Left ventricular dysfunction (LVEF ≤40%)

Active Ingredient: Eplerenone

Indication for Eplerenone

Population group: only adults (18 years old or older)

Eplerenone is indicated in addition to standard therapy including beta-blockers, to reduce the risk of cardiovascular (CV) mortality and morbidity in stable patients with left ventricular dysfunction (LVEF ≤40%) and clinical evidence of heart failure after recent myocardial infarction (MI).

For this indication, competent medicine agencies globally authorize below treatments:

25-50 mg once daily

Route of admnistration

Oral

Defined daily dose

50 mg

Dosage regimen

50 mg once every day

Loading dose

25 mg

Maintenance dose

50 mg

Detailed description

The recommended maintenance dose of eplerenone is 50 mg once daily (OD). Treatment should be initiated at 25 mg once daily and titrated to the target dose of 50 mg once daily preferably within 4 weeks, taking into account the serum potassium level. Eplerenone therapy should usually be started within 3-14 days after an acute MI.

Dosage considerations

Eplerenone may be administered with or without food.

Active ingredient

Eplerenone

Eplerenone has relative selectivity in binding to recombinant human mineralocorticoid receptors compared to its binding to recombinant human glucocorticoid, progesterone and androgen receptors. Eplerenone prevents the binding of aldosterone, a key hormone in the renin-angiotensin-aldosterone-system (RAAS), which is involved in the regulation of blood pressure and the pathophysiology of CV disease.

Read more about Eplerenone

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