Acebutolol
Acebutolol (Sectral) is a cardioselective β1-adrenocep-tor blocking agent
that also has some minor membrane stabilizing effects on the action potential.
Acebutolol’s effects on the
atria, sinoatrial and AV nodes, His-Purkinje system, and ventricular muscle are
similar to those of propranolol.
Acebutolol reduces blood
pressure in patients with es-sential hypertension primarily through its
negative ino-tropic and chronotropic effects.
The pharmacokinetic
characteristics of acebutolol:
Oral bioavailability : 70%
Onset of action : 1–3 hours
Peak response : 3–8 hours
Duration of action : 12–24
hours
Plasma half-life : 3–4 hours
Primary route of metabolism: Hepatic
Primary route of excretion : Renal
(30–40%); biliary/fecal (50–60%)
Therapeutic serum concentration:
Not established
Acebutolol is effective in the management of the patient with
essential hypertension, angina pectoris, and ventric-ular arrhythmias. Antiarrhythmic effects are
observed with the patient both at
rest and taking exercise.
Adverse effects include
bradycardia, gastrointestinal upset, dizziness, and headache.
Acebutolol should not be
administered in cardiogenic shock, uncontrolled heart failure, or severe
bradycar-dia or to patients with known hypersensitivity to the drug.
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