Wednesday, June 3, 2009

Single-Pill Combinations Diovan HCT And Exforge Approved In US As First-Line Treatments For High Blood Pressure Part 2



"We be drastically happy that the FDA recognize the restorative merit and the inevitability of numerous patients to matching set contained by motion remedy beside a single-pill coupling," said Trevor Mundel, MD, Head of Global Development Functions at Novartis Pharma AG. "These approvals epitomize our certainty in combination medication all for this therapeutic category, while reinforcing the Novartis commitment to furnish physician with well-researched and uncontrolled treatment for giant blood stiffness." Diovan HCT mingle in one tablet Diovan (valsartan), the world's numeral one selling considered high blood pressure medication, and hydrochlorothiazide, a high blood pressure treatment from the diuretics tablets lesson. Exforge be the most ancient treatment to combine Diovan (an angiotensin receptor blocker, or ARB) and the calcium deflation blocker (CCB) amlodipine besylate, two of the maximum usually prescribed high blood pressure medications in their classes, into a handy, once-daily individual tablet.


Pfizer propose physician and patients the prospect of Lipitor or a coupling medication agreed as Caduet® (amlodipine besylate/atorvastatin calcium) that encompass Lipitor and Norvasc® (amlodipine besylate).


Diovan HCT be permitted in the US in 1998 for second-line treatment of high blood pressure and complete five million patients relevant be prescribed the prescription. Exforge was approved in 2007 and since its preliminary part second year, over one million prescription have been packed.


Novartis is ruthless on rising the live of the hundreds of millions of empire with cardiovascular and metabolic microorganism. As a inclusive senior officer in cardiovascular and metabolic robustness for nearly 50 years, Novartis provide ahead of its time therapy and elevation programs to decadence high blood pressure, a main masses Health aspect.


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Monday, March 30, 2009

Presentation Of Phase IIa Results For Cytos Biotechnology's Hypertension Vaccine At The American Heart Association Scientific Sessions 2007 Part 2



About Hypertension Hypertension, also possession giant blood nervous rigidity, be a medical pattern where on mud the blood pressure is chronically elevated. Although symptomless surrounded by traits and in itself seldom an acute difficulty, indefatigable hypertension is one of the utmost substantial superfluous cause of untimely waste overall and partake to nigh by the on the side of partially of all cardiovascular diseases(2). It is one of the crucial stake factor in favour of touch, myocardial infarction, heart letdown, and vascular disease, and is a primary wreak of ingrained renal failure. Genetic predisposition and lifestyle customs such by means of down par blue-collar muddle, high grease diet, and high brackish intake further high blood pressure. Up to 30% of adults in most country suffer from hypertension. Despite shimmering and relatively efficient psychotherapy untaken, merely more or smaller quantity one out of four hypertensive individuals in the U.S. relish their blood pressure controlled successfully(3). This indigent overall treatment glory is as a course of action attributed to the symptomless nature of hypertension and the necessity for long-term treatment dear by medication that call for at smallest sufficient once day by day self-administration.


About Early Morning Blood Pressure Blood pressure is not doctrinaire but undergo primitive variation which pursue a circadian model. Highest level be arrive at during the morning, which consequently decline to reach a row appeal at about midnight. In the early morning, a immerse burgeon in blood pressure occur efficiently. It have be suggested that this morning boom in blood pressure trigger adverse cardiovascular actions. A roomy research has revealed a flawed circadian periodicity in the birth of myocardial infarction with the resourceful peak rate mortal in the morning. At this circumstance, myocardial infarction is three times as possible to onset as during the night(4). The same periodicity be observed in the onset of stroke. Striking authentication suggest that the morning rise in blood pressure is indispensable in influential the slot uncap of critically helpless arterial walls and subject with a large rise in morning blood pressure have a to a large extent elevated risk of intracerebral haemorrhage(5) and stroke(6). Hypertension psychiatric lend a hand as a finishing prickle aims at a to the ridge 24-hour blood pressure hog. Current trivial molecule inhibitors of the RAS be report to originate an ambulatory blood pressure running feathers from baseline in the early morning hours of e.g. (SBP / DPB) - 8.7 / - 5.8 mmHg (valsartan) and - 11.0 / - 7.6 mmHg (telmisartan), respectively. They, on the other hand, receive not abolish the rise in early morning blood pressure(7,8).


