Exforge (amlodipine/valsartan combination) in hypertension: the evidence of its therapeutic impact.

Core Evidence Pub Date : 2010-06-15
Jean-Marie Krzesinski, Eric P Cohen
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Abstract

Introduction: Hypertension is an important risk factor for cardiovascular disease and its management requires improvement. New treatment strategies are needed.

Aims: This review analyses one of these strategies, which is the development of effective and safe combination therapy. Indeed, at least two antihypertensive agents are often needed to achieve blood pressure control. Exforge((R)) (Novartis) is a new drug combination of the calcium channel blocker, amlodipine, and the angiotensin II receptor blocker, valsartan.

Evidence review: The amlodipine/valsartan combination is an association of two well-known antihypertensive products with specific targets in cardiovascular protection, namely calcium channel blockade and antagonism of the renin-angiotensin-aldosterone system. This kind of association, with neutral metabolic properties and significant antihypertensive efficacy, could be a useful new antihypertensive product. Currently available data have shown that this new combination is well-tolerated and effective even in severe hypertension.

Clinical value: Clinical trials are ongoing for further assessment of the efficacy, compliance, and safety of this combination and its congeners. No data exist to prove that the amlodipine/valsartan combination is better than other antihypertensive strategies for cardiovascular or renal protection, but some trials with other combination therapies show such potential advantage.

Abstract Image

Exforge(氨氯地平/缬沙坦复方制剂)治疗高血压:其治疗效果的证据。
引言高血压是心血管疾病的一个重要危险因素,其治疗需要改进。目的:本综述分析了其中一种策略,即开发有效、安全的联合疗法。事实上,通常至少需要两种降压药才能达到控制血压的目的。Exforge((R))(诺华公司)是一种由钙通道阻滞剂氨氯地平和血管紧张素II受体阻滞剂缬沙坦组成的新药组合:氨氯地平/缬沙坦联合用药是两种著名降压产品的联合用药,这两种降压产品具有保护心血管的特定靶点,即钙通道阻滞和肾素-血管紧张素-醛固酮系统拮抗。这种具有中性代谢特性和显著降压功效的组合可能成为一种有用的新型降压产品。目前已有的数据显示,这种新的联合用药耐受性良好,即使对严重的高血压也有效:临床价值:目前正在进行临床试验,以进一步评估该复方制剂及其同系物的疗效、依从性和安全性。目前还没有数据证明氨氯地平/缬沙坦联合用药在保护心血管或肾脏方面优于其他降压策略,但其他联合疗法的一些试验显示了这种潜在优势。
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来源期刊
Core Evidence
Core Evidence PHARMACOLOGY & PHARMACY-
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期刊介绍: Core Evidence evaluates the evidence underlying the potential place in therapy of drugs throughout their development lifecycle from preclinical to postlaunch. The focus of each review is to evaluate the case for a new drug or class in outcome terms in specific indications and patient groups The emerging evidence on new drugs is reviewed at key stages of development and evaluated against unmet needs
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