Monopril

Congestive Heart Failure, Hypertensive disease

Treatment

20 Active Studies for Monopril

What is Monopril

Fosinopril

The Generic name of this drug

Treatment Summary

Fosinopril is a medication that belongs to the ACE inhibitor class and helps to reduce blood pressure. It works by blocking the enzyme that helps convert angiotensin I (ATI) to angiotensin II (ATII), which plays a role in regulating blood pressure. Fosinopril is used to treat mild to moderate hypertension, congestive heart failure, and slow the progression of renal disease in people with diabetes and kidney damage.

Fosinopril Sodium

is the brand name

image of different drug pills on a surface

Monopril Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Fosinopril Sodium

Fosinopril

2003

126

Effectiveness

How Monopril Affects Patients

Fosinopril is a drug that works by slowing down a system in the body called the Renin-Angiotensin-Aldosterone System (RAAS). This system helps to regulate blood pressure, water levels, and electrolyte balance in the body. Fosinopril works by blocking an enzyme (ACE, or kininase II) that helps to convert a hormone, angiotensin I, into a different hormone called angiotensin II. Angiotensin II helps increase blood pressure in the body by causing the release of aldosterone from the adrenal glands, stimulating the release of

How Monopril works in the body

ACE is an enzyme found in the body that comes in two forms. The somatic form helps regulate blood pressure, and the testicular form helps sperm mature. ACE inhibitors bind to both forms, but are most effective at blocking the somatic form. Fosinoprilat, the active ingredient in fosinopril, binds to ACE and stops it from breaking down another enzyme called ATI. When ATI isn’t broken down, it helps lower blood pressure by blocking other effects on the body, and can also increase the amount of renin released in the body.

When to interrupt dosage

The measure of Monopril is contingent upon the diagnosed condition. The magnitude of dosage is contingent upon the approach of administration outlined in the table underneath.

Condition

Dosage

Administration

Congestive Heart Failure

10.0 mg, , 20.0 mg, 40.0 mg

, Oral, Tablet, Tablet - Oral

Hypertensive disease

10.0 mg, , 20.0 mg, 40.0 mg

, Oral, Tablet, Tablet - Oral

Warnings

Monopril has two counterindications and should not be administered when exhibiting any of the conditions outlined in the table below.

Monopril Contraindications

Condition

Risk Level

Notes

Type 2 Diabetes

Do Not Combine

Pulse Frequency

Do Not Combine

There are 20 known major drug interactions with Monopril.

Common Monopril Drug Interactions

Drug Name

Risk Level

Description

Amifostine

Major

Fosinopril may increase the hypotensive activities of Amifostine.

Azathioprine

Major

The risk or severity of myelosuppression, anemia, and severe leukopenia can be increased when Fosinopril is combined with Azathioprine.

Lithium carbonate

Major

The serum concentration of Lithium carbonate can be increased when it is combined with Fosinopril.

Lithium citrate

Major

The serum concentration of Lithium citrate can be increased when it is combined with Fosinopril.

Lithium hydroxide

Major

The serum concentration of Lithium hydroxide can be increased when it is combined with Fosinopril.

Monopril Toxicity & Overdose Risk

Taking too much fosinopril may lead to low blood pressure, and doses of 2600 mg/kg in rats have been found to be lethal. Other common side effects of taking too much fosinopril include dizziness, coughing, tiredness, and headaches.

image of a doctor in a lab doing drug, clinical research

Monopril Novel Uses: Which Conditions Have a Clinical Trial Featuring Monopril?

324 active studies are currently assessing the potential of Monopril to ameliorate Congestive Heart Failure.

Condition

Clinical Trials

Trial Phases

Congestive Heart Failure

184 Actively Recruiting

Not Applicable, Phase 1, Phase 2, Phase 4, Phase 3, Early Phase 1

Hypertensive disease

27 Actively Recruiting

Not Applicable, Phase 1, Phase 2, Phase 3

Monopril Reviews: What are patients saying about Monopril?

5

Patient Review

8/6/2011

Monopril for High Blood Pressure

I've been using Monopril for 25 years and it's been great. No complaints whatsoever.

5

Patient Review

5/25/2012

Monopril for High Blood Pressure

I've been on monopril for 30 years. I started taking it during my pregnancy and it has effectively controlled my HBP with no adverse side effects.

