Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1993-7-15
pubmed:abstractText
In a dose-ranging study, the angiotensin type I receptor antagonist losartan (DuP753/MK954) was administered orally to normal volunteers in whom the renin-angiotensin system (RAS) had been activated by a low sodium diet (40 mmol) and frusemide (40 mg twice daily) for 3 days before study. On the fourth day, subjects (n = 12) received placebo and three active doses (5, 10, 25, 50, or 100 mg) in a randomized, double-blind, three-panel, dose-ranging design. On the study day, 24-h urinary sodium excretion was approximately 10-20 mmol Na, with an increase in renin and aldosterone levels at baseline. Dose-dependent decreases in supine and erect blood pressures (BP) were statistically significant for 50 and 100 mg and were associated with a modest increase in supine heart rate (HR) at the higher dose. The peak BP decreases observed suggested that the highest dose studied (100 mg) was not necessarily the maximal response. Active treatments caused no increase in the sodium loss on the study day. Renin was significantly increased by doses > 10 mg in a dose-dependent fashion but there was little change in plasma aldosterone profile. Increase in renin was evident at doses (10 mg) below those significantly affecting overall BP (50 mg). Adverse symptoms were uncommon and limited to postural lightheadedness which was largely dose related. Our results indicate a BP and plasma renin dose-response relation for the orally active angiotensin II (AII) receptor blocker losartan in normotensive subjects with an activated RAS.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0160-2446
pubmed:author
pubmed:issnType
Print
pubmed:volume
21
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
732-8
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:7685442-Adult, pubmed-meshheading:7685442-Aldosterone, pubmed-meshheading:7685442-Angiotensin II, pubmed-meshheading:7685442-Angiotensin Receptor Antagonists, pubmed-meshheading:7685442-Biphenyl Compounds, pubmed-meshheading:7685442-Blood Pressure, pubmed-meshheading:7685442-Diet, Sodium-Restricted, pubmed-meshheading:7685442-Dose-Response Relationship, Drug, pubmed-meshheading:7685442-Double-Blind Method, pubmed-meshheading:7685442-Electrolytes, pubmed-meshheading:7685442-Furosemide, pubmed-meshheading:7685442-Heart Rate, pubmed-meshheading:7685442-Humans, pubmed-meshheading:7685442-Imidazoles, pubmed-meshheading:7685442-Losartan, pubmed-meshheading:7685442-Male, pubmed-meshheading:7685442-Natriuresis, pubmed-meshheading:7685442-Renin, pubmed-meshheading:7685442-Sodium, pubmed-meshheading:7685442-Tetrazoles
pubmed:year
1993
pubmed:articleTitle
Dose-ranging study of the angiotensin type I receptor antagonist losartan (DuP753/MK954), in salt-deplete normal man.
pubmed:affiliation
University Department of Medicine and Therapeutics, Gardiner Institute, Western Infirmary, Glasgow, Scotland.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial, Research Support, Non-U.S. Gov't