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Angiotensin II

Angiotensin II is a human peptide hormone and a prescription vasoconstrictor used to raise blood pressure in distributive shock.

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At a glance

Evidence stage
Approved use
Regulatory status
GIAPREZA is FDA-approved to increase blood pressure in adults with septic or other distributive shock.
Research context
Angiotensin II is a human peptide hormone and a prescription vasoconstrictor used to raise blood pressure in distributive shock.

What this is

  • Angiotensin II is a human peptide hormone and a prescription vasoconstrictor used to raise blood pressure in distributive shock.

What this isn't

  • A recommendation to use, prepare, combine, or administer a product
  • Evidence that a related molecule or a differently formulated product has the same effects

Key terms

Angiotensin II is a human peptide hormone and a prescription vasoconstrictor used to raise blood pressure in distributive shock.

Angiotensin II activates vascular angiotensin receptors, tightening blood vessels and increasing systemic vascular resistance. This is useful in a narrowly defined intensive-care setting where circulation is dangerously dilated. Its physiological link to the renin–angiotensin system should not be interpreted as a cardiovascular wellness effect or a treatment for ordinary fatigue. GIAPREZA label.

Evidence limits

How to read the evidence

Improved blood pressure is a surrogate outcome, not proof of restored organ function or survival. Participants were already receiving other vasopressors, so this study does not establish a stand-alone first treatment for every form of shock. Exploratory biomarker or kidney subgroups should not replace the overall randomized mortality result or be presented as confirmed patient-selection rules. Trial population and outcomes.

Sources appraised 2026-10-28. Educational information; not medical advice. Study findings apply to the populations, preparations and outcomes described.

External sources and citations

  1. GIAPREZA prescribing information
  2. ATHOS-3 randomized vasodilatory-shock trial

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