Telmisartan in the hypertension treatment: from pharmacological characteristics to clinical benefits

The current study describes pharmacological features and benefits of using the angiotensin II receptor blocker telmisartan in actual clinical practice. This bifunctional agent has a number of unique pharmacokinetic features: the longest duration of action, high lipophilicity and maximum efficiency i...

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Main Authors: E. V. Sayutina, L. I. Butorova, E. M. Tuaeva, M. A. Osadchuk
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2020-03-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/2453
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author E. V. Sayutina
L. I. Butorova
E. M. Tuaeva
M. A. Osadchuk
author_facet E. V. Sayutina
L. I. Butorova
E. M. Tuaeva
M. A. Osadchuk
author_sort E. V. Sayutina
collection DOAJ
description The current study describes pharmacological features and benefits of using the angiotensin II receptor blocker telmisartan in actual clinical practice. This bifunctional agent has a number of unique pharmacokinetic features: the longest duration of action, high lipophilicity and maximum efficiency in PPARy activation. The results of numerous studies confirmed the high efficacy of telmisartan and the ability to control blood pressure during the day and the early-morning hours compared to other antihypertensive drugs. The main pleutrophic effects of telmisartan have been proven at most stages of the cardiovascular and renal continuum, the main of which are a decrease in insulin resistance, an adiponectin levels increase, an improvement of endothelial function, angioprotective and renoprotective effects, and the regression of left ventricular hypertrophy. The ability of telmisartan to improve prognosis of patients with high cardiovascular risk and to reduce mortality and the number of cardiovascular complications has been proven. Based on the data of large-scale studies, the possibilities of using telmisartan (80 mg/day) were considered, including in combination with hydrochlorothiazide, as the most effective dual fixed-dose combination and one of the main modern antihypertensive strategies.
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publishDate 2020-03-01
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series Кардиоваскулярная терапия и профилактика
spelling doaj-art-29526bf1fc9947d0a2cd540930bf94e52025-08-04T12:50:24Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252020-03-0119110611710.15829/1728-8800-2020-1-24532069Telmisartan in the hypertension treatment: from pharmacological characteristics to clinical benefitsE. V. Sayutina0L. I. Butorova1E. M. Tuaeva2M. A. Osadchuk3I.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityThe current study describes pharmacological features and benefits of using the angiotensin II receptor blocker telmisartan in actual clinical practice. This bifunctional agent has a number of unique pharmacokinetic features: the longest duration of action, high lipophilicity and maximum efficiency in PPARy activation. The results of numerous studies confirmed the high efficacy of telmisartan and the ability to control blood pressure during the day and the early-morning hours compared to other antihypertensive drugs. The main pleutrophic effects of telmisartan have been proven at most stages of the cardiovascular and renal continuum, the main of which are a decrease in insulin resistance, an adiponectin levels increase, an improvement of endothelial function, angioprotective and renoprotective effects, and the regression of left ventricular hypertrophy. The ability of telmisartan to improve prognosis of patients with high cardiovascular risk and to reduce mortality and the number of cardiovascular complications has been proven. Based on the data of large-scale studies, the possibilities of using telmisartan (80 mg/day) were considered, including in combination with hydrochlorothiazide, as the most effective dual fixed-dose combination and one of the main modern antihypertensive strategies.https://cardiovascular.elpub.ru/jour/article/view/2453hypertensionhigh cardiovascular riskcombination antihypertensive therapyfixed-dose combinationstarget organ damageraas inhibitorstelmisartanthiazide diuretics
spellingShingle E. V. Sayutina
L. I. Butorova
E. M. Tuaeva
M. A. Osadchuk
Telmisartan in the hypertension treatment: from pharmacological characteristics to clinical benefits
Кардиоваскулярная терапия и профилактика
hypertension
high cardiovascular risk
combination antihypertensive therapy
fixed-dose combinations
target organ damage
raas inhibitors
telmisartan
thiazide diuretics
title Telmisartan in the hypertension treatment: from pharmacological characteristics to clinical benefits
title_full Telmisartan in the hypertension treatment: from pharmacological characteristics to clinical benefits
title_fullStr Telmisartan in the hypertension treatment: from pharmacological characteristics to clinical benefits
title_full_unstemmed Telmisartan in the hypertension treatment: from pharmacological characteristics to clinical benefits
title_short Telmisartan in the hypertension treatment: from pharmacological characteristics to clinical benefits
title_sort telmisartan in the hypertension treatment from pharmacological characteristics to clinical benefits
topic hypertension
high cardiovascular risk
combination antihypertensive therapy
fixed-dose combinations
target organ damage
raas inhibitors
telmisartan
thiazide diuretics
url https://cardiovascular.elpub.ru/jour/article/view/2453
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AT libutorova telmisartaninthehypertensiontreatmentfrompharmacologicalcharacteristicstoclinicalbenefits
AT emtuaeva telmisartaninthehypertensiontreatmentfrompharmacologicalcharacteristicstoclinicalbenefits
AT maosadchuk telmisartaninthehypertensiontreatmentfrompharmacologicalcharacteristicstoclinicalbenefits