Epanolol: Difference between revisions

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'''Epanolol''' is a [[beta blocker]] used in the treatment of [[hypertension]] and [[angina pectoris]]. It is a non-selective beta blocker with additional [[alpha-1 receptor]] blocking activity. Epanolol was developed by [[Schering AG]] and is marketed under the brand name '''Maxiblock'''.
{{Short description|Overview of the beta-blocker Epanolol}}
{{Drugbox
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| image = Epanolol_synthesis.svg
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| image_alt = Synthesis of Epanolol
| image_caption = Synthesis of Epanolol
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'''Epanolol''' is a [[beta-adrenergic blocker]] used primarily in the treatment of [[hypertension]] and [[angina pectoris]]. It is a selective [[beta-1 adrenergic receptor]] antagonist, which means it primarily affects the heart and reduces its workload by slowing down the heart rate and decreasing the force of contraction.


==Pharmacology==
==Pharmacology==
Epanolol is a non-selective beta blocker, meaning it blocks both [[beta-1]] and [[beta-2 adrenergic receptors]]. This results in a decrease in [[heart rate]], [[cardiac output]], and [[blood pressure]]. Additionally, epanolol has alpha-1 receptor blocking activity, which further helps to lower blood pressure.
Epanolol works by blocking the action of [[epinephrine]] and [[norepinephrine]] on the beta-1 adrenergic receptors in the heart. This action leads to a decrease in heart rate, cardiac output, and blood pressure, making it effective in managing conditions like hypertension and angina.
 
==Mechanism of Action==
[[File:Epanolol_synthesis.svg|thumb|right|Synthesis of Epanolol]]
Epanolol selectively binds to beta-1 adrenergic receptors, which are predominantly found in cardiac tissue. By inhibiting these receptors, epanolol reduces the effects of sympathetic nervous system stimulation, leading to decreased heart rate and myocardial contractility.


==Medical uses==
==Clinical Uses==
Epanolol is used in the treatment of hypertension and angina pectoris. It can also be used to prevent [[migraine]] headaches and to treat certain types of [[arrhythmia]].
Epanolol is primarily used in the management of:
* [[Hypertension]]
* [[Angina pectoris]]


==Side effects==
It may also be used off-label for other cardiovascular conditions where beta-blockade is beneficial.
Common side effects of epanolol include [[fatigue]], [[dizziness]], and [[nausea]]. Less common side effects can include [[depression]], [[insomnia]], and [[shortness of breath]].


==Contraindications==
==Side Effects==
Epanolol is contraindicated in patients with [[asthma]], [[bradycardia]], and [[heart block]]. It should also be used with caution in patients with [[diabetes]] or [[peripheral vascular disease]].
Common side effects of epanolol include:
* [[Bradycardia]]
* [[Fatigue]]
* [[Dizziness]]
* [[Cold extremities]]


==See also==
Less common but more serious side effects can include:
* [[Heart failure]]
* [[Bronchospasm]] in patients with [[asthma]]
 
==Synthesis==
The synthesis of epanolol involves several chemical reactions, as depicted in the accompanying diagram. The process typically starts with the preparation of the appropriate [[aromatic amine]], followed by a series of reactions to introduce the necessary functional groups and achieve the final beta-blocker structure.
 
==Related pages==
* [[Beta blocker]]
* [[Beta blocker]]
* [[Hypertension]]
* [[Hypertension]]
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[[Category:Beta blockers]]
[[Category:Beta blockers]]
[[Category:Drugs]]
[[Category:Cardiovascular drugs]]
[[Category:Pharmacology]]
 
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Latest revision as of 11:33, 15 February 2025

Overview of the beta-blocker Epanolol


Epanolol
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Epanolol is a beta-adrenergic blocker used primarily in the treatment of hypertension and angina pectoris. It is a selective beta-1 adrenergic receptor antagonist, which means it primarily affects the heart and reduces its workload by slowing down the heart rate and decreasing the force of contraction.

Pharmacology[edit]

Epanolol works by blocking the action of epinephrine and norepinephrine on the beta-1 adrenergic receptors in the heart. This action leads to a decrease in heart rate, cardiac output, and blood pressure, making it effective in managing conditions like hypertension and angina.

Mechanism of Action[edit]

Synthesis of Epanolol

Epanolol selectively binds to beta-1 adrenergic receptors, which are predominantly found in cardiac tissue. By inhibiting these receptors, epanolol reduces the effects of sympathetic nervous system stimulation, leading to decreased heart rate and myocardial contractility.

Clinical Uses[edit]

Epanolol is primarily used in the management of:

It may also be used off-label for other cardiovascular conditions where beta-blockade is beneficial.

Side Effects[edit]

Common side effects of epanolol include:

Less common but more serious side effects can include:

Synthesis[edit]

The synthesis of epanolol involves several chemical reactions, as depicted in the accompanying diagram. The process typically starts with the preparation of the appropriate aromatic amine, followed by a series of reactions to introduce the necessary functional groups and achieve the final beta-blocker structure.

Related pages[edit]