[Tendency and prospect of the development of new ARBs]
1Department of Pharmacology, Osaka City University Medical School.
Insights
Angiotensin II receptor blockers (ARBs) offer distinct advantages over ACE inhibitors for cardiovascular diseases. This review details current and emerging ARBs, highlighting their pharmacological properties and future clinical applications.
Area of Science:
- Pharmacology
- Cardiovascular Medicine
- Nephrology
Context:
- Angiotensin II receptor blockers (ARBs) present unique pharmacological advantages compared to ACE inhibitors.
- Current clinical use in Japan includes losartan potassium, candesartan cilexetil, and valsartan.
- Several novel ARBs, such as telmisartan, ormethartan, and irbesartan, are anticipated for future clinical availability.
Purpose:
- To review the pharmacological properties of existing and emerging Angiotensin II receptor blockers (ARBs).
- To discuss the future clinical perspectives and applications of various ARBs in cardiovascular and renal diseases.
Summary:
- This review examines the distinct pharmacological merits of Angiotensin II receptor blockers (ARBs) in comparison to ACE inhibitors.
- It details the properties of currently used ARBs in Japan (losartan potassium, candesartan cilexetil, valsartan) and upcoming agents (telmisartan, ormethartan, irbesartan).
- The discussion encompasses the pharmacological profiles and future outlook for each ARB.
Impact:
- Provides a comprehensive overview of ARBs for treating hypertension, heart failure, and nephropathy.
- Informs clinicians and researchers about the therapeutic potential and comparative advantages of different ARBs.
- Facilitates understanding of the evolving landscape of cardiovascular and renal disease pharmacotherapy.
Abstract:
The AT1 receptor blocker(ARB) has differential pharmacological merits from the ACE inhibitor, and is expected to be the promising agent for treatment of various cardiovascular diseases such as heart failure and nephropathy, as well as hypertension. Three ARBs, losartan potassium, candesartan cilexetil and valsartan, have been already clinically used in Japan. In the near future, several new ARBs, including telmisartan, ormethartan and irbesartan, are expected to become available for clinical use. In this review, pharmacological properties and future view of each ARB are described and discussed.
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