Soquinolol
Soquinolol
Soquinolol is a beta-adrenergic antagonist (beta-blocker) that is primarily used in the management of cardiovascular diseases. It is a non-selective beta-blocker, meaning it inhibits both beta-1 and beta-2 adrenergic receptors. This class of drugs is commonly used to treat conditions such as hypertension, angina pectoris, and certain types of arrhythmias.
Mechanism of Action
Soquinolol works by blocking the effects of epinephrine (adrenaline) and norepinephrine on beta-adrenergic receptors. By inhibiting these receptors, soquinolol reduces the heart rate, decreases cardiac output, and lowers blood pressure. This action helps to reduce the workload on the heart and is beneficial in treating hypertension and angina.
Pharmacokinetics
Soquinolol is administered orally and is well absorbed from the gastrointestinal tract. It undergoes hepatic metabolism and is excreted primarily in the urine. The half-life of soquinolol allows for once or twice daily dosing, depending on the clinical scenario and patient needs.
Clinical Uses
Soquinolol is indicated for the treatment of:
- Hypertension
- Angina pectoris
- Arrhythmias, particularly supraventricular arrhythmias
- Heart failure (in certain cases, as part of a comprehensive treatment plan)
Side Effects
Common side effects of soquinolol include:
- Bradycardia (slow heart rate)
- Hypotension (low blood pressure)
- Fatigue
- Dizziness
- Cold extremities
Less common but serious side effects can include:
- Bronchospasm, particularly in patients with asthma or COPD
- Heart block
- Depression
Contraindications
Soquinolol should not be used in patients with:
- Asthma or severe chronic obstructive pulmonary disease (COPD)
- Bradycardia
- Heart block greater than first degree
- Cardiogenic shock
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Contributors: Prab R. Tumpati, MD