ACE Inhibitors
GROUP 1:
    PELAEZ, FIONA MARIE V.
      LAMION, ANGELYN
    NARABE, EUGENE REISHI
       DE ERIO, JASMINE
     BARRO, SEAN KENLEY
    QUIAPO, CINDY DIANNE
   SABANTO, ELYN GRACE M.
     Kambal Mohaemen G.
WHAT IS AN ACE INHIBITORS?
 ACE inhibitors (Angiotensin-Converting Enzyme inhibitors) are a
 class of medications primarily used to treat high blood pressure
   (hypertension) and heart failure. They work by inhibiting the
    action of the angiotensin-converting enzyme, which plays a
 crucial role in the renin-angiotensin-aldosterone system (RAAS).
         Capto(pril)
         Benaze(pril)
DRUGS:                   “PRIL” work by blocking the
          Enala(pril)
                        enzyme    responsible    for
         Fosino(pril)
                        converting angiotensin I to
         Lisino(pril)
                        angiotensin II.
         Enalaprilat
01.   LOWERING BLOOD
      PRESSURE
      HEART FAILURE
02.   MANAGEMENT
03.   RENAL PROTECTION
                         THERAPEUTIC
                           ACTIONS
04.   POST MYOCARDIAL
      INFARCTION
05.   REDUCTION OF STROKE
      RISK
06.   DIABETES MANAGEMENT
                            THERAPEUTIC
                              ACTIONS
INDICATIONS
- TREATMENT FOR:
                            • LEFT
                            VENTRICLE
          • HYPERTENSION    DYSFUNCTION
                            • DIABETIC
          • HEART FAILURE   NEPHROPATHY
PHARMAKOKINETICS:
     Absorption: After taking an      Distribution: Once in the
     ACE inhibitor by mouth, it is    bloodstream, ACE inhibitors are
     absorbed into the bloodstream    distributed throughout the body.
     through the intestines. The      They mainly act in the blood
     amount absorbed can vary         vessels and kidneys, blocking the
     between different ACE            enzyme (ACE) that narrows blood
     inhibitors and can be affected   vessels. This causes the blood
     by food intake.                  vessels to relax and lowers blood
                                      pressure.
PHARMACOKINETICS:
 Metabolism:                                                 Excretion:
 Most ACE inhibitors are prodrugs, meaning they              ACE inhibitors are primarily excreted
 need to be metabolized in the liver to become active.       through the kidneys.
 Enalapril, for instance, is converted to enalaprilat (its   Drugs like lisinopril and enalapril have
 active form) in the liver.                                  a significant renal route of excretion.
 Lisinopril is an exception, as it is administered in its    Dosage adjustments are required in
 active form.                                                patients with renal impairment.
 Hepatic impairment can affect the metabolism of
 prodrugs.
01.   RELEASE TO THE EFFECTS OF
      VASODILATION AND
      ALTERATIONS IN BLOOD FLOW
02.   GENERALLY WELL
      TOLERATED
      SERIOUS ALLERGIC
03.   REACTIONS INCLUDING
      ANGIOEDEMA
04.   HYPERKALEMIA
                                  ADVERSE
                                   EFFECT
01.   RENAL IMPAIRMENT
02.   FETAL HARM
03.   LIVER DYSFUNCTION
                     SERIOUS ADVERSE
04.   NEUTROPENIA
                             EFFECTS