Details
Stereochemistry | ABSOLUTE |
Molecular Formula | 2C18H29NO2.H2O4S |
Molecular Weight | 680.935 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
OS(O)(=O)=O.CC(C)(C)NC[C@H](O)COC1=C(C=CC=C1)C2CCCC2.CC(C)(C)NC[C@H](O)COC3=C(C=CC=C3)C4CCCC4
InChI
InChIKey=FEDSNBHHWZEYTP-ZFQYHYQMSA-N
InChI=1S/2C18H29NO2.H2O4S/c2*1-18(2,3)19-12-15(20)13-21-17-11-7-6-10-16(17)14-8-4-5-9-14;1-5(2,3)4/h2*6-7,10-11,14-15,19-20H,4-5,8-9,12-13H2,1-3H3;(H2,1,2,3,4)/t2*15-;/m00./s1
Penbutolol is a new beta-adrenergic blocking drug approved for the treatment of hypertension. It is a noncardioselective beta-blocker and has intrinsic sympathomimetic activity. Penbutolol is marketed under the trade names Levatol, Levatolol, Lobeta, Paginol, Hostabloc, Betapressin. Penbutolol acts on the β1 adrenergic receptors in both the heart and the kidney. When β1 receptors are activated by catecholamines, they stimulate a coupled G protein that leads to the conversion of adenosine triphosphate (ATP) to cyclic adenosine monophosphate (cAMP). The increase in cAMP leads to activation of protein kinase A (PKA), which alters the movement of calcium ions in heart muscle and increases the heart rate. Penbutolol blocks the catecholamine activation of β1 adrenergic receptors and decreases heart rate, which lowers blood pressure. Levatol (Penbutolol) is indicated in the treatment of mild to moderate arterial hypertension. It may be used
alone or in combination with other antihypertensive agents, especially thiazide-type diuretics.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL273 Sources: https://www.ncbi.nlm.nih.gov/pubmed/8568799 |
2.4 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | LEVATOL Approved UseLevatol® is indicated in the treatment of mild to moderate arterial hypertension. It may be used
alone or in combination with other antihypertensive agents, especially thiazide-type diuretics. Launch Date1987 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
285 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2906875 |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
PENBUTOLOL blood | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1.21 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2906875 |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
PENBUTOLOL blood | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2% |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
PENBUTOLOL plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
4 mg 1 times / day single, intravenous Studied dose Dose: 4 mg, 1 times / day Route: intravenous Route: single Dose: 4 mg, 1 times / day Sources: |
unhealthy, 33- 62 years n = 10 Health Status: unhealthy Condition: ANGINA PECTORIS Age Group: 33- 62 years Sex: M Population Size: 10 Sources: |
|
120 mg 1 times / day steady, oral Studied dose Dose: 120 mg, 1 times / day Route: oral Route: steady Dose: 120 mg, 1 times / day Sources: |
unhealthy, 55.7 years (range: 43-64 years) n = 8 Health Status: unhealthy Age Group: 55.7 years (range: 43-64 years) Sex: M+F Population Size: 8 Sources: |
|
40 mg 1 times / day steady, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: steady Dose: 40 mg, 1 times / day Sources: |
unhealthy, adult n = 628 Health Status: unhealthy Age Group: adult Population Size: 628 Sources: |
Disc. AE: Asthenia, Nausea... AEs leading to discontinuation/dose reduction: Asthenia (0.6%) Sources: Nausea (0.8%) Depression (0.6%) Dizziness (0.6%) Headache (0.6%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Asthenia | 0.6% Disc. AE |
40 mg 1 times / day steady, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: steady Dose: 40 mg, 1 times / day Sources: |
unhealthy, adult n = 628 Health Status: unhealthy Age Group: adult Population Size: 628 Sources: |
Depression | 0.6% Disc. AE |
40 mg 1 times / day steady, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: steady Dose: 40 mg, 1 times / day Sources: |
unhealthy, adult n = 628 Health Status: unhealthy Age Group: adult Population Size: 628 Sources: |
Dizziness | 0.6% Disc. AE |
40 mg 1 times / day steady, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: steady Dose: 40 mg, 1 times / day Sources: |
unhealthy, adult n = 628 Health Status: unhealthy Age Group: adult Population Size: 628 Sources: |
Headache | 0.6% Disc. AE |
40 mg 1 times / day steady, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: steady Dose: 40 mg, 1 times / day Sources: |
unhealthy, adult n = 628 Health Status: unhealthy Age Group: adult Population Size: 628 Sources: |
Nausea | 0.8% Disc. AE |
40 mg 1 times / day steady, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: steady Dose: 40 mg, 1 times / day Sources: |
unhealthy, adult n = 628 Health Status: unhealthy Age Group: adult Population Size: 628 Sources: |
PubMed
Title | Date | PubMed |
---|---|---|
(-)-Penbutolol as a blocker of central 5-HT1A receptor-mediated responses. | 1992 Nov 3 |
|
Screening for library-assisted identification and fully validated quantification of 22 beta-blockers in blood plasma by liquid chromatography-mass spectrometry with atmospheric pressure chemical ionization. | 2004 Nov 26 |
|
Thermotropic liquid crystalline drugs. | 2005 Jul |
|
Stereospecific high-performance liquid chromatographic analysis of tramadol and its O-demethylated (M1) and N,O-demethylated (M5) metabolites in human plasma. | 2007 Jun 1 |
|
Carvedilol in hypertension treatment. | 2008 |
|
Development of a list of potentially inappropriate drugs for the korean elderly using the delphi method. | 2010 Dec |
Patents
Sample Use Guides
The usual starting and maintenance dose of Levatol (Penbutolol), used alone or in combination with other
antihypertensive agents, such as thiazide-type diuretics, is 20 mg given once daily.
Doses of 40 mg and 80 mg have been well-tolerated but have not been shown to give a greater
antihypertensive effect. The full effect of a 20- or 40-mg dose is seen by the end of 2 weeks. A
dose of 10 mg also lowers blood pressure, but the full effect is not seen for 4 to 6 weeks.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/8799555
Penbutolol (20 uM) significantly inhibited both the increase in [Ca2+]i and the cell-shape change induced by 15 uM LPC in rat isolated cardiomyocytes..
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Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C29576
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NCI_THESAURUS |
C47793
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CHEMBL1290
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253-906-5
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1500808
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SUB03673MIG
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82070
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38363-32-5
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100000085542
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US71433228
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C61882
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m8461
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760043
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DBSALT000137
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ACTIVE MOIETY
SUBSTANCE RECORD