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ARB/Neprilysin inhibitor drug
Sacubitril/Valsartan (Entresto)
indication of ARB/Neprilysin inhibitor
Heart failure with reduced ejection fraction
mechanism of ARB
Selective, reversible competitive antagonist of angiotensin II receptor which is responsible for vasoconstriction, aldosterone secretion, sympathetic outflow, and simulation of renal sodium reabsorption
mechanism of Neprilysin inhibitor
inhibits neprilysin leading to decrease breakdown of
natriuretic peptides; inducing vasodilation and natriuresis
contraindications of ARB/Neprilysin inhibitor
Pregnancy, use of an ACEI within 36 hours
black box warning ARB/Neprilysin inhibitor
Pregnancy
ADR common of ARB/Neprilysin inhibitor
Hyperkalemia, hypotension, acute kidney injury
ADR rare of ARB/Neprilysin inhibitor
Angioedema
counseling point ARB/Neprilysin inhibitor
drug is for heart failure which can cause dizziness (worse when dehydrated), avoid in pregnancy, use K supplements under medical supervision