Peringatan Keamanan

LD50 Values

Mouse: 2 g/kg (Oral), 57 mg/kg (IV), 134 mg/kg (IP), 400 mg/kg (SC)L6316

Rat: 2 g/kg (Oral), 77 mg/kg (IV), 600 mg/kg (SC)L6316

Rabbit: 50 mg/kg (IV)L6316

Carcinogenicity & Mutagenicity

Studies in rats and mice at doses of 300 mg/kg/day, equivalent to 150 times maximum recommended human dose, for durations of 18 and 24 months showed no carcinogenicity.label One study in rats at doses of 500-1500 mg/kg/day, 250-750 times maximum human dose, resulted in increases benign adrenal medullary tumors in both sexes and increase mammary fibroadenomas in females.

Atenolol showed no mutagenicity in the Ames test using S. typhinarium, dominant lethal test in mice, or in vivo cytogenetics test in chinese hamster ovary cells.label

Reproductive Toxicity

No adverse effects on fertility were observed in either male or female mice after receiving doses of 200 mg/kg/day, equivalent to 200 times the maximum human dose. In humans, atenolol is known to cross the placenta and fetuses exposed to the drug have been reported to be smaller than expected considering gestational age. Embryo-fetal resorption has been observed in rats at doses of 50mg/kg/day, 50 times the max human dose, but not in rabbits at doses of 25mg/kg/day.label

Lactation

Atenolol appears in breast milk at a ratio of 1.5-6.8 to plasma concentrations.label It has been estimated that infant exposure occurs at 5.7-19.2% maternal weight-adjusted dosage.L6313 Effects in infants include bradycardia, hypothermia, and lethargy.

Atenolol

DB00335

small molecule approved

Deskripsi

Atenolol is a cardioselective beta-blocker used in a variety of cardiovascular conditions.

Sir James Black, a Scottish pharmacologist, pioneered the use of beta-blockers for the management of angina pectoris in 1958 for which he received the Nobel Prize.A178429 Beta-blockers quickly became popular in clinical use and where subsequently investigated for use in myocardial infarction, arrhythmias, and hypertension during the 1960s. Later they continued to be investigated for use in heart failure throughout the 1970-1980s. Atenolol itself was developed early on in this history by Alvogen Malta under the trade name Tenormin and received FDA approval in September, 1981.label

Despite being one of the most widely prescribed beta blockers, evidence suggests atenolol may not significantly reduce mortality, and only modestly reduce the risk of cardiovascular disease in patients with hypertension.A235850,A235855 A Cochrane review of patients being treated for primary hypertension shows that atenolol shows a risk ratio of 0.88 for cardiovascular disease risk and a risk ratio of 0.99 for mortality.A235850,A235855 Similar results have been found in other meta-analyses.A235860,A235865 A meta-analysis of over 145,000 patients showed the risk of stroke in patients taking atenolol may depend on the age of the patient.A235865 The use of atenolol may need to be based on more patient factors than hypertension alone.A235850,A235855,A235860,A235865

Struktur Molekul 2D

Berat 266.3361
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) 6-7 hrs.[label]
Volume Distribusi Total Vd of 63.8-112.5 L. Atenolol distributes into a central volume of 12.8-17.5 L along with two peripheral compartments with a combined volume of 51-95 L.[A178180] Distribution takes about 3 hrs for the central compartment, 4 hrs for the shallower peripheral compartment, and 5-6 hrs for the deeper peripheral compartment.
Klirens (Clearance) Total clearance is estimated at 97.3-176.3 mL/min with a renal clearance of 95-168 mL/min.[A178180]

Absorpsi

Approximately 50% of an oral dose is absorbed from the gastrointestinal tract, with the remainder being excreted unchanged in the feces.label Administering atenolol with food can decrease the AUC by about 20%.A178180 While atenolol can cross the blood-brain barrier, it does so slowly and to a small extent.

Metabolisme

Minimal metabolism in the liver.label The sole non-conjugated metabolite is the product of a hydroxylation reaction at the carbon between the amide and benzene groups.A178204 The only other metabolite to be confirmed is a glucuronide conjugate. These metabolites make up 5-8% and 2% of the renally excreted dose with 87-90% appearing as unchanged drug. The hydroxylated metabolite is exerts 1/10th the beta-blocking activity of atenolol.

