Angiotensin II Receptor Blockers (ARBs)
PREGNANCY CATEGORY D
Therapeutic actions
ARBs selectively block the binding of angiotensin II to specific tissue receptors found in the vascular smooth muscle and adrenal gland. This action blocks the vasoconstriction effect of the renin-angiotensin system as well as the release of aldosterone leading to decreased BP; may block vessel remodeling that occurs in hypertension and contributes to the development of atherosclerosis.
Indications
Treatment of hypertension, alone or in combination with other antihypertensives
Nephropathy in type 2 diabetes (losartan, irbesartan)
Treatment of heart failure in patients resistant to ACE inhibitors (valsartan)
Reduction in the risk of stroke in patients with hypertension and left ventricular hypertrophy (losartan)
Contraindications and Cautions
Contraindicated with hypersensitivity to any ARB, pregnancy (use during the second or third trimester can cause injury or even death to the fetus), lactation.
Use cautiously with renal impairment, hypovolemia.
Adverse Effects
CNS: Headache, dizziness, syncope, muscle weakness, fatigue, depression
CV: Hypotension
Dermatologic: Rash, inflammation, urticaria, pruritus, alopecia, dry skinStay updated, free articles. Join our Telegram channel
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