General Information of Drug (ID: DMNFUZR)

Drug Name
Enalapril
Synonyms
Vasotec; Enalapril (INN); Enalapril (TN); N-{(1S)-1-[(ethyloxy)carbonyl]-3-phenylpropyl}-L-alanyl-L-proline; N-[(2S)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]-L-alanyl-L-proline; (2S)-1-[(2S)-2-[[(2S)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]amino]propanoyl]pyrrolidine-2-carboxylic acid
Indication
Disease Entry ICD 11 Status REF
Congestive heart failure BD10 Approved [1]
Hypertension BA00-BA04 Approved [2]
Malignant essential hypertension BA00 Approved [1]
Therapeutic Class
Antihypertensive Agents
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 376.4
Logarithm of the Partition Coefficient (xlogp) -0.1
Rotatable Bond Count (rotbonds) 10
Hydrogen Bond Donor Count (hbonddonor) 2
Hydrogen Bond Acceptor Count (hbondacc) 6
ADMET Property
Absorption Tmax
The time to maximum plasma concentration (Tmax) is 4 h [3]
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 1: high solubility and high permeability [4]
Bioavailability
63.5% of drug becomes completely available to its intended biological destination(s) [5]
Clearance
The renal clearance of drug is 158 +/- 47 mL/min [6]
Elimination
Enalapril is mainly eliminated through renal excretion, where approximately 94% of the total dose is excreted via urine or feces as either enalaprilat or unchanged parent compound [7]
Half-life
The concentration or amount of drug in body reduced by one-half in 35 - 38 hours [3]
Metabolism
The drug is metabolized via the de-esterification mediated by hepatic esterases [3]
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 1.77178 micromolar/kg/day [8]
Water Solubility
The ability of drug to dissolve in water is measured as 25 mg/mL [4]
Adverse Drug Reaction (ADR)
ADR Term Variation Related DOT DOT ID REF
Cough Not Available BDKRB2 OTOA9D3W [9]
Hepatotoxicity Not Available CYP3A4 OTQGYY83 [9]
Chemical Identifiers
Formula
C20H28N2O5
IUPAC Name
(2S)-1-[(2S)-2-[[(2S)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]amino]propanoyl]pyrrolidine-2-carboxylic acid
Canonical SMILES
CCOC(=O)[C@H](CCC1=CC=CC=C1)N[C@@H](C)C(=O)N2CCC[C@H]2C(=O)O
InChI
InChI=1S/C20H28N2O5/c1-3-27-20(26)16(12-11-15-8-5-4-6-9-15)21-14(2)18(23)22-13-7-10-17(22)19(24)25/h4-6,8-9,14,16-17,21H,3,7,10-13H2,1-2H3,(H,24,25)/t14-,16-,17-/m0/s1
InChIKey
GBXSMTUPTTWBMN-XIRDDKMYSA-N
Cross-matching ID
PubChem CID
5388962
ChEBI ID
CHEBI:4784
CAS Number
75847-73-3
DrugBank ID
DB00584
TTD ID
D00SEB
VARIDT ID
DR00010
INTEDE ID
DR0573
ACDINA ID
D00229
Combinatorial Drugs (CBD) Click to Jump to the Detailed CBD Information of This Drug
Repurposed Drugs (RPD) Click to Jump to the Detailed RPD Information of This Drug

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Angiotensin-converting enzyme (ACE) TTL69WB ACE_HUMAN Inhibitor [10]

Drug Transporter (DTP)
DTP Name DTP ID UniProt ID MOA REF
Peptide transporter 2 (SLC15A2) DT8QKNP S15A2_HUMAN Substrate [11]
Peptide transporter 1 (SLC15A1) DT9G7XN S15A1_HUMAN Substrate [12]
Multidrug resistance-associated protein 2 (ABCC2) DTFI42L MRP2_HUMAN Substrate [13]
Organic anion transporting polypeptide 1A2 (SLCO1A2) DTE2B1D SO1A2_HUMAN Substrate [14]
Organic anion transporting polypeptide 1B1 (SLCO1B1) DT3D8F0 SO1B1_HUMAN Substrate [15]
