Skip to main content
British Journal of Clinical Pharmacology logoLink to British Journal of Clinical Pharmacology
. 1981 Aug;12(2):223–228. doi: 10.1111/j.1365-2125.1981.tb01204.x

Once daily beta-adrenoceptor blockade in hypertension: an ambulatory assessment.

S Mann, M W Craig, V Balasubramanian, E B Raftery
PMCID: PMC1401861  PMID: 6118172

Abstract

1 The ambulant intra-arterial blood pressure of eighteen hypertensive subjects was monitored before and again after 3 months treatment with thrice daily sotalol (six patients), twice daily pindolol (six patients) and once daily pindolol (six patients). 2 Three patients in the sotalol group underwent a third study having changed to a once daily regimen; similarly six patients in the pindolol groups were restudied having crossed over to the alternative pindolol dosing regimen, total daily dosage being maintained in all cases. 3 Comparison of 24 h blood pressure curves before and after treatment showed effective daytime reduction but less consistent effects at night. 4 In the crossover experiments once daily and multiple daily dosing regimens produced identical patterns of reduction over 24 h in both blood pressure and heart rate. 5 It is inferred that in the treatment of hypertension, once daily dosing with standard preparations of beta-adrenoceptor blocking agents is probable adequate.

Full text

PDF
223

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aellig W. H. beta-Adrenoceptor blocking activity and duration of action of pindolol and propranolol in healthy volunteers. Br J Clin Pharmacol. 1976 Apr;3(2):251–257. doi: 10.1111/j.1365-2125.1976.tb00600.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bobik A., Jennings G., Korner P. I. Plasma pindolol levels and their significance in the assessment of cardiac beta blockade. Med J Aust. 1977 Sep 3;2(2 Suppl):3–5. doi: 10.5694/j.1326-5377.1977.tb113905.x. [DOI] [PubMed] [Google Scholar]
  3. Brown H. C., Carruthers S. G., Kelly J. G., McDevitt D. G., Shanks R. G. Observations on the efficacy and pharmacokinetics of sotalol after oral administration. Eur J Clin Pharmacol. 1976 Mar 22;09(5-6):367–372. doi: 10.1007/BF00606550. [DOI] [PubMed] [Google Scholar]
  4. Cashman P. M., Stott F. D., Craig M. W. Hybrid system for fast data reduction of long-term blood-pressure recordings. Med Biol Eng Comput. 1979 Sep;17(5):629–635. doi: 10.1007/BF02440908. [DOI] [PubMed] [Google Scholar]
  5. Craig M. W., Kenny D., Mann S., Balasubramanian V., Raftery E. B. Effect of once-daily atenolol on ambulatory blood pressure. Br Med J. 1979 Jan 27;1(6158):237–238. doi: 10.1136/bmj.1.6158.237-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Floras J. S., Fox P., Hassan M. O., Jones J. V., Sleight P., Turner K. L. Assessment of the antihypertensive effect of atenolol with 24 h ambulatory monitoring of blood pressure. Clin Sci (Lond) 1979 Dec;57 (Suppl 5):387s–389s. doi: 10.1042/cs057387s. [DOI] [PubMed] [Google Scholar]
  7. Gatley M. S. To be taken as directed. J R Coll Gen Pract. 1968 Jul;16(1):39–44. [PMC free article] [PubMed] [Google Scholar]
  8. Gordon R. D. Initial treatment of the young hypertensive: thiazide diuretic or beta-adrenoreceptor-blocking agent in a single daily dose? Clin Sci Mol Med Suppl. 1976 Dec;3:631s–633s. doi: 10.1042/cs051631s. [DOI] [PubMed] [Google Scholar]
  9. Gugler R., Höbel W., Bodem G., Dengler H. J. The effect of pindolol on exercise-induced cardiac acceleration in relation to plasma levels in man. Clin Pharmacol Ther. 1975 Feb;17(2):127–133. doi: 10.1002/cpt1975172127. [DOI] [PubMed] [Google Scholar]
  10. Mann S., Craig M. W., Altman D. G., Melville D. I., Raftery E. B. The effects of metoprolol on ambulatory blood pressure. Clin Sci (Lond) 1979 Dec;57 (Suppl 5):375s–377s. doi: 10.1042/cs057375s. [DOI] [PubMed] [Google Scholar]
  11. Mann S., Millar Craig M. W., Melville D. I., Cashman P. M., Raftery E. B. An ambulatory trial of guanfacine. Br J Clin Pharmacol. 1980;10 (Suppl 1):103S–107S. doi: 10.1111/j.1365-2125.1980.tb04915.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Marshall A., Barritt D. W. Drug complience in hypertensive patients. Br Med J. 1977 May 14;1(6071):1278–1279. doi: 10.1136/bmj.1.6071.1278-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Millar Craig M. W., Mann S., Balasubramanian V., Raftery E. B. Blood pressure circadian rhythm in essential hypertension. Clin Sci Mol Med Suppl. 1978 Dec;4:391s–393s. doi: 10.1042/cs055391s. [DOI] [PubMed] [Google Scholar]
  14. Millar-Craig M. W., Hawes D., Whittington J. New system for recording ambulatory blood pressure in man. Med Biol Eng Comput. 1978 Nov;16(6):727–731. doi: 10.1007/BF02442453. [DOI] [PubMed] [Google Scholar]
  15. Reybrouck T., Amery A., Fagard R., Jousten P., Lijnen P., Meulepas E. Beta-blockers: once or three times a day? Br Med J. 1978 May 27;1(6124):1386–1388. doi: 10.1136/bmj.1.6124.1386. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Rowlands D. B., Stallard T. J., Watson R. D., Littler W. A. The influence of physical activity on arterial pressure during ambulatory recordings in man. Clin Sci (Lond) 1980 Jan;58(1):115–117. doi: 10.1042/cs0580115. [DOI] [PubMed] [Google Scholar]
  17. SMIRK F. H., VEALE A. M., ALSTAD K. S. Basal and supplemental blood pressures in relationship to life expectancy and hypertension symptomatology. N Z Med J. 1959 Dec;58:711–735. [PubMed] [Google Scholar]
  18. Sleight P., Floras J., Jones J. V., Hassan M. O. Effect of once-daily atenolol on ambulatory blood pressure. Br Med J. 1979 Feb 17;1(6161):491–491. doi: 10.1136/bmj.1.6161.491. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Traub Y. M., Rosenfeld J. B. Once-a-day pindolol in hypertension. Clin Pharmacol Ther. 1977 May;21(5):588–592. doi: 10.1002/cpt1977215588. [DOI] [PubMed] [Google Scholar]
  20. Watson R. D., Stallard T. J., Littler W. A. Influence of once-daily administration of beta-adrenoceptor antagonists on arterial pressure and its variability. Lancet. 1979 Jun 9;1(8128):1210–1213. doi: 10.1016/s0140-6736(79)91896-8. [DOI] [PubMed] [Google Scholar]
  21. Wilson M., Morgan G., Morgan T. The effect on blood pressure of beta-adrenoreceptor-blocking drugs given once daily. Clin Sci Mol Med Suppl. 1976 Dec;3:527s–528s. doi: 10.1042/cs051527s. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Clinical Pharmacology are provided here courtesy of British Pharmacological Society

RESOURCES