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THE EFFECT OF METOPROLOL AND PRACTOLOL ON LUNG FUNCTION AND BLOOD PRESSURE IN HYPERTENSIVE ASTHMATICS
- Source :
- British Journal of Clinical Pharmacology. 3:1007-1014
- Publication Year :
- 1976
- Publisher :
- Wiley, 1976.
-
Abstract
- The effect of metoprolol, a new beta1-adrenoceptor blocking agent, was compared to practolol in the treatment of hypertension in seventeen asthmatics during concurrent optimum bronchodilator therapy with a selective beta2-adrenoceptor-stimulant. The two beta-adrenoceptor antagonists were given at two dose levels, practolol (200 mg and 400 mg) daily, and metoprolol (100 mg and 200 mg) daily, in a twice-daily dosage schedule, at 12 h intervals, for 17 days. The comparison was made double-blind and a crossover design was used. The drugs were given in randomized order. The study started with a run-in placebo period and there was a washout period on placebo between the treatment periods. Spirometry, blood pressures and heart rates were recorded in a standardized manner. At the lower dose levels no influence on FEV1 was noted, and no difference was found between the two active drugs. At the higher dose level FEV1 was reduced by both beta-adrenoceptor-blocking drugs. Four out of twelve patients given the higher dose experienced exacerbation of their asthma. The heart rate fell with both drugs and at both dose levels. During the placebo period a marked increase of heart rate was noted. The blood pressure fell at both dose levels compared to placebo, no difference being recorded between the two drugs. Metoprolol and practolol are equally effective beta1-adrenoceptor blocking drugs. In this study it was found that metoprolol could be used in asthmatics who had indications for beta-adrenoceptor blockade, provided that the total daily dose did not exceed 100 mg. Optimal bronchodilator treatment with a bronchoselective beta-adrenoceptor agonist is an absolute prerequisite in order to avoid the risk of aggravation of asthma.
- Subjects :
- Adult
Male
Spirometry
medicine.drug_class
Blood Pressure
Placebo
Double-Blind Method
Heart Rate
Forced Expiratory Volume
Bronchodilator
Heart rate
medicine
Humans
Pharmacology (medical)
cardiovascular diseases
Lung
Practolol
Aged
Metoprolol
Pharmacology
Cross-Over Studies
medicine.diagnostic_test
business.industry
organic chemicals
Middle Aged
Adrenergic beta-1 Receptor Antagonists
Crossover study
Blood pressure
Anesthesia
Papers
Hypertension
Female
business
circulatory and respiratory physiology
medicine.drug
Subjects
Details
- ISSN :
- 03065251
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- British Journal of Clinical Pharmacology
- Accession number :
- edsair.doi.dedup.....cd147f1031323f6e21506c67e72002ee