Organic anion transporting polypeptide 1B3 (SLCO1B3) DT9C1TS SO1B3_HUMAN Substrate [13]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 3A4 (CYP3A4) DE4LYSA CP3A4_HUMAN Substrate [16]
Carboxylesterase 1 (CES1) DEB30C5 EST1_HUMAN Substrate [17]
Dipeptidase (pepV) DEQMBHW Q84BU9_LACLH Substrate [18]

Drug Off-Target (DOT)
DOT Name DOT ID UniProt ID Interaction REF
Angiogenin (ANG) OT3ECS6P ANGI_HUMAN Gene/Protein Processing [19]
Angiotensinogen (AGT) OTBZLYR3 ANGT_HUMAN Gene/Protein Processing [20]
ATP-binding cassette sub-family C member 4 (ABCC4) OTO27PAL MRP4_HUMAN Regulation of Drug Effects [21]
B2 bradykinin receptor (BDKRB2) OTOA9D3W BKRB2_HUMAN Drug Response [9]
Carbonic anhydrase 2 (CA2) OTJRMUAG CAH2_HUMAN Gene/Protein Processing [22]
Cytochrome P450 3A4 (CYP3A4) OTQGYY83 CP3A4_HUMAN Drug Response [9]
Erythropoietin (EPO) OTZ90CN4 EPO_HUMAN Gene/Protein Processing [20]
Interleukin-6 (IL6) OTUOSCCU IL6_HUMAN Drug Response [23]
Natriuretic peptides A (NPPA) OTMQNTNX ANF_HUMAN Gene/Protein Processing [24]
Renin (REN) OT52GZR2 RENI_HUMAN Gene/Protein Processing [25]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Molecular Expression Atlas of This Drug

The Studied Disease Congestive heart failure
ICD Disease Classification BD10
Molecule Name Molecule Type Gene Name p-value Fold-Change Z-score
Angiotensin-converting enzyme (ACE) DTT SLC33A1 2.62E-01 -0.01 -0.06
Multidrug resistance-associated protein 2 (ABCC2) DTP MRP2 1.85E-02 5.14E-02 3.36E-01
Organic anion transporting polypeptide 1A2 (SLCO1A2) DTP OATP1A2 2.28E-01 -5.92E-02 -1.22E-01
Peptide transporter 1 (SLC15A1) DTP PEPT1 6.91E-01 8.30E-03 7.24E-02
Organic anion transporting polypeptide 1B3 (SLCO1B3) DTP OATP1B3 3.85E-03 1.01E-01 7.72E-01
Peptide transporter 2 (SLC15A2) DTP PEPT2 8.33E-02 -3.63E-02 -1.27E-01
Organic anion transporting polypeptide 1B1 (SLCO1B1) DTP OATP1B1 8.47E-01 1.14E-02 8.20E-02
Carboxylesterase 1 (CES1) DME CES1 1.24E-01 1.06E-01 4.92E-01
Cytochrome P450 3A4 (CYP3A4) DME CYP3A4 6.06E-01 -2.42E-02 -1.64E-01
Molecular Expression Atlas (MEA) Jump to Detail Molecular Expression Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Same Disease as Enalapril
DDI Drug Name DDI Drug ID Severity Mechanism Disease REF
Aliskiren DM1BV7W Major Increased risk of hyperkalemia by the combination of Enalapril and Aliskiren. Hypertension [BA00-BA04] [26]
Losartan DM72JXH Major Increased risk of hyperkalemia by the combination of Enalapril and Losartan. Hypertension [BA00-BA04] [27]
TAK-491 DMCF6SX Major Increased risk of hyperkalemia by the combination of Enalapril and TAK-491. Hypertension [BA00-BA04] [27]
Indapamide DMGN1PW Moderate Additive hypotensive effects by the combination of Enalapril and Indapamide. Hypertension [BA00-BA04] [28]
Trichlormethiazide DMHAQCO Moderate Additive hypotensive effects by the combination of Enalapril and Trichlormethiazide. Hypertension [BA00-BA04] [28]
Telmisartan DMS3GX2 Major Increased risk of hyperkalemia by the combination of Enalapril and Telmisartan. Hypertension [BA00-BA04] [27]
Irbesartan DMTP1DC Major Increased risk of hyperkalemia by the combination of Enalapril and Irbesartan. Hypertension [BA00-BA04] [27]
⏷ Show the Full List of 7 DDI Information of This Drug