5

Patient Review

6/17/2010

Monopril for High Blood Pressure

I've been taking Fosinopril for more than three years with no issues whatsoever. Additionally, I haven't experienced any adverse side effects.

5

Patient Review

8/6/2009

Monopril for High Blood Pressure

This treatment is effective.

5

Patient Review

9/24/2008

Monopril for High Blood Pressure

4.3

Patient Review

6/14/2009

Monopril for High Blood Pressure

Lisinopril (HCTZ) used to work for me, but then I started experiencing tingling in my arms and hands. The doctor replaced HCTZ with Monopril and that did the trick. No longer have tingling feeling and my blood pressure is down and manageable.

4.3

Patient Review

10/4/2010

Monopril for High Blood Pressure

Though this treatment is effective, there are some side effects that can be a challenge to deal with. The cough persists, and I also experience constipation which makes it difficult.

4

Patient Review

2/14/2009

Monopril for High Blood Pressure

I've been taking this for years with no negative consequences.

2.7

Patient Review

12/23/2008

Monopril for High Blood Pressure

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Patient Q&A Section about monopril

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the generic for Monopril?

"This medication is used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems.

This medication is used to bring down high blood pressure. This in turn helps to prevent strokes, heart attacks, and kidney problems."

Answered by AI

Is Monopril the same as fosinopril?

"Monopril is a drug used to treat symptoms related to high blood pressure and congestive heart failure. It may be used alone or in conjunction with other medications and belongs to a class of drugs called ACE inhibitors."

Answered by AI

What is Monopril used to treat?

"Fosinopril is a drug used to lower blood pressure. High blood pressure can lead to strokes, heart attacks, and kidney problems, so by lowering it, fosinopril can help prevent these conditions. It is also used to treat heart failure."

Answered by AI

What are the side effects of Monopril?

"a cough that doesn't produce phlegm, pain in your muscles or joints, a headache, feeling tired, a runny or stuffed nose, nausea, vomiting, or diarrhea"

Answered by AI

Clinical Trials for Monopril

Image of UCSF Medical Center at Parnassus in San Francisco, United States.

Blood Pressure Monitoring for Atrial Fibrillation

18+
All Sexes
San Francisco, CA

The goal of this clinical trial is to learn if screening for atrial fibrillation (AFib), a common irregular heart rhythm, through daily home blood pressure monitoring will decrease the time to atrial fibrillation diagnosis in older adults with hypertension. The main question it aims to answer is: \-- Does introducing screening for AFib using a blood pressure monitor with AFib detection technology decrease time to AFib diagnosis in patients with high blood pressure, compared to usual care using a conventional home blood pressure monitor with no AFib detection? Participants will participate in two phases of the study: (1) clinical trial and (2) the registry. During the 6-month clinical trial period, participants will be asked to: * Take blood pressure measurements twice daily * Answer short weekly mobile app-based surveys * If assigned, complete continuous heart monitoring for 2 weeks and complete 1 blood test During the 12-month registry period, participants will be asked to: * Take blood pressure measurements twice daily * Answer monthly mobile app-based surveys Researchers will compare standard blood pressure measurements and AFib screening blood pressure measurements to see if there is a difference in the time to AFib diagnosis and other cardiovascular events. Participants will participate in two phases of the study: (1) trial and (2) the registry. During the 6-month trial period, participants will be asked to: * Take daily blood pressure measurements * Answer short weekly mobile app-based surveys * If assigned, complete continuous heart monitoring for 2 weeks and complete 1 blood test During the 12-month registry period, participants will be asked to: * Take daily blood pressure measurements * Answer monthly mobile app-based surveys

Waitlist Available
Has No Placebo

UCSF Medical Center at Parnassus

Gregory M Marcus, MD, MAS

Omron Healthcare Co., Ltd.

Image of Advanced Cardiovascular, LLC in Alexander City, United States.

NNC0487-0111 for Obesity and Heart Failure

18+
All Sexes
Alexander City, AL

This study is being done to look at the safety and effect of NNC0487-0111 in people with Heart Failure with preserved Ejection Fraction (HFpEF) or Heart Failure with mildly reduced Ejection Fraction (HFmrEF) and excess body weight when compared to placebo. The purpose of this clinical study is to find out if NNC0487-0111 is safe and effective for treating people who have HFpEF or HFmrEF and excess body weight. Participants will get NNC0487-0111 or placebo by injection once a week. Which treatment participants get is decided by chance. NNC0487-0111 is a new medicine that doctors cannot prescribe yet, but it has been tested in people before.

