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Altace

Ramipril (marketed as TritaceĀ® or AltaceĀ®) is an angiotensin converting enzyme (ACE) inhibitor, used to treat high blood pressure and congestive heart failure. ACE inhibitors lower the production of Angiotensin II, therefore relaxing arterial muscles while at the same time enlarging the arteries, allowing the heart to pump blood easier, and increasing blood flow due to more blood being pumped into and through bigger passageways. more...

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Ramipril is a prodrug and is converted to the active metabolite ramiprilat by liver esterase enzymes. Ramiprilat is mostly excreted by the kidneys. The half-life of ramiprilat is variable (3 - 16 hours), and is prolonged by heart and liver failure, as well as kidney failure.

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Altace, other ACE inhibitors, may prevent diabetes - Brand Watch - research, University of North Carolina, Chapel Hill - Brief Article
From Drug Store News, 11/19/01 by James Frederick

Preliminary research hints that patients taking Altace (ramipril) reduced their chances of getting diabetes by more than 30 percent. The study was published in the Journal of the American Medical Association.

In the study roughly 6,000 patients over age 55 randomly received either a placebo or ramipril for an average of about 4 1/2 years. The study was funded by the Research Council of Canada, the Stroke Foundation of Ontario and several drug companies.

Dr. John Buse, director of the diabetes care center at the University of North Carolina in Chapel Hill, said extensive ramipril might indeed protect against diabetes, "but without the exact right study, it's hard to take this to the bank." ACE inhibitors like Altace block formation of angiotensin, an enzyme involved in regulating blood pressure. Researchers think the drug's effects on blood vessels may improve functioning of the pancreas and reduce insulin resistance. Diabetes occurs when the body cannot produce or properly use insulin.

COPYRIGHT 2001 Reproduced with permission of the copyright holder. Further reproduction or distribution is prohibited without permission.
COPYRIGHT 2001 Gale Group

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