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A review of clinically significant drug-drug interactions involving angiotensin II receptor antagonists and antiepileptic drugs
- Source :
- Expert Opinion on Drug Metabolism & Toxicology. 16:507-515
- Publication Year :
- 2020
- Publisher :
- Informa UK Limited, 2020.
-
Abstract
- Angiotensin II receptor blockers are widely used for the treatment of arterial hypertension and heart failure. However, recent studies on animal models of seizures showed that in the brain, the renin-angiotensin-aldosterone system might be involved in neuroinflammation; therefore, the administration of angiotensin II receptor blockers that cross the blood/brain barrier, reduces not only blood pressure but reduces neuroinflammation-induced neuronal injury. Apart from this neuroprotective effect, these drugs exhibit anticonvulsant activity in animal models of seizures, and losartan is associated with a probable anti-epileptogenic activity.In this review, we intended to highlight the role of drug-drug interactions involving angiotensin II receptor antagonists with antiepileptic drugs accompanied by a brief characteristic of the role of RAS in neuroinflammation.Some combinations of antiepileptic drugs (lamotrigine or valproate) with sartans are particularly effective in terms of enhanced seizure control. Considering a possible anti-epileptogenic activity of losartan, its combinations with antiepileptic drugs may prove especially beneficial in epileptogenesis inhibition.
- Subjects :
- Drug
Angiotensin receptor
media_common.quotation_subject
Angiotensin II Receptor Blockers
Pharmacology
Toxicology
030226 pharmacology & pharmacy
Losartan
Renin-Angiotensin System
Angiotensin Receptor Antagonists
03 medical and health sciences
Epilepsy
0302 clinical medicine
Seizures
Animals
Humans
Medicine
Drug Interactions
media_common
business.industry
General Medicine
medicine.disease
Neuroprotective Agents
030220 oncology & carcinogenesis
Heart failure
Anticonvulsants
business
Subjects
Details
- ISSN :
- 17447607 and 17425255
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- Expert Opinion on Drug Metabolism & Toxicology
- Accession number :
- edsair.doi.dedup.....0dfd4ef9836f38d2fed10095baa19f67