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enalapril maleate + HCTZ (Vasoretic / Vaseretic / Renidur)

✓ Approved

Merck & Co. · ACE · Small Molecule

What is enalapril maleate + HCTZ?

enalapril maleate + HCTZ is a small molecule developed by Merck & Co.. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand NamesVasoretic, Vaseretic, Renidur
CompanyMerck & Co.
Drug ClassSmall Molecule
Molecular TargetACE, SLC12A3
RouteOral (PO)
StatusApproved

Mechanism of Action

Molecular Targets

enalapril maleate + HCTZ acts on 2 molecular targets:

ACEangiotensin I converting enzyme (DCP1, ACE1)
SLC12A3solute carrier family 12 member 3 (NCCT, NCC)
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

enalapril maleate + HCTZ is developed for 1 unique indication across 1 therapeutic area.

Therapeutic AreaConditionPhase
Vascular disordersHypertension✓ Approved

Related Research Articles

PubMedBiochemical and biophysical research communications2026-09-18

A comparative QbD-driven optimization of solid lipid nanoparticles and nanostructured lipid carriers for enhanced drug delivery.

K K Suriya Prakaash SP, N Damodharan D

Trimipramine maleate, a tricyclic antidepressant, has poor and highly variable oral bioavailability (∼41.4%) driven largely by extensive hepatic first-pass metabolism and poor aqueous solubility, alongside a high plasma protein binding ability (∼95%) that further limits its free-drug fraction and clinical efficacy. This study focused on developing trimipramine-loaded solid lipid nanoparticles (SLNs) and nanostructured lipid carriers (NLCs) utilizing a Quality by Design (QbD) framework to improve dissolution and reduce first-pass loss, thereby addressing the bioavailability-limiting factors amenable to formulation intervention. By employing a structured development pathway that includes Quality Target Product Profile (QTPP) definition and Critical Quality Attribute (CQA) identification, critical material attributes and process parameters were optimized via a Box-Behnken Design (BBD). Key independent variables were assessed for both lipid systems, leading to optimized formulations: an SLN with a particle size of 134.20 ± 2.10 nm, polydispersity index (PDI) of 0.195 ± 0.012, zeta potential of -28.4 ± 1.5 mV, and entrapment efficiency (%EE) of 84.95 ± 1.08%; and an NLC with a particle size of 194.11 ± 2.85 nm, PDI of 0.234 ± 0.011, zeta potential of -32.6 ± 1.8 mV, and %EE of 88.53 ± 1.14%. Model predictions were highly accurate, with errors less than 10%. Characterization by ATR-FTIR and DSC confirmed the compatibility and near-complete amorphization of trimipramine in the lipid matrices, with NLCs demonstrating lower recrystallization. In vitro release studies revealed a sustained release profile for both formulations over 48 h, governed by Fickian diffusion, unlike that of the pure trimipramine solution. The three-month stability analysis under refrigerated conditions showed both formulations remained physically stable, with SLN and NLC displaying comparable particle size, PDI, and zeta potential; however, NLC showed a lower recrystallization index and greater resistance to drug expulsion, attributable to the disruptive effect of the liquid lipid on polymorphic transitions. While SLN and NLC performed comparably across most physicochemical and release parameters, NLC offered a specific advantage in long-term physical stability during storage. This QbD-guided optimization framework offers a regulatory-compliant pathway for trimipramine-loaded NLCs, highlighting the need for further in vivo studies to evaluate potential bioavailability enhancements.

PubMedEuropean journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences2026-09-17

Overcoming formulation challenges of a moisture-sensitive API using Tricalcium citrate TB and anhydrous Trimagnesium citrate in direct compression.

Hafels Maike M, Maslennikow David D, Mattusch Amelie A, Wagner Karl G KG et al.

Moisture-sensitive active pharmaceutical ingredients (API) pose a special challenge in formulation development, as they are prone to degradation, which compromises their efficacy and patient safety. Especially the use of disintegrants in tablet formulations can compromise the stability of APIs due to their water-attracting nature. Due to its limited amount of unbound water and excellent disintegration properties, we investigated the use of tricalcium citrate tetrahydrate (TCC TB) in combination with anhydrous trimagnesium citrate (TMC) as a desiccant, as an alternative filler for a direct compression formulation of a moisture-sensitive API. Enalapril maleate (EM) was chosen as a model drug, as it degrades rapidly when mixed with moisture-containing excipients, disintegrants or water. Small-scale tablet production was conducted using various comparative fillers like spray-dried lactose monohydrate (FlowLac®90), microcrystalline cellulose (Vivapur®102) and co-processed spray-dried lactose with corn starch (StarLac®) on a compaction simulator. These tablets were investigated in a 4-week stability study under "closed-container" conditions. Further, we confirmed the scalability of the most promising direct tableting formulations to a rotary press. Our research demonstrated that using TCC TB in combination with TMC yields outstanding results regarding powder flowability, tablet tensile strength while also maintaining a rapid disintegration and ensuring superior formulation stability.

PubMedCurrent opinion in pharmacology2026-09-17

Pharmacological insights into fluvoxamine maleate: σ1 receptor agonism, multimodal mechanisms, and therapeutic repositioning.

Sharma Chirag C, Sharma Sheenam S, Chaudhary Rishabh R, Kumar Satish S et al.

