Source:http://linkedlifedata.com/resource/pubmed/id/11465878
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
2001-7-23
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pubmed:abstractText |
The fixed low-dose combination of the ACE inhibitor perindopril and the non-thiazide diuretic indapamide has been evaluated in the management of patients with mild to moderate hypertension. Combination therapy aims to improve overall therapeutic efficacy while minimising adverse effects. In well-designed multicentre clinical trials, perindopril/indapamide at doses ranging from 2/0.625 to 8/2.5 mg/day was significantly more effective than placebo in achieving adequate blood pressure (BP) control. A similar reduction in supine BP was observed when combined perindopril/indapamide 2/0.625 mg/day was compared with losartan 50 mg/day or atenolol 50 mg/day. Similar reductions in 24-hour ambulatory BP were also seen with perindopril/indapamide 2/0.625 mg/day and irbesartan 150 mg/day. However, response and normalisation rates were significantly higher with combination therapy than with losartan or irbesartan monotherapy. Combined perindopril/indapamide 2/0.625 mg/day therapy effectively reduced BP in elderly patients aged 65 to 85 years to a significantly greater extent than either atenolol 50 mg/day or placebo. Supine BP was also normalised in approximately two-thirds of patients in a small noncomparative trial in patients with hypertension and renal impairment. Low-dose perindopril/indapamide 2/0.625 mg/day was well tolerated in clinical trials; the most common adverse events were headache and cough. Hypokalaemia, associated with the use of diuretics, occurred with a higher incidence with combined perindopril/indapamide 2/0.625 mg/day therapy than with either atenolol 50 mg/day or placebo. Perindopril/indapamide 2/0.625 mg/day has shown efficacy in well designed comparative trials with atenolol, losartan and irbesartan including elderly patients and patients with renal impairment. Studies comparing this dosage of perindopril/ indapamide with other combination therapies would be beneficial in allowing the place of perindopril/indapamide to be more accurately determined. The fixed-low dose combination of perindopril/indapamide provides a promising and well tolerated treatment option in the management of patients with mild to moderate hypertension.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0012-6667
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
61
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1211-29
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:11465878-Adult,
pubmed-meshheading:11465878-Age Factors,
pubmed-meshheading:11465878-Aged,
pubmed-meshheading:11465878-Animals,
pubmed-meshheading:11465878-Antihypertensive Agents,
pubmed-meshheading:11465878-Blood Pressure,
pubmed-meshheading:11465878-Disease Models, Animal,
pubmed-meshheading:11465878-Humans,
pubmed-meshheading:11465878-Hypertension,
pubmed-meshheading:11465878-Hypertrophy, Left Ventricular,
pubmed-meshheading:11465878-Hypokalemia,
pubmed-meshheading:11465878-Indapamide,
pubmed-meshheading:11465878-Kidney Diseases,
pubmed-meshheading:11465878-Middle Aged,
pubmed-meshheading:11465878-Perindopril,
pubmed-meshheading:11465878-Randomized Controlled Trials as Topic
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pubmed:year |
2001
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pubmed:articleTitle |
Perindopril/indapamide 2/0.625 mg/day: a review of its place in the management of hypertension.
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pubmed:affiliation |
Adis International Limited, Mairangi Bay, Auckland, New Zealand. demail@adis.co.nz
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pubmed:publicationType |
Journal Article,
Review
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