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Aracure-A is a fixed-dose combination of candesartan cilexetil, an angiotensin II receptor antagonist, and amlodipine besilate, a dihydropyridine calcium channel blocker. It is marketed by Cardiotech Pharmaceutical in the Dominican Republic for the treatment of arterial hypertension and heart failure. Candesartan cilexetil acts as a prodrug that is rapidly hydrolyzed to candesartan, which selectively blocks the binding of angiotensin II to the AT1 receptor, leading to vasodilation and reduced aldosterone secretion. Amlodipine besilate inhibits the transmembrane influx of calcium ions into vascular smooth muscle and cardiac muscle, resulting in peripheral arterial vasodilation. Together, these complementary mechanisms provide synergistic blood pressure reduction and cardiovascular protection.
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