Fluvoxamine maleate (FM) is a selective serotonin reuptake inhibitor (SSRI) that has attracted increased attention owing to its strong agonistic activity at the sigma 1 receptor (σ1R). This review consolidates the current understanding of its processes highlighting σ1R-mediated chaperone activity in the endoplasmic reticulum (ER), which alleviates protein misfolding, ER stress, and neuroinflammation in mental and neurological illnesses. Fluvoxamine demonstrates one of the highest affinities for σ1R among SSRIs, exceeding those of sertraline and fluoxetine, via dissociating σ1R from BiP chaperones to improve protein refolding and cellular resilience. Preclinical experiments illustrate its inhibition of unfolded protein response indicators, reinstatement of glutamatergic transmission, and stimulation of parvalbumin interneurons, resulting in antipsychotic-like effects in schizophrenia and neuroprotection against ketamine-induced impairments. In addition to serotonin reuptake inhibition, fluvoxamine influences inflammation, apoptosis, and extracellular matrix dynamics. Supplementary activities include advantages against tardive dyskinesia and cognitive improvement in depression by mitigating stress induced neuronal atrophy. Repurposing initiatives underscore fluvoxamine's potential beyond obsessive compulsive disorder (OCD) and depression. σ1R agonism is fundamental to its effectiveness in disorders caused by ER stress, such as schizophrenia and tardive dyskinesia, and in neuropsychiatric sequelae associated with protracted COVID. Clinical translation encounters obstacles in dose optimization and σ1R selectivity; yet, current studies highlight its multimodal efficacy in neurodegeneration, fibrosis, and psychopharmacology.

PubMedInternational journal of toxicology2026-09-15

Re-Review Summary of Glyceryl Monoesters: Glyceryl Collagenate, Glyceryl Sesquioleate, Glyceryl/Sorbitol Oleate/Hydroxystearate, Glyceryl Stearate/Maleate, and Glyceryl Thiopropionate - No Use.

Nguyen Temima T, Bergfeld Wilma F WF, Belsito Donald V DV, Cohen David E DE et al.

The Expert Panel for Cosmetic Ingredient Safety (Panel) considered whether the safety of Glyceryl Collagenate, Glyceryl Sesquioleate, Glyceryl/Sorbitol Oleate/Hydroxystearate, Glyceryl Stearate/Maleate, and Glyceryl Thiopropionate as used in cosmetics should be reassessed. The Panel considered that there were no newly available safety data related to these ingredients and no reported uses in cosmetics. The Panel concluded, based on the lack of sufficient data and the lack of reported uses, that the use of these ingredients in cosmetics is not supported.

PubMedTalanta2026-09-15

Development and validation of an environmentally friendly spectrofluorimetric method for dimethindene maleate determination: Application to dosage forms and biological fluids.

Ahmed Ahmed S AS, Derayea Sayed M SM, Abdelshakour Mohamed A MA, Oraby Mohamed M

A novel, ecologically friendly, and thoroughly investigated fluorometric approach was established to measure dimethindene maleate (DMD), an antihistaminic medication intended to diminish capillary hyperpermeability during early allergic responses. The approach includes monitoring DMD fluorescence intensity in an aqueous solution. The technique was validated in compliance with ICH standards. A correlation coefficient of 0.9998 was found between DMD concentration and fluorescence intensity for concentrations ranging from 100 to 2000 ng mL-1. The limit of detection and limit of quantification were determined to be 26.7 and 80.9 ng mL-1, respectively. This technique could be used to quantify DMD in its pure form and to investigate medicinal formulations. Additionally, it was utilized to assess DMD concentrations in spiked human plasma. The greenness of the proposed technique was validated by operating several green analytical criteria.

PubMedInternational journal of molecular sciences2026-09-15

Elevated Prorenin Induces Podocyte Injury and Glomerular Fibrosis in cyp1a1-Prorenin Transgenic Rats.

Gu Chunyan C, Liu Xia X, Wu Jie J, Huang Yufeng Y

Plasma prorenin is commonly elevated in patients with diabetes and has been associated with the development of albuminuria and progression of diabetic nephropathy. Because albuminuria often reflects podocyte injury, the pathogenic role of prorenin in podocyte dysfunction warrants further investigation. In this study, we examined the association between prorenin and podocyte injury, as well as glomerular fibrosis, using a transgenic rat model in which prorenin is inducibly expressed and secreted from the liver. cyp1a1-prorenin transgenic rats were randomized to receive diets containing increasing concentrations of the gene activator indole-3-carbinol (I3C; 0.05%, 0.15%, or 0.3%) for 4 weeks. Wild-type rats maintained on a normal diet served as controls. I3C administration resulted in a dose-dependent increase in plasma prorenin levels in transgenic rats. Elevated prorenin was associated with increased mean arterial pressure and urinary albumin excretion, accompanied by a dose-dependent reduction in podocyte number and slit diaphragm protein expression, as well as segmental foot process effacement and podocyte hypertrophy. In addition, increased prorenin stimulated renal expression of profibrotic factors and promoted glomerular fibrosis. Treatment with either amlodipine or enalapril for 6 weeks prevented the development of hypertension and partially attenuated podocyte injury, albuminuria, and renal fibrosis, without fully reversing these changes. These protective effects were associated with suppression of NF-κB- and Nox2-mediated inflammatory and oxidative stress pathways. Collectively, these findings demonstrate that prorenin promotes podocyte injury and glomerular fibrosis through mechanisms that are partially dependent on hypertension and angiotensin II but also involve angiotensin II-independent pathways.

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