Overview
| Generic Names: | Quinapril Hcl; Quinapril Hydrochloride; Quinaprilum [Latin] |
|---|---|
| Trade Names: | Accupril; Accuprin; Accupro; Acequin; Acuitel; Korec; Quinazil |
| PharmGKB Accession Id: | PA451205 |
Description
Quinapril is used in the treatment of hypertension and congestive heart failure. Quinapril is actually a prodrug. It is converted to its active metabolite, quinaprilat, in the liver. Quinapril inhibits angiotensin converting enzyme, an enzyme which catalyses the formation of angiotensin II from its precursor, angiotensin I. Angiotensin II is a powerful vasoconstrictor and increases blood pressure through a variety of mechanisms. (source: Drug Bank)
Indication
For the treatment of hypertension and chronic heart failure. (source: Drug Bank)
ATC Therapeutic Category
- C09AA:ACE inhibitors, plain
Pharmacology, Interactions, and Contraindications
Mechanism Of Action
Quinaprilat competes with angiotensin I for binding at the angiotensin-converting enzyme, blocking the conversion of angiotensin I to angiotensin II. As angiotensin II is a vasoconstrictor and a negative-feedback mediator for renin activity, lower concentrations result in a decrease in blood pressure and stimulation of baroreceptor reflex mechanisms. Quinaprilat may also act on kininase II, an enzyme identical to ACE that degrades the vasodilator bradykinin. (source: Drug Bank)
Pharmacology
Quinapril, an angiotensin-converting enzyme (ACE) inhibitor, is used to treat hypertension and heart failure. Like ramipril, quinapril is a prodrug that, upon deesterification, is converted to the active metabolite quinaprilat. The effect of quinapril in hypertension and in congestive heart failure (CHF) appears to result primarily from the inhibition of circulating and tissue ACE activity, thereby reducing angiotensin II formation. (source: Drug Bank)
Food Interactions
Do not take with a high-fat meal.
Magnesium, potassium and zinc needs increased.
(source:
Drug Bank)
Absorption, Distribution, Metabolism, Elimination & Toxicity
Biotransformation
Hepatic. (source: Drug Bank)
Protein Binding
97% (source: Drug Bank)
Absorption
Following oral administration, peak plasma quinapril concentrations are observed within one hour. Based on recovery of quinapril and its metabolites in urine, the extent of absorption is at least 60%. The rate and extent of quinapril absorption are diminished moderately (approximately 25-30%) when ACCUPRIL tablets are administered during a high-fat meal. (source: Drug Bank)
Toxicity
Overdose may lead to severe hypotension. LD<sub>50</sub>=1739mg/kg (orally in mice). (source: Drug Bank)
Isomeric SMILES Code:
CCOC(=O)[C@H](CCc1ccccc1)N[C@@H](C)C(=O)N2Cc3ccccc3C[C@H]2C(=O)O (source: Drug Bank)
The following genes are in curated knowledge about this drug.
| Gene | Relationship | Evidence | |
|---|---|---|---|
|
|
NR1I2 |
|
Publications |
A list of non-curated publications that mention this drug along with other genes is available.
Drug Targets
| Gene | Description | |
|---|---|---|
| ACE |
|
(source: Drug Bank) |
PharmGKB Curated Pathways
A list of non-curated publications that mention this drug along with other drugs is available.
Drug Interactions
| Drug | Description | |
|---|---|---|
| amiloride |
|
Increased risk of hyperkaliemia (source: Drug Bank) |
| lithium |
|
The ACE inhibitor increases serum levels of lithium (source: Drug Bank) |
| potassium |
|
Increased risk of hyperkaliemia (source: Drug Bank) |
| spironolactone |
|
Increased risk of hyperkaliemia (source: Drug Bank) |
| tetracycline |
|
Quinapril can reduce the absorption of tetracycline (source: Drug Bank) |
| tizanidine |
|
Tizanidine increases the risk of hypotension with the ACE inhibitor (source: Drug Bank) |
| triamterene |
|
Increased risk of hyperkaliemia (source: Drug Bank) |
Non-Curated Information
A list of non-curated publications that mention this drug along with other diseases is available.
LinkOuts
Common Searches
Search PubMed
Search Medline Plus
Search PubChem
Search CTD
Non-Curated Publications
A list of non-curated publications that mention this drug is available.
