Mechanism action of Benazepril
Benazeprilat, the active metabolite of Benazepril, competes with
angiotensin I for binding at the angiotensin-converting enzyme, blocking
the conversion of angiotensin I to angiotensin II. Inhibition of ACE
results in decreased plasma angiotensin II. As angiotensin II is a
vasoconstrictor and a negative-feedback mediator for renin activity,
lower concentrations result in a decrease in blood pressure and
stimulation of baroreceptor reflex mechanisms, which leads to decreased
vasopressor activity and to decreased aldosterone secretion.
Benazeprilat may also act on kininase II, an enzyme identical to ACE
that degrades the vasodilator bradykinin.
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