II. Indications

III. Mechanism

  1. See ACE Inhibitor
  2. Non-sulfhydryl Angiotensin Converting Enzyme (ACE) inhibitor
  3. Moexipril is a prodrug, converted to its active form Moexiprilat via hydrolysis

IV. Dosing

  1. Adequate 24 hour Blood Pressure control may require twice daily dosing
  2. Take one hour before meals
  3. Hypertension
    1. Start 7.5 mg orally daily
      1. Start 3.75 mg orally daily in renal dysfunction
    2. Target 7.5 to 30 mg orally daily or divided twice daily
    3. Maximum 30 mg/day (15 mg/day in renal dysfunction)

V. Supplied

  1. Available as generic scored tablets (7.5, 15 mg)

VI. Metabolism

  1. Primarily hepatic metabolism

VII. Adverse Effects

VIII. Safety

  1. See ACE Inhibitor
  2. Pregnancy Category X
  3. Avoid in Lactation

X. References

  1. (2016) Presc Lett, Resource #321151, ACE Inhibitor Antihypertensive Dose Comparison
  2. (2020) Med Lett Drugs Ther 62(1598): 73-80
  3. Olson (2020) Clinical Pharmacology, Medmaster Miami, p. 68-9
  4. Hamilton (2020) Tarascon Pocket Pharmacopoeia

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Related Studies

Cost: Medications

moexipril (on 12/21/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
MOEXIPRIL HCL 15 MG TABLET Generic $0.75 each
MOEXIPRIL HCL 7.5 MG TABLET Generic $0.97 each