Placental passage of angiotensin-converting enzyme inhibitors.

Abstract:

OBJECTIVE:Placental passage of the angiotensin-converting enzyme inhibitors temocapril and enalapril was investigated in a placental perfusion model. STUDY DESIGN:In an open system a placental lobe was perfused on both the maternal and the fetal side with a blood-free medium containing the test substances plus a reference substance on the maternal side. Six placentas were perfused with temocapril and five with enalapril. The drugs were measured by gas chromatography-mass spectrometry. RESULTS:Both angiotensin-converting enzyme inhibitors crossed the human placenta in the maternal-fetal direction in similar quantities. Temocapril showed the same pharmacokinetic characteristics as enalapril. CONCLUSIONS:This was the first study to quantify the placental transfer of angiotensin-converting enzyme inhibitors. These antihypertensive agents should not be taken during pregnancy, to avoid any potential hazards to the fetus.

journal_name

Am J Obstet Gynecol

authors

Reisenberger K,Egarter C,Sternberger B,Eckenberger P,Eberle E,Weissenbacher ER

doi

10.1016/s0002-9378(96)70587-2

subject

Has Abstract

pub_date

1996-05-01 00:00:00

pages

1450-5

issue

5

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(96)70587-2

journal_volume

174

pub_type

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