Abstract
Fetal and neonatal toxic effects of angiotensin II receptor antagonists have been described in animals and humans. Five cases of fetal or neonatal deaths have been reported following maternal use of sartans for hypertension. We report a case of neonatal transient renal failure following telmisartan therapy during pregnancy. This class of antihypertensive drugs should be avoided during pregnancy and breastfeeding.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Pryde PG, Sedman AB, Nugent CE . Angiotensin-converting enzyme inhibitor fetopathy. J Am Soc Nephrol 1993;3:1575–1582.
Barr M . Teratogen update: Angiotensin-converting enzyme inhibitors. Teratology 1995;50:399–409.
Spence SG, Allen HL, Cukierski MA et al. Defining the susceptible period of developmental toxicity for the AT1-selective angiotensin II receptor antagonist losartan in rats. Teratology 1995;51:367–382.
Spence SG, Zacchei AG, Lee LL et al. Teratology 1996;53:245–252.
Saji H, Yamanaka M, Hagiwara A, Ijiri R . Losartan and fetal toxic effects. Lancet 2001;357:363.
Martinovic J, Benachi A, Laurent N, Daïka-Dahmane F, Gubler MC . Fetal toxic effects and angiotensin-II receptor antagonists. Lancet 2001;358:241–242.
Briggs GG, Nageotte MP . Fatal fetal outcome with the combined use of valsartan and atenolol. Ann Pharmacoth 2001;35:859–861.
Sorensen AM, Christensen S, Jonassen TE, Andersen D, Petersen JS . Teratogenic effects of ACE-inhibitors and angiotensin-II receptor antagonists. Ugeskrift for Laeger 1998;160:1460–1464.
Website of the European Agency for the evaluation of medicinal products. http://www.eudra.org/humandocs/human/epar/telmisartan/telmisartan.htm
Vidal, editor. Le Dictionnaire. France: Boehringer Ingelheim; 2002. p. 1125.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Pietrement, C., Malot, L., Santerne, B. et al. Perinatal/Neonatal Case Presentation: Neonatal Acute Renal Failure Secondary to Maternal Exposure to Telmisartan, Angiotensin II Receptor Antagonist. J Perinatol 23, 254–255 (2003). https://doi.org/10.1038/sj.jp.7210871
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.jp.7210871
This article is cited by
-
Placental transfer and mammary excretion of a novel angiotensin receptor blocker fimasartan in rats
BMC Pharmacology and Toxicology (2016)
-
Outcomes of 83 fetuses exposed to angiotensin receptor blockers during the second or third trimesters: a literature review
Hypertension Research (2015)
-
Efficacy and safety of angiotensin II receptor type 1 antagonists in children and adolescents
Pediatric Nephrology (2010)
-
Increased renal echogenicity in a preterm neonate: Answer
Pediatric Nephrology (2005)