Wang Sarah J, Sander Gary E
Department of Medicine, Heart & Vascular Institute, Section of Cardiology, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112, USA.
Future Cardiol. 2021 Jul;17(4):573-583. doi: 10.2217/fca-2020-0079. Epub 2020 Oct 16.
Nebivolol (N) is a β-adrenoreceptor antagonist that is approved for treatment of hypertension in the USA. Effective treatment of hypertension is becoming an increasingly difficult process that often requires multiple drug combinations to meet target guidelines. This has resulted in the increasing introduction of multidrug single-pill combinations (SPCs) to facilitate cost and compliance issues. Some of the SPCs have added valsartan (V), an angiotensin receptor blocker, which is an increasingly advocated antihypertensive class. Pharmacological profiles of N and V, alone and combined, are well characterized. In 2007, the SPC of N and V, 5 and 80 mg, respectively, was approved by the US FDA for treatment of hypertension. This paper will summarize and update key issues in pharmacology, clinical use and benefit.
奈必洛尔(N)是一种β-肾上腺素能受体拮抗剂,在美国被批准用于治疗高血压。有效治疗高血压正变得越来越困难,这一过程通常需要多种药物联合使用以达到目标指南。这导致了多药单片复方制剂(SPC)的引入日益增加,以解决成本和依从性问题。一些SPC添加了缬沙坦(V),一种血管紧张素受体阻滞剂,这是一种越来越受推崇的抗高血压药物类别。N和V单独及联合使用时的药理学特征已得到充分表征。2007年,N和V分别为5毫克和80毫克的SPC被美国食品药品监督管理局批准用于治疗高血压。本文将总结并更新药理学、临床应用和益处方面的关键问题。