COMPARISON OF MOEXIPRIL, A NEW ACE-INHIBITOR, TO VERAPAMIL-SR AS ADD-ON THERAPY TO LOW-DOSE HYDROCHLOROTHIAZIDE IN HYPERTENSIVE PATIENTS

被引:19
作者
CHRYSANT, SG
FOX, AAL
STIMPEL, M
机构
[1] Oklahoma Cardiovascular and Hypertension Center, University of Oklahoma
[2] Department of Clinical Research, Schwarz Pharma, Monheim
关键词
MOEXIPRIL; VERAPAMIL-SR; HYDROCHLOROTHIAZIDE; HYPERTENSION;
D O I
10.1016/0895-7061(94)00025-7
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
The antihypertensive effects of moexipril, a new angiotensin converting enzyme inhibitor, and verapamil-SR as add-on therapy to hydrochlorothiazide (HCTZ) were investigated in patients with moderate to severe (stages II and III) essential hypertension. Of 147 patients treated for 4 weeks with 25 mg/day HCTZ, 108 whose sitting diastolic blood pressure (SDBP) was 100 to 114 mm Hg inclusive were randomized to 7.5 mg/day moexipril (56 patients) and 180 mg/day verapamil-SR (52 patients) in addition to 25 mg/day HCTZ. If after 4 weeks of treatment the SDBP was greater than or equal to 90 mm Hg, the dose of moexipril was increased to 15 mg/day and that of verapamil-SR increased to 240 mg/day; the patients were followed for an additional 8 weeks. Blood chemistries, plasma renin activity, and plasma aldosterone were done during the study. Both moexipril and verapamil-SR were safe and well tolerated and decreased the sitting and standing blood pressure similarly (P < .001). This study demonstrated that the addition of moexipril and verapamil-SR to low dose HCTZ is effective for the treatment of moderate to severe hypertension.
引用
收藏
页码:418 / 421
页数:4
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