Abstract
1 The effect of single oral doses of six β-receptor antagonists on exercise-induced changes in double product (systolic blood pressure × heart rate) were studied in 25 human volunteers.
2 Three doses of propranolol, nadolol, oxprenolol, pindolol, timolol and atenolol were selected for study on the basis of in vivo β-blocking potency.
3 Although all β-blockers studied reduced the double product response to exercise, the pharmacodynamics of this effect differed markedly.
4 Pharmacodynamic half-lives, estimated for the drugs tested, were 39 h for nadolol, atenolol 21 h, timolol 15 h, oxprenolol 13 h, propranolol 11 and pindolol 8 h.
5 These results suggest that the clinical choice of a β-blocker with the least problems of compliance can be made on the basis of pharmacodynamics as well as pharmacological profile.
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Selected References
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