Candoxatril: Difference between revisions

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'''Candoxatril''' is an [[orally active]] [[prodrug]] of [[candoxatrilat]]. It is a [[neprilysin inhibitor]] that is used in the field of [[pharmacology]].
{{Short description|An overview of the drug Candoxatril}}
{{Drugbox
| image = Candoxatril.svg
| image_size = 250px
| image_alt = Structural formula of Candoxatril
}}


==Etymology==
'''Candoxatril''' is a pharmaceutical compound that acts as a prodrug for [[candoxatrilat]], an inhibitor of the enzyme [[neutral endopeptidase]] (NEP). It has been studied for its potential therapeutic effects in conditions such as [[hypertension]] and [[heart failure]].
The term "Candoxatril" is derived from the chemical name of the drug, which is a combination of the words "candoxatrilat" and "prodrug". The term "prodrug" is a pharmaceutical term that refers to a medication or compound that, after administration, is metabolized into a pharmacologically active drug.


==Pharmacology==
==Mechanism of Action==
Candoxatril is a prodrug, which means it is an inactive drug that is metabolized in the body to produce an active drug, in this case, candoxatrilat. Candoxatrilat is a potent and selective inhibitor of [[neprilysin]], an enzyme that degrades [[natriuretic peptides]], [[bradykinin]], and other vasoactive peptides. By inhibiting neprilysin, candoxatrilat increases the levels of these peptides, leading to increased [[vasodilation]] and [[natriuresis]].
Candoxatril is converted in the body to its active form, candoxatrilat, which inhibits the activity of neutral endopeptidase. NEP is an enzyme responsible for the breakdown of several vasoactive peptides, including [[atrial natriuretic peptide]] (ANP), [[bradykinin]], and [[endothelin]]. By inhibiting NEP, candoxatrilat increases the levels of these peptides, leading to vasodilation and increased natriuresis, which can help lower blood pressure and reduce cardiac workload.


==Clinical Use==
==Pharmacokinetics==
Candoxatril has been studied for its potential use in the treatment of [[congestive heart failure]] and [[hypertension]]. However, its clinical use is limited due to its short half-life and the need for frequent dosing.
Candoxatril is administered orally and is rapidly absorbed from the gastrointestinal tract. It undergoes first-pass metabolism to form candoxatrilat, which is the active metabolite responsible for its pharmacological effects. The bioavailability of candoxatrilat is influenced by factors such as food intake and liver function.


==Related Terms==
==Clinical Applications==
* [[Prodrug]]: An inactive drug that is metabolized in the body to produce an active drug.
Candoxatril has been investigated primarily for its potential use in treating hypertension and heart failure. By inhibiting NEP, it can enhance the effects of endogenous natriuretic peptides, leading to improved cardiovascular outcomes. However, its clinical use has been limited due to the development of more effective and safer alternatives.
* [[Neprilysin]]: An enzyme that degrades natriuretic peptides, bradykinin, and other vasoactive peptides.
 
* [[Natriuretic peptides]]: Peptides that promote natriuresis, the excretion of sodium in the urine.
==Side Effects==
* [[Vasodilation]]: The widening of blood vessels, which decreases blood pressure.
The use of candoxatril can be associated with several side effects, including [[hypotension]], [[dizziness]], and [[gastrointestinal disturbances]]. These side effects are generally related to its vasodilatory effects and the increase in circulating vasoactive peptides.
* [[Natriuresis]]: The excretion of sodium in the urine.
 
==Research and Development==
Research into candoxatril and other NEP inhibitors has provided valuable insights into the role of natriuretic peptides in cardiovascular health. Although candoxatril itself is not widely used, the concept of NEP inhibition has led to the development of other therapeutic agents, such as [[sacubitril]], which is used in combination with [[valsartan]] in the treatment of heart failure.
 
==Related pages==
* [[Neutral endopeptidase]]
* [[Atrial natriuretic peptide]]
* [[Hypertension]]
* [[Heart failure]]


[[Category:Pharmacology]]
[[Category:Pharmacology]]
[[Category:Medicine]]
[[Category:Prodrugs]]
[[Category:Drugs]]
[[Category:Cardiovascular drugs]]
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Latest revision as of 03:57, 13 February 2025

An overview of the drug Candoxatril


Candoxatril
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Candoxatril is a pharmaceutical compound that acts as a prodrug for candoxatrilat, an inhibitor of the enzyme neutral endopeptidase (NEP). It has been studied for its potential therapeutic effects in conditions such as hypertension and heart failure.

Mechanism of Action[edit]

Candoxatril is converted in the body to its active form, candoxatrilat, which inhibits the activity of neutral endopeptidase. NEP is an enzyme responsible for the breakdown of several vasoactive peptides, including atrial natriuretic peptide (ANP), bradykinin, and endothelin. By inhibiting NEP, candoxatrilat increases the levels of these peptides, leading to vasodilation and increased natriuresis, which can help lower blood pressure and reduce cardiac workload.

Pharmacokinetics[edit]

Candoxatril is administered orally and is rapidly absorbed from the gastrointestinal tract. It undergoes first-pass metabolism to form candoxatrilat, which is the active metabolite responsible for its pharmacological effects. The bioavailability of candoxatrilat is influenced by factors such as food intake and liver function.

Clinical Applications[edit]

Candoxatril has been investigated primarily for its potential use in treating hypertension and heart failure. By inhibiting NEP, it can enhance the effects of endogenous natriuretic peptides, leading to improved cardiovascular outcomes. However, its clinical use has been limited due to the development of more effective and safer alternatives.

Side Effects[edit]

The use of candoxatril can be associated with several side effects, including hypotension, dizziness, and gastrointestinal disturbances. These side effects are generally related to its vasodilatory effects and the increase in circulating vasoactive peptides.

Research and Development[edit]

Research into candoxatril and other NEP inhibitors has provided valuable insights into the role of natriuretic peptides in cardiovascular health. Although candoxatril itself is not widely used, the concept of NEP inhibition has led to the development of other therapeutic agents, such as sacubitril, which is used in combination with valsartan in the treatment of heart failure.

Related pages[edit]