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Hoperam-CT is an oral fixed-dose combination therapy developed by Zinnia Life Sciences for the treatment of hypertension and cardiovascular disease. It contains two active pharmaceutical ingredients: ramipril and chlorthalidone. Ramipril is an angiotensin-converting enzyme (ACE) inhibitor that prevents the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor, thereby promoting vasodilation and reducing blood pressure. Chlorthalidone is a long-acting thiazide-like diuretic that inhibits the Na+-Cl- cotransporter (NCC/SLC12A3) in the distal convoluted tubule of the kidney, leading to increased excretion of sodium and water and a subsequent reduction in plasma volume. The combination of these two mechanisms provides a synergistic effect for blood pressure management.
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