Телмисартан в комплексной терапии артериальной гипертензии: от фармакологических особенностей к клиническим преимуществам

Настоящая статья посвящена вопросам фармакологических особенностей и преимуществ использования антагониста рецепторов ангиотензина II телмисартана в реальной клинической практике. Данный бифункциональный представитель класса блокаторов рецепторов ангиотензина II первого типа обладает рядом уникальных фармакокинетических особенностей: наибольшей продолжительностью действия, высокой степенью липофильности и максимальной эффективностью в отношении активации рецепторов PPARγ. Представлены результаты многочисленных исследований, подтверждающих высокую эффективность телмисартана и способность контролировать АД в течение суток и ранние утренние часы в сравнении с другими антигипертензивными препаратами. Основные плеойтропные свойства телмисартана доказаны на большинстве этапов кардиоваскулярного и ренального континуумов, главными из которых являются снижение инсулинорезистентности, повышение уровня адипонектина, улучшение функциональной активности эндотелия, ангио и ренопротективные эффекты и способность обеспечивать регресс гипертрофии миокарда левого желудочка. Доказана способность телмисартана влиять на прогноз у пациентов высокого сердечно-сосудистого риска и обеспечивать снижение летальности и количества сердечно-сосудистых осложнений. Опираясь на данные масштабных исследований, рассмотрены возможности использования телмисартана 80 мг/сутки, в том числе, в сочетании с гидрохлоротиазидом, как наиболее мощной двойной фиксированной комбинации и одной из основных современных стратегий антигипертензивной терапии.

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55. Инструкция по медицинскому применению лозартана, ирбесартана, валсартана, кандесартана, олмесартана, азилсартана, телмисартана.