Zofenopril plus hydrochlorothiazide fixed combination in the treatment of hypertension and associated clinical conditions

Stefano Omboni, Ettore Malacco, Gianfranco Parati

Research output: Contribution to journalArticlepeer-review


Zofenopril, is a highly lipophilic ACE inhibitor, characterized by long-lasting tissue penetration and sustained cardiac ACE inhibition, indicated for the treatment of hypertension and myocardial infarction. Comparative studies with different antihypertensive drug classes have demonstrated the good efficacy and tolerability of this compound in the management of the patient with mild-moderate hypertension. Zofenopril may also be combined with hydrochlorothiazide, a combination which has proved to be effective and safe as compared with monotherapy with either agent in three studies, including more than 600 patients. In addition, recent post hoc analyses in high-risk patients, such as those with the metabolic syndrome, impaired fasting glucose or diabetes, atherogenic dyslipidemia, and impaired renal function, have confirmed the superiority of zofenopril 30 mg plus hydrochlorothiazide 12.5 mg once-daily combination as compared with zofenopril monotherapy also in these high-risk populations of patients with hypertension. These data suggest the usefulness of this fixed combination in the treatment of patients with hypertension requiring more prompt, intensive, and sustained blood pressure reduction, according to guidelines recommendation.

Original languageEnglish
Pages (from-to)275-288
Number of pages14
JournalCardiovascular Therapeutics
Issue number4
Publication statusPublished - Dec 2009


  • Chronic kidney disease
  • Diabetes mellitus
  • Dyslipidemia
  • Hypertension
  • Metabolic syndrome
  • Zofenopril
  • Zofenopril plus hydrochlorothiazide

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pharmacology (medical)
  • Pharmacology


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