U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

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
Structure of PENBUTOLOL SULFATE

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

HIDE SMILES / InChI
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

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
LEVATOL

Approved Use

Levatol® 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 Date

1987
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
285 μg/mL
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

T1/2

ValueDoseCo-administeredAnalytePopulation
1.21 h
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

Funbound

ValueDoseCo-administeredAnalytePopulation
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

Doses

DosePopulationAdverse 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%)
Nausea (0.8%)
Depression (0.6%)
Dizziness (0.6%)
Headache (0.6%)
Sources:
AEs

AEs

AESignificanceDosePopulation
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:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as victim
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
(-)-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
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..
Name Type Language
PENBUTOLOL SULFATE
EP   MART.   MI   ORANGE BOOK   USAN   USP   USP-RS   VANDF   WHO-DD  
USAN  
Official Name English
PENBUTOLOL SULFATE [VANDF]
Common Name English
HOE 39-893D
Code English
PENBUTOLOL SULFATE [MART.]
Common Name English
PENBUTOLOL SULFATE [EP MONOGRAPH]
Common Name English
PENBUTOLOL SULFATE [JAN]
Common Name English
Penbutolol sulfate [WHO-DD]
Common Name English
PENBUTOLOL SULFATE [ORANGE BOOK]
Common Name English
(2S)-1-(2-CYCLOPENTYLPHENOXY)-3-((1,1-DIMETHYLETHYL)AMINO)-2-PROPANOL SULFATE (SALT)
Common Name English
NSC-760043
Code English
(S)-1-(TERT-BUTYLAMINO)-3-(O-CYCLOPENTYLPHENOXY)-2-PROPANOL SULPHATE (2:1) (SALT)
Common Name English
PENBUTOLOL SULFATE [MI]
Common Name English
LEVATOL
Brand Name English
PENBUTOLOL SULFATE [USAN]
Common Name English
2-PROPANOL, 1-(2-CYCLOPENTYLPHENOXY)-3-((1,1-DIMETHYLETHYL)AMINO)-, (S)-, SULPHATE (2:1) (SALT)
Common Name English
(2S)-1-(2-CYCLOPENTYLPHENOXY)-3-((1,1-DIMETHYLETHYL)AMINO)-2-PROPANOL SULPHATE (SALT)
Common Name English
PENBUTOLOL SULPHATE
Common Name English
HOE-893D
Code English
PENBUTOLOL SULFATE [USP-RS]
Common Name English
2-PROPANOL, 1-(2-CYCLOPENTYLPHENOXY)-3-((1,1-DIMETHYLETHYL)AMINO)-, (S)-, SULFATE (2:1) (SALT)
Common Name English
PENBUTOLOL SULFATE [USP IMPURITY]
Common Name English
PENBUTOLOL SULFATE [EP IMPURITY]
Common Name English
HOE-39-893D
Code English
HOE 893D
Code English
Classification Tree Code System Code
NCI_THESAURUS C29576
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
NCI_THESAURUS C47793
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
Code System Code Type Description
ChEMBL
CHEMBL1290
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY
ECHA (EC/EINECS)
253-906-5
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY
RS_ITEM_NUM
1500808
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY
EVMPD
SUB03673MIG
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY
RXCUI
82070
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY RxNorm
CAS
38363-32-5
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY
SMS_ID
100000085542
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY
FDA UNII
US71433228
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY
NCI_THESAURUS
C61882
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY
MERCK INDEX
m8461
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY Merck Index
NSC
760043
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY
DRUG BANK
DBSALT000137
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY
PUBCHEM
38010
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY
EPA CompTox
DTXSID5045467
Created by admin on Fri Dec 15 15:11:29 GMT 2023 , Edited by admin on Fri Dec 15 15:11:29 GMT 2023
PRIMARY