Medicine guide

Giapreza

  • Prescription status not stated
  • Heart, blood pressure and circulation
Active substance
Angiotensin II
Made by
Paion Pharma GmbH

Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.

What it is for

  • Giapreza is indicated for the treatment of refractory hypotension in adults with septic or other distributive shock who remain hypotensive despite adequate volume restitution and application of catecholamines and other available vasopressor therapies.

From the official label · 2026-09-30 · European Medicines Agency

How it works

From the US prescribing label for the same active substance (Giapreza). It describes the substance, not this exact product.

Angiotensin II raises blood pressure by vasoconstriction and increased aldosterone release.

Direct action of angiotensin II on the vessel wall is mediated by binding to the G-protein-coupled angiotensin II receptor type 1 on vascular smooth muscle cells, which stimulates Ca 2+ /calmodulin-dependent phosphorylation of myosin and causes smooth muscle contraction.

How the body breaks it down

It is metabolized by aminopeptidase A and angiotensin converting enzyme 2 to angiotensin-(2-8) [angiotensin III] and angiotensin-(1-7), respectively in plasma, erythrocytes and many of the major organs (i.e., intestine, kidney, liver and lung).

Quoted from the prescribing label, sections “Mechanism of Action” and “Pharmacokinetics”. DailyMed · 2026-07-22

Same active substance, strength and form in other countries

Matched on active substance, strength and kind of form only. This is not a statement that the products are equivalent or interchangeable: other ingredients, release and approved uses can differ — ask a pharmacist before swapping.

Medicine passport: one printable page to show a pharmacist abroad

United StatesNo exact match for this strength and form

Details

Made byPaion Pharma GmbH
Active substanceAngiotensin II
Used inHeart, blood pressure and circulation
ClassificationC09 · Heart, blood pressure and circulation
Additional monitoring ▼Yes — under additional monitoring (black triangle). Report suspected side effects.
Authorised on2019-08-23
Last updated by the regulator2024-09-25
EMA product numberEMEA/H/C/004930

Source: European Medicines Agency — medicine data · 2026-09-30 · not reviewed by a clinician

Source: European Medicines Agency (EMA). Product information as published by EMA. Reuse terms: EMA legal notice (reproduction authorised).