Coadministration of a Drug Treating the Disease Different from Enalapril (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Remdesivir DMBFZ6L Moderate Increased risk of hepatotoxicity by the combination of Enalapril and Remdesivir. 1D6YCoronavirus Disease 2019 [1D6YCoronavirus Disease 2019] [29]
Sodium bicarbonate DMMU6BJ Minor Decreased absorption of Enalapril due to altered gastric pH caused by Sodium bicarbonate. Acidosis [5C73] [30]
Repaglinide DM5SXUV Moderate Increased risk of hypoglycemia by the combination of Enalapril and Repaglinide. Acute diabete complication [5A2Y] [31]
Glibenclamide DM8JXPZ Moderate Increased risk of hypoglycemia by the combination of Enalapril and Glibenclamide. Acute diabete complication [5A2Y] [31]
Tolazamide DMIHRNA Moderate Increased risk of hypoglycemia by the combination of Enalapril and Tolazamide. Acute diabete complication [5A2Y] [31]
Insulin-glulisine DMQI0FU Moderate Increased risk of hypoglycemia by the combination of Enalapril and Insulin-glulisine. Acute diabete complication [5A2Y] [31]
Insulin-aspart DMX7V28 Moderate Increased risk of hypoglycemia by the combination of Enalapril and Insulin-aspart. Acute diabete complication [5A2Y] [32]
Glipizide DMZA5PQ Moderate Increased risk of hypoglycemia by the combination of Enalapril and Glipizide. Acute diabete complication [5A2Y] [31]
Nifedipine DMSVOZT Minor Additive hypotensive effects by the combination of Enalapril and Nifedipine. Angina pectoris [BA40] [33]
Bedaquiline DM3906J Moderate Increased risk of hepatotoxicity by the combination of Enalapril and Bedaquiline. Antimicrobial drug resistance [MG50-MG52] [34]
Linezolid DMGFPU2 Moderate Additive hypotensive effects by the combination of Enalapril and Linezolid. Bacterial infection [1A00-1C4Z] [35]
Cariprazine DMJYDVK Moderate Additive hypotensive effects by the combination of Enalapril and Cariprazine. Bipolar disorder [6A60] [36]
Pexidartinib DMS2J0Z Major Increased risk of hepatotoxicity by the combination of Enalapril and Pexidartinib. Bone/articular cartilage neoplasm [2F7B] [37]
Mannitol DMSCDY9 Moderate Additive hypotensive effects by the combination of Enalapril and Mannitol. Bronchiectasis [CA24] [28]
Olopatadine DMKMWQG Moderate Additive CNS depression effects by the combination of Enalapril and Olopatadine. Conjunctiva disorder [9A60] [38]
Drospirenone DM1A9W3 Moderate Increased risk of hyperkalemia by the combination of Enalapril and Drospirenone. Contraceptive management [QA21] [39]
Ardeparin DMYRX8B Moderate Increased risk of hyperkalemia by the combination of Enalapril and Ardeparin. Coronary thrombosis [BA43] [27]
Selegiline DM6034S Moderate Additive hypotensive effects by the combination of Enalapril and Selegiline. Depression [6A70-6A7Z] [35]
Isocarboxazid DMAF1NB Moderate Additive hypotensive effects by the combination of Enalapril and Isocarboxazid. Depression [6A70-6A7Z] [35]
Tranylcypromine DMGB5RE Moderate Additive hypotensive effects by the combination of Enalapril and Tranylcypromine. Depression [6A70-6A7Z] [35]
OPC-34712 DMHG57U Moderate Additive hypotensive effects by the combination of Enalapril and OPC-34712. Depression [6A70-6A7Z] [36]
Phenelzine DMHIDUE Moderate Additive hypotensive effects by the combination of Enalapril and Phenelzine. Depression [6A70-6A7Z] [35]
