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nonselective β-blocker | propranolol, nadolol, carteolol, timolol,Sotalol, Penbutolol, Oxprenolol |
β1-blocker | 1. atenolol, 2. betaxolol, bisoprolol(長效型QD) 3. metoprolol |
β1-blocker with ISA | pindolol, acebutolol, penbutolol |
α1, β-blocker | labetalol, carvedilol |
需調整劑量的 | nadolol, carteolol, atenolol, |
1. ISA: intrinsic sympathomimetic activity
2. β1-blocker with ISA:
ü 藉由減少血管resistance來降血壓
ü 減少cardiac output, heart rate的效果沒有其他β-blocker好(可能是因為β2-agonist>β2-antagonist)。
ü HTN with bradyarrhythmia or peripheral vascular disease效果較好
3. Lipid solubility
very low | Atenolol, ,,, |
low | Acebutolol, Carteolol, Labetalol, Nadolol, Sotalol |
moderate | Bisoprolol(脂/水溶性相當), Metoprolol, Oxprenolol, Penbutolol, Pindolol, Timolol |
high | Propranolol,,,, |
4. β-blocker agents, especially nonselective agents, decrease the release of insulin in response to hyperglycemia; effects on blood glucose may be less likely with labetalol or cardioselective agents such as acebutolol, betaxolol, atenolol, and metoprolol, especially at lower doses)
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