Adrenergic beta-antagonist: Difference between revisions

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==Availability==
==Availability==
Generically available beta-blockers include:<ref name="pmid15912125">{{cite journal |author= |title=Drugs for hypertension |journal=Treat Guidel Med Lett |volume=3 |issue=34 |pages=39–48 |year=2005 |month=June |pmid=15912125 |doi= |url=http://www.medicalletter.org/scripts/articlefind.cgi?issue=34&page=39 |issn=}}</ref>
Generically available beta-blockers include:<ref name="pmid15912125">{{cite journal |author= |title=Drugs for hypertension |journal=Treat Guidel Med Lett |volume=3 |issue=34 |pages=39–48 |year=2005 |month=June |pmid=15912125 |doi= |url=http://www.medicalletter.org/scripts/articlefind.cgi?issue=34&page=39 |issn=}}</ref>
* Atenolol (renally metabolized)
* Atenolol (renally excreted)
* Betaxolol
* Betaxolol
* Bisoprolol
* Bisoprolol
* Metoprolol (hepatically metabolized by [[cytochrome P-450]]
* Metoprolol (hepatically metabolized by [[cytochrome P-450]])
* Nadolol
* Nadolol
* Propranolol
* Propranolol

Revision as of 22:56, 19 May 2008

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Adrenergic beta-receptor blockaders (beta-blockers) are "drugs that bind to but do not activate beta-adrenergic receptors thereby blocking the actions of beta-adrenergic agonists. Adrenergic beta-antagonists are used for treatment of hypertension, cardiac arrhythmias, angina pectoris, glaucoma, migraine headaches, and anxiety".[1]

Beta-blockers vary within the class regarding intrinsic sympathomimetic activity (ISA), beta 1-selectivity, membrane stabilizing activity, lipophilicity, and metabolism. This may lead to different effectiveness among this class of drugs. A meta-analysis has concluded that metoprolol may be the best beta-blocker for secondary prevention of myocardial infarction.[2]

Availability

Generically available beta-blockers include:[3]

  • Atenolol (renally excreted)
  • Betaxolol
  • Bisoprolol
  • Metoprolol (hepatically metabolized by cytochrome P-450)
  • Nadolol
  • Propranolol
  • Timolol

Generic beta-blockers with intrinsic sympathomimetic activity (less resting bradycardia and lipid changes):[3]

  • Acebutolol
  • Pindolol

Generic beta-blockers with alpha blocking activity (more orthostatic hypotension):[3]

  • Labetalol

References

  1. Anonymous (2024), Adrenergic beta-antagonist (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Soriano JB, Hoes AW, Meems L, Grobbee DE (1997). "Increased survival with beta-blockers: importance of ancillary properties". Prog Cardiovasc Dis 39 (5): 445–56. PMID 9122425[e]
  3. 3.0 3.1 3.2 (June 2005) "Drugs for hypertension". Treat Guidel Med Lett 3 (34): 39–48. PMID 15912125[e]