October 2022.
  9. ^ "Angiotensin-Converting Enzyme (ACE) Inhibitors". Cleveland Clinic. Retrieved 25 October 2023.
  10. ^ "Angiotensin-Converting Enzyme (ACE) Inhibitors". Cleveland Clinic. Retrieved 25 October 2023.
  11. ^ "Pfizer recalls blood pressure tablets due to increased cancer risk". MSN.
  12. ^ "Pfizer Voluntary Nationwide Recall of Lots of ACCUPRIL® (Quinapril HCL) Due to N-Nitroso-Quinapril Content". Food and Drug Administration. 22 April 2022.

External links

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