Chronic heart failure

Active Ingredient: Captopril

Indication for Captopril

Population group: only adults (18 years old or older)

Captopril is indicated for the treatment of chronic heart failure.

For this indication, competent medicine agencies globally authorize below treatments:

6.25-150 mg in 1-2 divided doses daily

Route of admnistration

Oral

Defined daily dose

6.25 - 150 mg

Dosage regimen

From 3.125 To 75 mg 2 time(s) per day every day

Detailed description

Treatment with captopril for heart failure should be initiated under close medical supervision. The usual starting dose is 6.25 mg-12.5 mg BID or TID. Titration to the maintenance dose (75-150 mg per day) should be carried out based on patient’s response, clinical status and tolerability, up to a maximum of 150 mg per day in divided doses. The dose should be increased incrementally, with intervals of at least 2 weeks to evaluate patient’s response.

Elderly patients

As with other antihypertensive agents, consideration should be given to initiating therapy with a lower starting dose (6.25 mg BID) in elderly patients who may have reduced renal function and other organ dysfunctions.

Dosage should be titrated against the blood pressure response and kept as low as possible to achieve adequate control.

Active ingredient

Captopril

Captopril is a highly specific, competitive inhibitor of angiotensin-I converting enzyme (ACE inhibitors). Inhibition of ACE results in decreased plasma angiotensin-II, which leads to decreased vasopressor activity and to reduced aldosterone secretion. In patients with hypertension, captopril causes a reduction in supine and erect blood pressure, without inducing any compensatory increase in heart rate, nor water and sodium retention.

Read more about Captopril

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