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11 Cards in this Set

  • Front
  • Back

Captopril




1st PO ACE inhibitor


dysgeusia - common for thiols


skin rash (4-7%) - allergies common for thiols




Largely excreted in urine


No sexual or intellectual impairment




Take one hour before meals

Enalapril




Prodrug (needs to be hydroylzed)


Longer DoA than Captopril = BID




No thiol group = no dysgeusia & no rash!

Lisinopril




Cyclic and bulky group limits digestion via Carbodypeptidase in stomach




No thiol group = no dysgeusia & no rash!


No sexual or intellectual impairment

Benazepril




Big cyclic structure mimics proline; acts at carboxy terminus --> Orally bioavailable




Prodrug (needs to be acid to interact with Zn)




Rapid onset; QD



Fosinopril




Cascading prodrug


No dose adjustment needed for renally impaired

Quinapril




Prodrug


Isoquinoline mimics proline

Ramipril




Prodrug


QD

Moexipril




Need higher dose




Take one hour before meals

Trandolapril




Prodrug


Orally bioavailable


Extended half life --> increase in potency

Perindopril




Prodrug

Agranulocytosis

Drop in WBC count observed in patients receiving:




Captopril, Enalapril, & Lisinopril