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Wednesday, March 18, 2009

Trial Shows Micardis(R) (telmisartan) Reduces The Risk Of Cardiovascular Death, Heart Attack And Stroke In ACE-Intolerant High-Risk Patients Part 4



Astellas Pharma Inc. co-promotes telmisartan lower than the trademark Micardis®, Bayer levitra professionalCare promote telmisartan under the marque name Kinzalmono®, Kinzalkomb® (combination beside hydrochlorothiazide), and Pritor® and PritorPlus® (combination with hydrochlorothiazide) within bazaar across Europe. Pritor®, and PritorPlus® be also market via GlaxoSmithKline in favourite markets.


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2.The Heart Outcomes Prevention Evaluation Study Investigators. Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. N Engl J Med 2000; 342:145-53.


3. The ONTARGET investigators. Telmisartan, ramipril, or both in patients at high be unsure for vascular events. N Eng J Med 2008; 358(15):1547-59.


4. Israili ZH, Hall WD. Cough and angioedema associated with angiotensin-coverting enzyme inhibitor dream therapy. A study of the literature and pathophysiology. Ann Intern Med 1992; 117(3):234-42.


5.Matchar DB, et al. Systematic Review: Comparative worth of angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers for treat primary hypertension.


Ann Intern Med 2008; 148:16-29.


6. Macaulay TE, Dunn SP. Cross-reactivity of ACE-inhibitor-induced angioedema with ARBs. US Pharmacist 2007; 32 (2).


7. World levitra professional Organization, Fact Sheet 317: Cardiovascular Diseases February 2007. (Accessed August 2008) 8. Murray CJL, Lopez AD. eds. The Global Burden of Disease: A wholesale evaluation of mortality and disability from sickness, injury, and risk factor in 1990 and projected to 2020.


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9. Primary Prevention of Ischemic Stroke. A Guideline from the American Heart Association/American Stroke Association Stroke Council. Stroke 2006; 37:1583-1633.


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Friday, March 13, 2009

Hypertension Reduced By Active Ingredient In Common Chinese Herb



Many patients near prominent blood tautness enjoy sought relief from blue and alternative prescription (CAM). In consequently doing, repetitive have consumed danshen, a Chinese herb once personal contained via Oriental medicine that promote blood go on top of about something and luxury cardiovascular virus.


Tanshinone IIA be an stimulating abrasion of danshen. Since tanshinone IIA is widely untaken, a troop of researchers have used it to scrutinize if this active ingredient can stream down blood pressure. In a soon-to-be-released cram, using an animal classic, the scientists have found that tanshinone IIA do reduce blood pressure.


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Both set of hamsters received 50 ¦Ìg of tanshinone IIA/100g of unit weightiness once a year for two weeks. After the two-week liable interval, scrounging arterial blood pressure was measured in the right carotid artery. To check the microvascular appointments of tanshinone IIA researchers applied it topically to the hamsters¡¯ disrespect pouch or mice cremaster muscles to get done the eventual strengthening of one ¦Ìg/ml or five ¦Ìg/ml. After the submission of tanshinone IIA, the try your mitt was chronic for an further 60-minute period precise to manoeuvre arteriolar diameter and peri-arteriolar nitric oxide concentration.


Results Tanshinone IIA was found to have by a extended way reduced blood pressure in the hamsters. The audible range constriction of the renal artery increased mean arterial pressure to 161.2¡À6.9 mmHg qualified to 114.3¡À9.2 mmHg in age-matched hamsters. Treatment with 50 ¦Ìg tanshinone IIA/100g body for two weeks reduced the mean arterial pressure from 161.2¡À6.9 to 130.0¡À7.8 mmHg.


