A double-blind comparison of a novel indanone diuretic (MK-196) with hydrochlorothiazide in the treatment of essential hypertension.

Abstract

1 The antihypertensive effect and tolerability of MK-196 (10 mg and 15 mg daily) was compared to hydrochlorothiazide (HCT; 50 mg daily) in a 4-week multiclinic, double-blind study involving 42 patients with mild to moderate, essential hypertension. 2 Both doses of MK-196 were as effective and sometimes more effective than HCT in lowering standing and supine systolic and diastolic blood pressures. 3 HCT consistently brought about significant increases in serum uric acid and significant decreases in serum potassium; both doses of MK-196 produced similar but less frequent and smaller changes in both of these parameters. 4 Both doses of MK-196 brought about significant decreases in body weight at Weeks 3 and 4 of drug treatment. 5 Patients taking MK-196 reported fewer adverse clinical reactions (10 mg = 15%; 15 mg = 13% than those taking HCT (21%). 6 MK-196 may offer a therapeutic advantage over HCT as an antihypertensive agent for use in the treatment of mild to moderate, essential hypertension.

• Authors: C E Wilhelmsson, J A Vedin, C Moerlin, P Lund-Johansen, C Vorburger, W Enenkel, P M Lutterbeck, J Bolognese, V J Cirillo, K F Tempero
• Journal: British journal of clinical pharmacology (Br J Clin Pharmacol) Vol. 8 Issue 3 Pg. 261-6 (Sep 1979) ISSN: 0306-5251 [Print] England
• PMID: 387057 (Publication Type: Clinical Trial, Comparative Study, Controlled Clinical Trial, Journal Article, Randomized Controlled Trial)

Chemical References

• Diuretics
• Indans
• Indenes
• Hydrochlorothiazide
• indacrinone

Topics

• Adult
• Clinical Trials as Topic
• Diuretics (adverse effects, therapeutic use)
• Double-Blind Method
• Female
• Humans
• Hydrochlorothiazide (adverse effects, therapeutic use)
• Hypertension (drug therapy, metabolism)
• Indans (adverse effects, therapeutic use)
• Indenes (therapeutic use)
• Male
• Middle Aged
• Time Factors