PMID- 19083299 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121002 LR - 20081216 IS - 1875-0834 (Electronic) IS - 1760-2734 (Linking) VI - 6 IP - 1 DP - 2004 May TI - Long-term tolerability of benazepril in dogs with congestive heart failure. PG - 7-13 LID - 10.1016/S1760-2734(06)70059-5 [doi] AB - OBJECTIVES: To test the tolerability of long-term administration of benazepril in dogs with congestive heart failure (CHF). METHODS: The study was a prospective, randomized, double-blinded, placebo-controlled clinical trial. A total of 162 dogs with New York Heart Association (NYHA) class II-IV heart failure caused by chronic valvular disease (CVD) or dilated cardiomyopathy (DCM) were enrolled. Benazepril (minimum dosage, 0.25 mg/kg) or placebo were administered orally once daily for up to 34 months. In this paper, we report results of plasma alanine aminotransferase (ALT), creatinine, potassium and urea. RESULTS: The two groups were matched at baseline (p>/=0.18). Plasma creatinine concentrations were lower during treatment with benazepril versus placebo for all dogs (p=0.14) and every sub-group tested (NYHA II, III or IV; CVD; DCM; initial creatinine >124 mumol/L), although statistical significance was not reached (p=0.14-0.6). However, significantly (p=0.035) more cases of creatinine >124 mumol/L during treatment occurred with placebo (47%) as compared to benazepril (30%). Plasma ALT and urea values did not differ between groups for all dogs (p>0.5) or any sub-group (p=0.23-1.0). Plasma potassium values did not differ between groups for all dogs (p>0.5). Although differences approached statistical significance for potassium in some sub-groups (p=0.07-0.1), there were no consistent differences between groups. CONCLUSIONS: Benazepril was well tolerated during long-term therapy in dogs with CHF and no specific precautions appear to be necessary regarding plasma ALT, creatinine, potassium or urea. The possible action of benazepril in improving renal function (evidenced via lower plasma creatinine) merits further investigation. CN - BENCH (BENazepril in Canine Heart disease) Study Group FAU - Pouchelon, Jean-Louis AU - Pouchelon JL FAU - King, Jonathan AU - King J FAU - Martignoni, Laure AU - Martignoni L FAU - Chetboul, Valerie AU - Chetboul V FAU - Lugardon, Beatrice AU - Lugardon B FAU - Rousselot, Jean-Francois AU - Rousselot JF FAU - Corlouer, Jean-Philippe AU - Corlouer JP FAU - Bussadori, Claudio AU - Bussadori C FAU - Piette, Marie-Helene AU - Piette MH FAU - Brownlie, Serena AU - Brownlie S FAU - Martel, Philippe AU - Martel P FAU - Garcin, Jean-Pierre AU - Garcin JP FAU - Hagen, Andreas AU - Hagen A FAU - Amberger, Christophe AU - Amberger C FAU - Martin, Michael AU - Martin M FAU - Labadie, Fabrice AU - Labadie F FAU - Collet, Michel AU - Collet M FAU - Drouard, Christine AU - Drouard C FAU - Lombard, Christophe AU - Lombard C FAU - Herve, Daniel AU - Herve D FAU - Strehlau, Gunther AU - Strehlau G LA - eng PT - Journal Article PL - Netherlands TA - J Vet Cardiol JT - Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology JID - 101163270 EDAT- 2004/05/01 00:00 MHDA- 2004/05/01 00:01 CRDT- 2008/12/17 09:00 PHST- 2008/12/17 09:00 [entrez] PHST- 2004/05/01 00:00 [pubmed] PHST- 2004/05/01 00:01 [medline] AID - S1760-2734(06)70059-5 [pii] AID - 10.1016/S1760-2734(06)70059-5 [doi] PST - ppublish SO - J Vet Cardiol. 2004 May;6(1):7-13. doi: 10.1016/S1760-2734(06)70059-5.