Drug class

Neprilysin Inhibitors

Neprilysin inhibitors are a cardiovascular drug class that blocks the neutral endopeptidase enzyme neprilysin, preventing the breakdown of beneficial endogenous vasoactive peptides such as natriuretic peptides, bradykinin, and adrenomedullin. Read more about Neprilysin Inhibitors

26 drugs in this class 23 manufacturers

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Drugs in Neprilysin Inhibitors

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About Neprilysin Inhibitors.

Neprilysin inhibitors are a cardiovascular drug class that blocks the neutral endopeptidase enzyme neprilysin, preventing the breakdown of beneficial endogenous vasoactive peptides such as natriuretic peptides, bradykinin, and adrenomedullin.

By preserving these peptides, the class promotes vasodilation, natriuresis, diuresis, and antifibrotic cardiovascular signaling.

In clinical practice, neprilysin inhibition is paired with a renin-angiotensin-aldosterone system blocker—most notably the prodrug sacubitril formulated with valsartan as an angiotensin receptor-neprilysin inhibitor—to offset counterregulatory vasoconstrictor signaling.

The class is primarily indicated for the management of chronic heart failure in adults and pediatric patients to decrease the risk of cardiovascular death and hospitalization.