Phase 3
Waitlist Available

Advanced Cardiovascular, LLC (+99 Sites)

Clinical Transparency (dept. 2834)

Novo Nordisk A/S

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Iron Infusion Notification for Heart Failure

18+
All Sexes
Pleasanton, CA

The INITIATE-HF study is a cluster randomized controlled trial that aims to find out if reminding doctors about treatment guidelines for iron deficiency in adults with heart failure who are hospitalized and have evidence of iron deficiency changes the subsequent use of intravenous (IV) iron. Two groups of hospitalized adult patients with known heart failure and iron deficiency will be compared: * Group 1 will include doctors who receive a notification with their patient's iron storage test results and guideline recommendations related to the use of IV iron. * Group 2 will include doctors who do not receive this notification and continue with usual standard of care. The study will measure if this provider-facing notification affects physician use of recommended IV iron treatment in eligible patients with heart failure, left ventricular ejection fraction less than 50%, and iron deficiency. Secondarily, if there is an increased use of IV iron observed in the intervention group, this study will evaluate whether there are differential health outcomes (i.e., fewer subsequent hospital visits and lower risk of death) of patients whose providers were assigned to the intervention group.

Waitlist Available
Has No Placebo

Division of Research

Image of Brigham and women's hospital in Boston, United States.

Corticosteroids for Heart Failure

18 - 80
All Sexes
Boston, MA

This pilot study investigates whether giving a short course of intravenous corticosteroids (methylprednisolone) alongside standard medical care can help patients recovering from heart failure-related cardiogenic shock. Heart failure-related cardiogenic shock happens when chronic heart dysfunction causes poor blood circulation and congestion throughout the body. Often, this condition triggers severe inflammation, making it harder for the heart and other organs to recover, even when temporary mechanical heart pumps are used to support blood flow. The study aims to see if reducing this inflammation with corticosteroids is safe and can help patients get better faster. Researchers will enroll 30 adult patients hospitalized with early-stage (SCAI Stage B or C) cardiogenic shock related to heart failure. To participate, patients must also show high levels of inflammation in their blood, specifically a high-sensitivity C-reactive protein (hsCRP) level of 20 mg/L or higher Participants will be randomly assigned by chance to one of two groups. One group will receive the standard of care alone. The other group will receive the standard of care plus a 7-day course of intravenous methylprednisolone. The main goal of the study is to measure the change in inflammation levels (hsCRP) over 7 days. Researchers will also monitor how well the patients' organs recover, track their need for blood pressure medications or mechanical heart pumps, and monitor for any side effects to ensure the treatment is safe

Phase 2
Waitlist Available

Brigham and women's hospital

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Treatment for Heart Failure

18+
All Sexes
Denver, CO

Numerous pharmacotherapies have been proven to reduce mortality and hospitalization rates for heart failure with reduced ejection fraction (HFrEF) patients. However, these are underutilized clinically, preventing realization of proven benefits. Simplified patient education tools and multidisciplinary teams including pharmacists have been used to improve medication optimization but in predominantly private payer groups. This study will translate these evidence-based interventions to patients with limited access to care. In this randomized, prospective study, patients with HFrEF at a local hospital dedicated to care for participants with limited access will receive either pharmacist-directed medication adjustment visits with patient education materials or standard of care. This study will assess the hypothesis that the implementation of the intervention is feasible in this population, as demonstrated by the number of visits and proportion of visits with medication adjustments. Further, medication dosing in each arm will be evaluated via the Kansas City Medication Optimization (KCMO) score, which will average the percentage of maximal doses of appropriate HFrEF medication classes a patient is on. The change in KCMO scores over the course of the pilot in the two arms will then be compared to assess the hypothesis that the intervention will better increase patients' KCMO scores than the standard of care. The findings of this study will help address knowledge gaps in the care of patients not well represented previously in the literature. This proposal addresses the translational science roadblock of recruitment and engagement of participants with limited access to care.

Recruiting
Has No Placebo

Denver Health and Hospital Authority

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We made a collection of clinical trials featuring Monopril, we think they might fit your search criteria.
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