Renin-angiotensin-aldosterone system inhibition: pharmacologic rationale and evaluations of drug combinations
Andréjak, M.; Slama, M.; Hary, L.
Therapie 53(3): 291-300
1998
ISSN/ISBN: 0040-5957 PMID: 9773129 Document Number: 496390
First-line antihypertensive monotherapy is effective in normalizing blood pressure in approximatively 50 per cent of patients. Normalization in the remaining patients may require a combination of two or more drugs. This review considers the rationale and the evaluation of combinations with drugs interacting with the renin-angiotensin system (i.e angiotensin-converting enzyme inhibitors (ACEI) and angiotensin receptor angonists) with other drugs. The combinations may be justified when giving an additive or synergistic action and when reducing clinical or metabolic side-effects. Recent developments concern the potential benefit of combining ACEI and angiotensin receptor antagonists.