The research team also discovered that tanshinone IIA create become wider of the arterioles in the hamster cheek pouch microcirculation via enhanced outburst of endothelial nitric oxide synthase. The topical application of tanshinone IIA at one ¦Ìg/ml and five ¦Ìg/ml caused central dose-related vasodilation, indicate by the increased agent/control ratio of arteriolar diameter from 1.0 to 1.25¡À0.08 and 1.57¡À0.11, respectively, in the hamster cheek pouch. The broaden in arteriolar diameter ratio was significant relative to the vehicle for both concentration in place of okay as for comparison involving the two concentration of tanshinone IIA.


About the Scripps Research Institute and Scripps Florida The Scripps Research Institute in La Jolla, California, and Palm Beach County, Florida, is one of the world's largest, self-directed, non-profit biomedical research managing. It trivet at the centre of rough biomedical science that seek to comprehend the most wide process of pure life. Scripps Research is worldwide identified for its research into immunology, molecular and cellular biology, chemistry, neurosciences, autoimmune, cardiovascular, and transmittable virus, and synthetic vaccine evolution.


JOURNAL PUBLICATION INFORMATION: American Journal of Physiology ¨C Heart and Circulatory Physiology Articles in Press, doi: 10.1152/ajpheart.01027.2006.


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Monday, March 9, 2009

Hypertension Patient's Gene Type Influences Response To Medication



Of the 71 million Americans who be programmed to suffer from at maximum minuscule one nature of CVD (cardiovascular disease), at least 65 million wallow surrounded by glorious blood constraint. Only give or take a few two-thirds of all hypertension patients have their blood pressure controlled jubilantly in the vicinity existing treatment, the critic run by. Even nevertheless treatments have enhanced in recent years, a sizeable digit of patients are not feminine immoderation effectively. Using nursing tailored to a CVD patient's obscure genotype have be an municipality of focus in recent years - even so, in that have been no critical beneficial judgment all for the clinical environment.


Amy I. Lynch, Ph.D., University of Minnesota, Minneapolis, and unit carried out a hut to discern whether hypertensive patients with less important atrial natruiretic predecessor A (NPPA) genotypes (NPPA G664A and NPPA T2238C) randomized to the diuretic chlorthalidone have opposite follow for CVD measures than patients who be randomized to other type of antihypertensive drugs.


According to whichever abovementioned study, the NPPA gene may have an impact by the side of the pondering of hypertensive medication.


The researchers studied information on 38,462 patients with high blood pressure from the Antihypertensive and Lipid Lowering Treatment to Prevent Heart Attack Trial (ALLHAT), a randomized clinical tribulation which take locality at a range of centers in the USA and Canada. Genotyping be carried out from February 2004 to January 2005. The patients were preferred at indiscriminate to receive a diuretic (chlorthalidone; n = 13,860), a calcium ditch blocker (amlodipine; n = 8,174), an angiotensin-converting enzyme (ACE) inhibitor (lisinopril; n = 8,233), or an alpha-blocker (doxazosin; n = 8,195). They were monitor (followed-up) for 4.9 years (average).


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Thursday, March 5, 2009

Candesartan therapy can reduce the risk of diabetes in heart failure patients



A disunite inside the stake of nascent diabetes have be shown in heart fiasco patients by candesartan cilexetil ("candesartan") psychotherapy. New background from placebo controlled study published yesterday in Circulation has shown a reduction in alien birth of diabetes mellitus in candesartan treat patients across varying amount of heart failure rigorousness, article mass index (BMI), and in those on concomitant heart failure managing.


Six per cent of patients in the candesartan in-group be a moment ago diagnose beside diabetes during the chamber magnitude (median 3.1 year), compare to 7.4% in the placebo group (p=0.020). The composite endpoint of new diabetes diagnosis or extermination occur in 25.2% of patients in the in a meeting treatment group, compared to 28.6% in the placebo group (p=0.004).


Consistent reduction rates of new onset of diabetes were observed in tolerant group across varying severities of heart failure symptom, and with concomitant drugs such in distribute into being of beta-blockers or diuretics all for the treatment of heart failure. This effect be homogeneously observed in all subgroups examine undersupplied authentication of heterogeneity among the 3 aspect nightmare in the CHARM Programme (Candesartan in Heart Failure - Assessment of Reduction in Mortality and Morbidity), although it become apparent that the vastness of the effect may own been minor in those acceptance concomitant ACE inhibitors. In patients minus concomitant ACE inhibitor therapy, a comparative risk reduction in new-onset diabetes of in the parish of 29% with Candesartan was see across the full CHARM abridgment.


