What is the composition of Tab Acuvin (quinapril), an angiotensin-converting enzyme (ACE) inhibitor?

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Tab Acuvin (Quinapril) Composition

Tab Acuvin contains quinapril hydrochloride as the active pharmaceutical ingredient, available in tablet strengths of 5 mg, 10 mg, 20 mg, or 40 mg of quinapril. 1

Active Ingredient

  • Quinapril hydrochloride is the hydrochloride salt of quinapril, which is the ethyl ester of quinaprilat, a non-sulfhydryl angiotensin-converting enzyme (ACE) inhibitor 1

  • The chemical name is [3S-[2[R*(R*)], 3R*]]-2-[2-[[1-(ethoxycarbonyl)-3-phenylpropyl]amino]-1-oxopropyl]-1,2,3,4-tetrahydro-3-isoquinolinecarboxylic acid, monohydrochloride 1

  • The empirical formula is C25H30N2O5 •HCl 1

  • Quinapril hydrochloride appears as a white to off-white amorphous powder that is freely soluble in aqueous solvents 1

Inactive Ingredients (Excipients)

Each tablet contains the following inactive ingredients 1:

  • Binding agents: Crospovidone, povidone
  • Filler: Lactose monohydrate
  • Alkalizing agent: Magnesium carbonate
  • Lubricant: Magnesium stearate
  • Coloring agents: Iron oxide red, iron oxide black, titanium dioxide
  • Coating materials: Talc, polyvinyl alcohol, polyethylene glycol

Pharmacological Mechanism

  • Quinapril is a prodrug that undergoes rapid hepatic de-esterification after absorption to form quinaprilat, the active diacid metabolite that potently inhibits ACE 2, 3

  • On a weight basis, quinaprilat is three times as potent an ACE inhibitor as quinapril itself 2

  • Approximately 60% of an oral dose of quinapril is absorbed, and absorption is unaffected by food (unlike captopril) 2

  • Peak serum concentrations of quinapril and quinaprilat are achieved within one and two hours, respectively 2

  • Quinaprilat has strong binding capacity to tissue ACE, allowing for once-daily dosing 2

Clinical Dosing Information

  • Initial dose: 5 mg twice daily 4
  • Maximum dose: 20 mg twice daily 4
  • The recommended starting dose for most patients is 20 mg/day 2
  • Dose reduction is recommended in patients with creatinine clearance ≤0.50 mL/sec 2

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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