[The effect of diuretics on the magnitude of the effect of isosorbide dinitrate given as a single dose and after long-term administration. Ergometric study in patients with stable angina pectoris]

Vnitr Lek. 1994 Nov;40(11):693-7.
[Article in Czech]

Abstract

The authors assessed in 24 men with stable angina pectoris, using means of ergometry, the antiischaemic and antianginose effects of a combination of the nitrate Iso-Mack retard and the diuretic Moduretic. The effects were compared with the effects of Iso-Mack retard administered alone and with the effects of placebo. The examination was made after a single dose of the drugs and after three-week administration. The authors revealed that a single dose of the diuretic significantly enhanced the effects of nitrate. During long-term administration the diuretic did not prevent a significant diminution of the nitrate effects. Finally the authors discuss possible mechanisms of development of tolerance for nitrates and possibilities how to influence this tolerance by a diuretic.

Publication types

  • Clinical Trial
  • Comparative Study
  • English Abstract
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Angina Pectoris / drug therapy*
  • Angina Pectoris / physiopathology
  • Blood Pressure / drug effects
  • Drug Synergism
  • Electrocardiography / drug effects
  • Exercise Test*
  • Heart Rate / drug effects
  • Humans
  • Hydrochlorothiazide / pharmacology*
  • Isosorbide Dinitrate / administration & dosage*
  • Isosorbide Dinitrate / pharmacology
  • Male
  • Middle Aged
  • Single-Blind Method

Substances

  • Hydrochlorothiazide
  • Isosorbide Dinitrate