Baxdrostat

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A medication used in the treatment of hypertension


Baxdrostat
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Baxdrostat is a medication that acts as an inhibitor of the enzyme aldosterone synthase, which is involved in the production of the hormone aldosterone. It is primarily used in the treatment of hypertension, particularly in cases where patients have resistant hypertension that does not respond adequately to standard treatments.

Mechanism of Action[edit | edit source]

Baxdrostat works by selectively inhibiting the enzyme aldosterone synthase, also known as CYP11B2. This enzyme is responsible for the final step in the biosynthesis of aldosterone, a hormone that plays a crucial role in regulating blood pressure by controlling the balance of sodium and potassium in the body. By inhibiting aldosterone production, baxdrostat helps to lower blood pressure in patients with hypertension.

Clinical Use[edit | edit source]

Baxdrostat is indicated for use in patients with hypertension, particularly those with resistant forms of the condition. Resistant hypertension is defined as blood pressure that remains above target levels despite the use of three or more antihypertensive medications, including a diuretic.

Pharmacokinetics[edit | edit source]

The pharmacokinetic profile of baxdrostat includes its absorption, distribution, metabolism, and excretion. After oral administration, baxdrostat is absorbed into the bloodstream and distributed throughout the body. It is metabolized primarily in the liver and excreted via the kidneys.

Side Effects[edit | edit source]

Common side effects of baxdrostat may include dizziness, fatigue, and hyperkalemia, which is an elevated level of potassium in the blood. Patients taking baxdrostat should be monitored for changes in electrolyte levels, particularly potassium.

Development and Approval[edit | edit source]

Baxdrostat was developed as part of ongoing efforts to find effective treatments for hypertension, especially in patients who do not respond to conventional therapies. It represents a novel approach by targeting the hormonal regulation of blood pressure.

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