JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA
Vol. 12 No. 3 (2025): JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA

Effect of Combined Angiotensin-Converting Enzyme Inhibitor and Calcium Channel Blocker Therapy on Blood Glucose Level in Sprague-Dawley Rats

Mulianingtyas, Grace Valentina (Unknown)
Nainggolan, Hotlina (Unknown)



Article Info

Publish Date
19 Dec 2025

Abstract

Background: Hypertension is related to high blood pressure, with values above 140/80 mm Hg, and is a major contributor to morbidity in Indonesia. Pharmacotherapy is recommended for patients with high-grade hypertension and can be administered as monotherapy or combination therapy. Angiotensin-converting enzyme inhibitors (ACEIs), such as captopril, and calcium channel blockers (CCBs), such as amlodipine, were among the most prescribed combination therapies. Case reports suggest that ACEIs are associated with hypoglycemia, whereas CCBs are associated with hyperglycemia. However, no studies related to blood glucose show results in combining use. Objective: This study aimed to test the effect of ACEI and CCB combination on blood glucose levels in Sprague-Dawley rats. Methods: Twenty-five Sprague-Dawley rats (6-8 weeks old) were divided into 5 groups of 5 animals each consisting of normal, negative control, amlodipine, captopril, and combination group. The test lasted for 21 days, and blood glucose levels were measured every 7 days. The significance level was set at p-value<0.05 to determine whether there was an effect on blood glucose. Results: There were significant differences in blood glucose levels before and after treatment in the amlodipine and combination groups with significance levels, respectively, p=0.003; 0.046 (p<0.05). Conclusion: Among all test groups, amlodipine showed a significant results in affecting blood glucose and resulting in hyperglycemic events. While the combination showed a significant difference, it did not lead to hyperglycemia.

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Journal Info

Abbrev

JFIKI

Publisher

Subject

Chemistry Education Health Professions Medicine & Pharmacology Other

Description

Jurnal ini adalah jurnal peer-review nasional, yang diterbitkan dua kali dalam membahas tentang topik-topik hasil penelitian di bidang pelayanan dan praktik kefarmasian, konsultasi masyarakat, teknologi kefarmasian serta disiplin ilmu kesehatan yang terkait dengan erat. Jurnal ini memfokuskan pada ...