Nitroglycerin DMQ2491 Moderate Additive hypotensive effects by the combination of Enalapril and Nitroglycerin. Diabetic foot ulcer [BD54] [40]
SODIUM CITRATE DMHPD2Y Minor Decreased absorption of Enalapril due to altered gastric pH caused by SODIUM CITRATE. Discovery agent [N.A.] [30]
Ethacrynic acid DM60QMR Moderate Additive hypotensive effects by the combination of Enalapril and Ethacrynic acid. Essential hypertension [BA00] [41]
Phenoxybenzamine DM8KSQH Moderate Additive hypotensive effects by the combination of Enalapril and Phenoxybenzamine. Essential hypertension [BA00] [42]
Acetazolamide DM1AF5U Moderate Additive hypotensive effects by the combination of Enalapril and Acetazolamide. Glaucoma [9C61] [28]
Methazolamide DM7J2TA Moderate Additive hypotensive effects by the combination of Enalapril and Methazolamide. Glaucoma [9C61] [28]
Dichlorphenamide DMH7IDQ Moderate Additive hypotensive effects by the combination of Enalapril and Dichlorphenamide. Glaucoma [9C61] [41]
Eplerenone DMF0NQR Moderate Increased risk of hyperkalemia by the combination of Enalapril and Eplerenone. Heart failure [BD10-BD1Z] [43]
Furosemide DMMQ8ZG Moderate Additive hypotensive effects by the combination of Enalapril and Furosemide. Heart failure [BD10-BD1Z] [28]
Amiloride DMRTSGP Major Increased risk of hyperkalemia by the combination of Enalapril and Amiloride. Heart failure [BD10-BD1Z] [44]
Bumetanide DMRV7H0 Moderate Additive hypotensive effects by the combination of Enalapril and Bumetanide. Heart failure [BD10-BD1Z] [28]
Hydroflumethiazide DMVPUQI Moderate Additive hypotensive effects by the combination of Enalapril and Hydroflumethiazide. Heart failure [BD10-BD1Z] [28]
Brentuximab vedotin DMWLC57 Moderate Increased risk of hepatotoxicity by the combination of Enalapril and Brentuximab vedotin. Hodgkin lymphoma [2B30] [45]
Efavirenz DMC0GSJ Moderate Increased risk of hepatotoxicity by the combination of Enalapril and Efavirenz. Human immunodeficiency virus disease [1C60-1C62] [46]
Isosorbide mononitrate DMYLMU0 Moderate Additive hypotensive effects by the combination of Enalapril and Isosorbide mononitrate. Hydrocephalus [8D64] [40]
Mipomersen DMGSRN1 Major Increased risk of hepatotoxicity by the combination of Enalapril and Mipomersen. Hyper-lipoproteinaemia [5C80] [47]
BMS-201038 DMQTAGO Major Increased risk of hepatotoxicity by the combination of Enalapril and BMS-201038. Hyper-lipoproteinaemia [5C80] [48]
Potassium chloride DMMTAJC Major Increased risk of hyperkalemia by the combination of Enalapril and Potassium chloride. Hypo-kalaemia [5C77] [49]
Propiomazine DMKY8V1 Moderate Additive hypotensive effects by the combination of Enalapril and Propiomazine. Insomnia [7A00-7A0Z] [36]
ITI-007 DMUQ1DO Moderate Additive hypotensive effects by the combination of Enalapril and ITI-007. Insomnia [7A00-7A0Z] [36]
Porfimer Sodium DM7ZWNY Moderate Increased risk of photosensitivity reactions by the combination of Enalapril and Porfimer Sodium. Lung cancer [2C25] [50]
Calaspargase pegol DMQZBXI Moderate Increased risk of hepatotoxicity by the combination of Enalapril and Calaspargase pegol. Malignant haematopoietic neoplasm [2B33] [51]
Idelalisib DM602WT Moderate Increased risk of hepatotoxicity by the combination of Enalapril and Idelalisib. Mature B-cell leukaemia [2A82] [52]