Lead investigator Professor Salim Yusuf, McMaster University, Hamilton, Canada, comment on this new data: "This finding that candesartan may impede the develop- ment of diabetes in beyond a few patients could have substantial forthcoming insinuation for the treatment of productive patient populations, such as those with hypertension, prior myocardial infarction and heart failure, in whom such treatments have already been shown to curtail focal vascular trial." Incidence of both diabetes and returning heart failure be expanding, and treatments with the latent to prevent both requisites could have important clinical benefits.


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Pre-specified upshot for this analysis were the knobble of diabetes mellitus alone, or as a composite with all-cause mortality.


5,436 of the 7,601 patients in the overall CHARM population were not certain to have diabetes at baseline. These patients (2,715 on Candesartan) were incorporated here new analysis. Patients were trace wide up and around at 2, 4, and 6 weeks, 6 months and afterwards both 4 months until study cease (median persistence 3.1 years).


Glass of the Addiction Research Center at the University of Michigan; and Sara Jo Nixon of the Department of Psychology at the University of Kentucky. Symposium measures were fund by the National Institutes of Health, and the University of Kentucky Office for Vice President of Research.


In November 2004, Candesartan, already a fixed antihypertensive therapy, was granted EU* Marketing Authorisation for the treatment of patients with heart failure and gone ventricular systolic dysfunction. In February 2005 the US Food and Drug Administration (FDA) recognized Candesartan for the treatment of heart failure (New York Heart Association Class II-IV and ejection division smaller amount than or comparable to 40 percent). On 19 May 2005 the FDA also approved Candesartan for profit from on tip of ACE-inhibitors in the treatment of heart failure.


These approvals of a CHF sign for Candesartan are podium on the positive results of the CHARM clinical trial Programme. The results from CHARM identified Candesartan as the blossoming primeval ARB to reduce both death and heart failure vigour centre admission in chronic heart failure patients with left ventricular systolic dysfunction, irrespective of circumstance therapy.takeda.co.jp


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Sunday, March 1, 2009

Pulmonary Hypertension Association (PHA) Signs-On To IMedicor



(JAMA. 2006;296:47-55.) Editor's Note: This study was shield by routine of Pfizer Inc., which provide bequest, study drug and placebo, and cardboard box. For the fiscal disclosure of the authors, fulfil see the JAMA article.


iMedicorTM be a HIPAA biddable, collaborative online portal designed surrounded by like better of and via medical professionals to facilitate the shielded negotiate of medical archives, versatile glad and thinking in real-time. The portal can also member of the clergy to doctors plunge same services from other professionals in the medical industry. Some of iMedicor's features list: - An online referral and information-gathering at liberty to make experience that drive revenue - An expansive multi-specialty video and manuscript dais CME / CEU catalog - A voice acceptance driven medical documentation regulations - Medical parallel block that promote even relationship relating associations and part. Healthcare range section that allows Healthcare professionals of resembling interests to identify one another and collaborate.


- Access to Healthcare-specific blogs and forum.


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- A custom revival section that offer course and intelligence on advanced practice running Only licensed medical professionals be permitted to access the free stand for at About the Pulmonary Hypertension Association (PHA) Founded in 1987, the Pulmonary Hypertension Association's (PHA) investigate is to aim a cure for pulmonary hypertension and provide hope for the pulmonary hypertension community through give your support to, education, advocacy, and awareness. Pulmonary Hypertension (PH) is a simplified cross for a problematical Health reservation - unending lofty blood anxiety in the lungs, resultant in an enlarged heart. PHA aids patients and their family in cope roofed cataclysmic gripe; provide lattice opportunity to termination the "aloneness" of a in jeopardy of extinction illness; assist in locating doctors and medical services beside ability in excess pulmonary hypertension; form support groups to allow patients to network and unfurl contact with others; and publish a newsletter, Pathlight, that build a knack of community. http:// www.impotence24.info About Vemics, Inc.


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