Aliskiren, the first approved renin inhibitor: Clinical application and safety in the treatment of hypertension

Authors: Riccioni, Graziano¹; Vitulano, Nicola²; D'Orazio, Nicolantonio³; Bellocci, Fulvio²

Source: Advances in Therapy, Volume 26, Number 7, July 2009 , pp. 700-710(11)

Publisher: Springer

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Abstract:

Hypertension is one of the most important risk factors for, and causes of, cardiovascular disease. The difficulty in achieving a normal blood pressure range in some patients makes the rate of cardiovascular disease high. For some years renin-angiotensin system inhibitors such as angiotensin-converting enzyme (ACE) and angiotensin receptor blockade have been objects of interest for treatment of cardiovascular disease. Aliskiren, the first approved renin inhibitor to reach the market, is a low molecular weight, orally active, hydrophilic nonpeptide molecule, which blocks angiotensin I generation. However it might also become a reasonable therapeutic choice in a broad number of clinical conditions, as stable coronary artery disease, cerebrovascular and cardiorenal disease, diabetes, and peripheral arterial disease. The aim of this review is to describe the effectiveness and safety of aliskerin in the treatment of hypertension.

Keywords: aliskiren; hypertension; renin; renin-angiotensin aldosterone system; renin inhibitor

Document Type: Research article

DOI: http://dx.doi.org/10.1007/s12325-009-0050-5

Affiliations: 1: Cardiology Unit “San Camillo de Lellis” Hospital, Manfredonia, Foggia, Italy, Email: griccioni@hotmail.com 2: Department of Cardiology, Catholic University of Rome, Rome, Italy 3: Department of Biomedical Science, University “G. D'Annunzio”, Chieti, Italy

Publication date: 2009-07-01