Clofarabine DMCVJ86 Moderate Increased risk of hepatotoxicity by the combination of Enalapril and Clofarabine. Mature B-cell lymphoma [2A85] [53]
Lanthanum carbonate DMMJQSH Moderate Decreased absorption of Enalapril due to formation of complexes caused by Lanthanum carbonate. Mineral absorption/transport disorder [5C64] [54]
Promethazine DM6I5GR Moderate Additive hypotensive effects by the combination of Enalapril and Promethazine. Nausea/vomiting [MD90] [36]
Polythiazide DMCH80F Moderate Additive hypotensive effects by the combination of Enalapril and Polythiazide. Oedema [MG29] [28]
Safinamide DM0YWJC Moderate Additive hypotensive effects by the combination of Enalapril and Safinamide. Parkinsonism [8A00] [35]
Rasagiline DM3WKQ4 Moderate Additive hypotensive effects by the combination of Enalapril and Rasagiline. Parkinsonism [8A00] [35]
Terazosin DM3JCVS Moderate Additive hypotensive effects by the combination of Enalapril and Terazosin. Prostate hyperplasia [GA90] [42]
Silodosin DMJSBT6 Moderate Additive hypotensive effects by the combination of Enalapril and Silodosin. Prostate hyperplasia [GA90] [42]
Levomepromazine DMIKFEL Moderate Additive hypotensive effects by the combination of Enalapril and Levomepromazine. Psychotic disorder [6A20-6A25] [36]
Fluphenazine DMIT8LX Moderate Additive hypotensive effects by the combination of Enalapril and Fluphenazine. Psychotic disorder [6A20-6A25] [36]
Leflunomide DMR8ONJ Major Increased risk of hepatotoxicity by the combination of Enalapril and Leflunomide. Rheumatoid arthritis [FA20] [54]
Quetiapine DM1N62C Moderate Additive hypotensive effects by the combination of Enalapril and Quetiapine. Schizophrenia [6A20] [36]
Mesoridazine DM2ZGAN Moderate Additive hypotensive effects by the combination of Enalapril and Mesoridazine. Schizophrenia [6A20] [36]
Thioridazine DM35M8J Moderate Additive hypotensive effects by the combination of Enalapril and Thioridazine. Schizophrenia [6A20] [36]
Aripiprazole DM3NUMH Moderate Additive hypotensive effects by the combination of Enalapril and Aripiprazole. Schizophrenia [6A20] [36]
Iloperidone DM6AUFY Moderate Additive hypotensive effects by the combination of Enalapril and Iloperidone. Schizophrenia [6A20] [36]
Paliperidone DM7NPJS Moderate Additive hypotensive effects by the combination of Enalapril and Paliperidone. Schizophrenia [6A20] [36]
Molindone DMAH70G Moderate Additive hypotensive effects by the combination of Enalapril and Molindone. Schizophrenia [6A20] [36]
Thiothixene DMDINC4 Moderate Additive hypotensive effects by the combination of Enalapril and Thiothixene. Schizophrenia [6A20] [36]
Trifluoperazine DMKBYWI Moderate Additive hypotensive effects by the combination of Enalapril and Trifluoperazine. Schizophrenia [6A20] [36]
Risperidone DMN6DXL Moderate Additive hypotensive effects by the combination of Enalapril and Risperidone. Schizophrenia [6A20] [36]
Amisulpride DMSJVAM Moderate Additive hypotensive effects by the combination of Enalapril and Amisulpride. Schizophrenia [6A20] [36]
Asenapine DMSQZE2 Moderate Additive hypotensive effects by the combination of Enalapril and Asenapine. Schizophrenia [6A20] [36]
