Bioavailability: 60%
Peak Plasma Time: 1.5-3 hr
Vd: 16 L
Protein Bound: >99% (mainly albumin)
Metabolites: Forms 2 primary metabolites; major metabolite in plasma is formed by O-dealkylation, referred to as metabolite M-II, and the minor metabolite is formed by decarboxylation, referred to as metabolite M-I; M-I and MII do not contribute to the pharmacologic activity
Metabolism: Azilsartan medoxomil is hydrolyzed to azilsartan (active drug) in GI tract during absorption
Enzymatic metabolism: major enzyme responsible for azilsartan metabolism is CYP2C9
Half-Life: 11 hr
Clearance: 0.14 L/hr
Excretion: feces (55%), urine (42%)
Indicated for hypertension, either alone or in combination with other antihypertensives
No dose adjustment is required with mild-to-severe renal impairment or end-stage renal disease
Patients with moderate-to-severe renal impairment are more likely to report high serum creatinine values
Dose adjustment not necessary with mild-to-moderate hepatic impairment; monitor in severe impairment (data not available)
May be administered with or without food