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Tolvaptan: A New Therapeutic Agent
Reviews on Recent Clinical Trials, 2011Tolvaptan is a new agent in the treatment of normovolemic and hypervolemic hyponatremia. It is a V(2) receptor antagonist inducing free water diuresis. It has been recently approved in USA and Europe for the treatment of hyponatremia associated with SIADH, cirrhosis as well as heart failure, while in hypovolemic hyponatremia its use is contraindicated.
Polichronis Alivanis, Georgios Aperis
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Nonclinical Safety Profile of Tolvaptan
Cardiovascular Drugs and Therapy, 2011In the present study, the nonclinical safety profile of tolvaptan was evaluated.A series of safety pharmacology and toxicology studies were performed in vitro and in mice, rats, dogs, rabbits and guinea pigs.In safety pharmacological studies, tolvaptan had no adverse effects on the central nervous, somatic nervous, autonomic nervous, smooth muscle ...
Katsumi Morishita+15 more
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Tolvaptan in Hyponatremia – A Pharmacologic approach
Research Journal of Pharmacy and Technology, 2021Tolvaptan is the first orally active vasopressin receptor 2 antagonist approved by FDA in 2009 for the treatment of clinically significant hypervolemic and euvolemic hyponatremia associated with heart failure, syndrome of inappropriate antidiuretic hormone secretion, liver cirrhosis.
Lakshmi. R, Anna Paul
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Tolvaptan efficacy and drug-drug interactions
Minerva Endocrinologica, 2020Discussion of the presence of drug-drug interactions that may affect the efficacy of tolvaptan in hyponatremic patients affected by ...
Giampaolo Corti+8 more
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DMW - Deutsche Medizinische Wochenschrift, 2013
Vasopressin-V 2 -Rezeptor-Antagonisten reduzierten in fruheren Studien die Zystenlast und hatten protektive Effekte auf die Nierenfunktion. Torres et al. fuhrten nun eine multizentrische, randomisierte, kontrollierte, doppelblinde Phase-III-Studie zur Wirksamkeit und Sicherheit von Tolvaptan durch.
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Vasopressin-V 2 -Rezeptor-Antagonisten reduzierten in fruheren Studien die Zystenlast und hatten protektive Effekte auf die Nierenfunktion. Torres et al. fuhrten nun eine multizentrische, randomisierte, kontrollierte, doppelblinde Phase-III-Studie zur Wirksamkeit und Sicherheit von Tolvaptan durch.
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[From hyponatremia to tolvaptan].
Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia, 2014Hyponatremia is the electrolytic disorder that is observed most frequently in hospitalized patients. Itinfluences prognosis in the short, mid and long term. Although many cases are asymptomatic, hyponatremia can cause severe neurological symptoms, depending on the amount of serum sodium reduction and on the rapidity with which it occurs.
CERNARO, VALERIA+4 more
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Cost effectiveness of tolvaptan
BMJ, 2011Amin and Meeran refer to the relative expense of tolvaptan, one of the new vasopressin 2 receptor antagonists.1 They suggest that it has little benefit over existing treatments but fail to mention …
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American Journal of Health-System Pharmacy, 2013
The bioavailability of a crushed tolvaptan tablet suspended in water and administered by nasogastric (NG) tube was compared to the bioavailability from the tablet administered whole.In a randomized crossover study, 28 healthy adults received a single 15-mg dose of tolvaptan on two occasions (one dose given as an intact tablet swallowed whole and the ...
Kim L. R. Brouwer+7 more
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The bioavailability of a crushed tolvaptan tablet suspended in water and administered by nasogastric (NG) tube was compared to the bioavailability from the tablet administered whole.In a randomized crossover study, 28 healthy adults received a single 15-mg dose of tolvaptan on two occasions (one dose given as an intact tablet swallowed whole and the ...
Kim L. R. Brouwer+7 more
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Tolvaptan for Volume Management in Heart Failure
Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 2019Volume management in acute decompensated and chronic heart failure (HF) remains a significant challenge. Although progress has been made in the development of mortality‐reducing neurohormonal regimens in the reduced ejection fraction population, no clinical trial has yet demonstrated anything more than symptomatic relief or biomarker reduction with ...
Erik G. Gunderson+4 more
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Synthesis of the major metabolites of Tolvaptan
Chinese Chemical Letters, 2012Tolvaptan is a nonpeptide arginine vasopressin (AVP) V2-receptor antagonist and used in the treatment of heart failure, cirrhosis, syndrome of inappropriate antidiuretic hormone secretion or other high-volume capacity of hyponatremia. The metabolites of tolvaptan are mainly produced by CYP3A4, including two major compounds named DM-4103 and DM-4107 ...
Yong Wu+5 more
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