Trabectedin DMG3Y89 Moderate Increased risk of hepatotoxicity by the combination of Enalapril and Trabectedin. Solid tumour/cancer [2A00-2F9Z] [55]
Tacrolimus DMZ7XNQ Moderate Increased risk of hyperkalemia by the combination of Enalapril and Tacrolimus. Transplant rejection [NE84] [56]
Tolbutamide DM02AWV Moderate Increased risk of hypoglycemia by the combination of Enalapril and Tolbutamide. Type 2 diabetes mellitus [5A11] [31]
Chlorpropamide DMPHZQE Moderate Increased risk of hypoglycemia by the combination of Enalapril and Chlorpropamide. Type 2 diabetes mellitus [5A11] [31]
Insulin-detemir DMOA4VW Moderate Increased risk of hypoglycemia by the combination of Enalapril and Insulin-detemir. Type-1/2 diabete [5A10-5A11] [31]
Insulin degludec DMPL395 Moderate Increased risk of hypoglycemia by the combination of Enalapril and Insulin degludec. Type-1/2 diabete [5A10-5A11] [31]
Methdilazine DMAUHQX Moderate Additive hypotensive effects by the combination of Enalapril and Methdilazine. Vasomotor/allergic rhinitis [CA08] [36]
Trimeprazine DMEMV9D Moderate Additive hypotensive effects by the combination of Enalapril and Trimeprazine. Vasomotor/allergic rhinitis [CA08] [57]
⏷ Show the Full List of 76 DDI Information of This Drug

Drug Inactive Ingredient(s) (DIG) and Formulation(s) of This Drug

DIG
DIG Name DIG ID PubChem CID Functional Classification
Allura red AC dye E00338 33258 Colorant
D&C red no. 27 E00381 83511 Colorant
FD&C blue no. 1 E00263 19700 Colorant
FD&C blue no. 2 E00446 2723854 Colorant
Maleic acid E00418 444266 Acidulant; Buffering agent
Quinoline yellow WS E00309 24671 Colorant
Sodium lauryl sulfate E00464 3423265 Emulsifying agent; Modified-release agent; Penetration agent; Solubilizing agent; Surfactant; lubricant
Sodium stearate E00453 2724691 Emulsifying agent; Gelling agent; Glidant; Modified-release agent; Stiffening agent; lubricant
Stearic acid E00079 5281 Emulsifying agent; Solubilizing agent; Viscosity-controlling agent; lubricant
Sunset yellow FCF E00255 17730 Colorant
Beta-D-lactose E00099 6134 Diluent; Dry powder inhaler carrier; Lyophilization aid
Carmellose sodium E00625 Not Available Disintegrant
Crospovidone E00626 Not Available Disintegrant
Eisenoxyd E00585 56841934 Colorant
Ferric hydroxide oxide yellow E00539 23320441 Colorant
Ferrosoferric oxide E00231 14789 Colorant
Ferrous oxide E00241 14945 Colorant
Hypromellose E00634 Not Available Coating agent
Lactose monohydrate E00393 104938 Binding agent; Diluent; Dry powder inhaler carrier; Lyophilization aid
Magnesium stearate E00208 11177 lubricant
Potassium bicarbonate E00425 516893 Alkalizing agent
Silicon dioxide E00670 Not Available Anticaking agent; Opacifying agent; Viscosity-controlling agent
Sodium bicarbonate E00424 516892 Alkalizing agent; Diluent
Talc E00520 16211421 Anticaking agent; Diluent; Glidant; lubricant
Zinc stearate E00209 11178 lubricant
⏷ Show the Full List of 25 Pharmaceutical Excipients of This Drug
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Enalapril 10 mg tablet 10 mg Oral Tablet Oral
Enalapril 20 mg tablet 20 mg Oral Tablet Oral
Enalapril 2.5 mg tablet 2.5 mg Oral Tablet Oral
Enalapril 5 mg tablet 5 mg Oral Tablet Oral
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

1 Enalapril FDA Label
2 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 6322).
