Indications |
Oral Hypertension Adult: Initially, 10 mg once daily. Maintenance: 20-40 mg daily as a single or in 2 divided doses. Max dose: 80 mg/day. Child: ≥6 yr: 0.2 mg/kg/day. Max dose: 40 mg/day. Max Dosage: Renal impairment: Avoid usage in children with CrCl <30 ml/min.
Oral Heart failure Adult: Initially, 2.5 mg once daily adjusted according to patient's response. Max: 20 mg daily. Special Populations: Initially, 5 mg once daily in patients with renal impairment. Not recommended for child with CrCl < 30 ml/min. |
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Contraindications |
Hypersensitivity. History of bilateral renal artery stenosis, angioedema; pregnancy. | ||||
Warnings / Precautions |
Valvular stenosis, before, during or immediately after anaesthesia, unilateral renal artery stenosis, preexisting renal insufficiency. Withdraw diuretics 2-3 days before benazepril treatment. SC epinephrine (1:1000) to be readily available in the event of angioedema. vol or salt-depleted states; collagen vascular disease; concomitant potassium supplements or potassium-sparing drugs; severe renal impairment (CrCl <30 ml/min). Lactation. Immunosuppressive therapy. | ||||
Adverse Reactions |
Headache, dizziness, fatigue; cough; somnolence, nausea; hypotension, transient elevations in BUN and serum creatinine; palpitations; constipation, gastritis; melena, rash, pruritus; musculoskeletal pain; paraesthesia, anxiety; UTI; hyperkalaemia; leucopenia and flushing. Potentially Fatal: Angioedema (rare). |
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Overdose Reactions |
May lead to hypotension. | ||||
Drug Interactions |
Thiazides and other diuretics may cause excessive fall in BP when used with benazepril. Increased risk of lithium toxicity when used concurrently. Potentially Fatal: Concomitant potassium-sparing diuretics or potassium supplements can increase the risk of hyperkalaemia. See Below for More benazepril Drug Interactions |
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Food Interactions |
Rate of absorption delayed but the extent is not affected. | ||||
Mechanism of Actions |
Benazepril and its metabolite benazeprilat inhibit ACE that catalyzes the conversion of angiotensin I to angiotensin II, thus leading to reduced aldosterone secretion by the adrenal cortex and decreased vasopressor activity. Absorption: 37% of dose is absorbed from the GI tract (oral); peak plasma concentrations after 1-2 hr (fasting state), 2-4 hr (nonfasting state). Distribution: Enters breast milk. Protein-binding: 95%. Metabolism: Hepatic (almost complete); converted to benazeprilat (active metabolite). Excretion: Mainly via urine; via bile (11-12% of dose); 10-11 hr (elimination half-life), may be slowed in renal impairment. |
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Administration |
May be taken with or without food. |
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ATC Classification |
C09AA07 - benazepril ; Belongs to the class of ACE inhibitors. Used in the treatment of cardiovascular disease. | ||||
Available As |
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Benazepril
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Benazepril Containing Brands
Benazepril is used in following diseases
Drug - Drug Interactions of Benazepril
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