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4 BDDCS applied to over 900 drugs
5 Critical Evaluation of Human Oral Bioavailability for Pharmaceutical Drugs by Using Various Cheminformatics Approaches
6 Ulm EH, Hichens M, Gomez HJ, Till AE, Hand E, Vassil TC, Biollaz J, Brunner HR, Schelling JL: Enalapril maleate and a lysine analogue (MK-521): disposition in man. Br J Clin Pharmacol. 1982 Sep;14(3):357-62. doi: 10.1111/j.1365-2125.1982.tb01991.x.
7 Todd PA, Goa KL: Enalapril. A reappraisal of its pharmacology and therapeutic use in hypertension. Drugs. 1992 Mar;43(3):346-81. doi: 10.2165/00003495-199243030-00005.
8 Estimating the safe starting dose in phase I clinical trials and no observed effect level based on QSAR modeling of the human maximum recommended daily dose
9 ADReCS-Target: target profiles for aiding drug safety research and application. Nucleic Acids Res. 2018 Jan 4;46(D1):D911-D917. doi: 10.1093/nar/gkx899.
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11 Ethanol inhibits functional activity of the human intestinal dipeptide transporter hPepT1 expressed in Xenopus oocytes. Alcohol Clin Exp Res. 2008 May;32(5):777-84.
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13 Vectorial transport of enalapril by Oatp1a1/Mrp2 and OATP1B1 and OATP1B3/MRP2 in rat and human livers. J Pharmacol Exp Ther. 2006 Jul;318(1):395-402.
14 Uptake of enalapril and expression of organic anion transporting polypeptide 1 in zonal, isolated rat hepatocytes. Drug Metab Dispos. 2000 Jul;28(7):801-6.
15 The modified dipeptide, enalapril, an angiotensin-converting enzyme inhibitor, is transported by the rat liver organic anion transport protein. Hepatology. 1998 Nov;28(5):1341-6.
16 Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448.
17 Absorption and cleavage of enalapril, a carboxyl ester prodrug, in the rat intestine: in vitro, in situ intestinal perfusion and portal vein cannulation models. Biopharm Drug Dispos. 2015 Sep;36(6):385-397.
18 Characterization and kinetic analysis of enzyme-substrate recognition by three recombinant lactococcal PepVs. Arch Biochem Biophys. 2006 Oct 15;454(2):137-45.
19 Effects of enalapril maleate on blood pressure, renin-angiotensin-aldosterone system, and peripheral sympathetic activity in essential hypertension. Clin Ther. 1987;9(4):390-9.
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21 Multichannel liquid chromatography-tandem mass spectrometry cocktail method for comprehensive substrate characterization of multidrug resistance-associated protein 4 transporter. Pharm Res. 2007 Dec;24(12):2281-96.
22 Captopril/enalapril inhibit promiscuous esterase activity of carbonic anhydrase at micromolar concentrations: An initro study. Chem Biol Interact. 2017 Mar 1;265:24-35.
23 Effect of enalapril and losartan on cytokines in patients with stable angina pectoris awaiting coronary artery bypass grafting and their interaction with polymorphisms in the interleukin-6 gene. Am J Cardiol. 2004 Sep 1;94(5):564-9. doi: 10.1016/j.amjcard.2004.05.017.
24 The effect of early converting enzyme inhibition on neurohumoral activation in acute myocardial infarction. Int J Cardiol. 1993 Nov;42(1):37-45. doi: 10.1016/0167-5273(93)90100-u.
25 A nonpeptide, piperidine renin inhibitor provides renal and cardiac protection in double-transgenic mice expressing human renin and angiotensinogen genes. Cardiovasc Drugs Ther. 2008 Dec;22(6):469-78. doi: 10.1007/s10557-008-6131-x. Epub 2008 Aug 5.
26 Health Canada "Potential risks of cardiovascular and renal adverse events in patients with type 2 diabetes treated with aliskiren (RASILEZ) or aliskiren/hydrochlorothiazide (RASILEZ HCT)." .
27 Product Information. Diovan (valsartan). Novartis Pharmaceuticals, East Hanover, NJ.
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