Rute Eliminasi

85% is eliminated by the kidneys following IV administration with 10% appearing in the feces.label,A178180

Farmakogenomik

1 Varian
ADRB1 (rs1801253)

Patients with this genotype have a greater reduction in blood pressure with atenolol.

Interaksi Obat

1338 Data
Duloxetine The risk or severity of orthostatic hypotension and syncope can be increased when Atenolol is combined with Duloxetine.
Levodopa The risk or severity of hypotension and orthostatic hypotension can be increased when Atenolol is combined with Levodopa.
Risperidone Atenolol may increase the hypotensive activities of Risperidone.
Erythromycin Erythromycin may decrease the excretion rate of Atenolol which could result in a higher serum level.
Progesterone Progesterone may decrease the excretion rate of Atenolol which could result in a higher serum level.
Bosentan Bosentan may decrease the excretion rate of Atenolol which could result in a higher serum level.
Ethinylestradiol Ethinylestradiol may decrease the excretion rate of Atenolol which could result in a higher serum level.
Ursodeoxycholic acid Ursodeoxycholic acid may decrease the excretion rate of Atenolol which could result in a higher serum level.
Cholic Acid Cholic Acid may decrease the excretion rate of Atenolol which could result in a higher serum level.
Simeprevir Simeprevir may decrease the excretion rate of Atenolol which could result in a higher serum level.
Lenvatinib Lenvatinib may decrease the excretion rate of Atenolol which could result in a higher serum level.
Valinomycin Valinomycin may decrease the excretion rate of Atenolol which could result in a higher serum level.
Olmesartan Olmesartan may decrease the excretion rate of Atenolol which could result in a higher serum level.
Pralsetinib Pralsetinib may decrease the excretion rate of Atenolol which could result in a higher serum level.
Ceritinib Atenolol may increase the bradycardic activities of Ceritinib.
Ivabradine Atenolol may increase the bradycardic activities of Ivabradine.
Ruxolitinib Ruxolitinib may increase the bradycardic activities of Atenolol.
Alfuzosin Alfuzosin may increase the hypotensive activities of Atenolol.
Amifostine Atenolol may increase the hypotensive activities of Amifostine.
Diazoxide Diazoxide may increase the hypotensive activities of Atenolol.
Methylphenidate Methylphenidate may decrease the antihypertensive activities of Atenolol.
Dexmethylphenidate Dexmethylphenidate may decrease the antihypertensive activities of Atenolol.
Obinutuzumab Atenolol may increase the hypotensive activities of Obinutuzumab.
Pentoxifylline Pentoxifylline may increase the hypotensive activities of Atenolol.
Rituximab Atenolol may increase the hypotensive activities of Rituximab.
Desmopressin Desmopressin may decrease the antihypertensive activities of Atenolol.
Eletriptan Eletriptan may decrease the antihypertensive activities of Atenolol.
Zolmitriptan Zolmitriptan may decrease the antihypertensive activities of Atenolol.
Buspirone Buspirone may decrease the antihypertensive activities of Atenolol.
Doxapram Doxapram may decrease the antihypertensive activities of Atenolol.
Sumatriptan Sumatriptan may decrease the antihypertensive activities of Atenolol.
Alfentanil Alfentanil may decrease the antihypertensive activities of Atenolol.
Fentanyl Fentanyl may decrease the antihypertensive activities of Atenolol.
Phenmetrazine Phenmetrazine may decrease the antihypertensive activities of Atenolol.
Naratriptan Naratriptan may decrease the antihypertensive activities of Atenolol.
Rizatriptan Rizatriptan may decrease the antihypertensive activities of Atenolol.
Dopamine Dopamine may decrease the antihypertensive activities of Atenolol.
Frovatriptan Frovatriptan may decrease the antihypertensive activities of Atenolol.
Dutasteride Dutasteride may decrease the antihypertensive activities of Atenolol.
Finasteride Finasteride may decrease the antihypertensive activities of Atenolol.
Yohimbine Yohimbine may decrease the antihypertensive activities of Atenolol.
Solifenacin Solifenacin may decrease the antihypertensive activities of Atenolol.
Epicaptopril Epicaptopril may decrease the antihypertensive activities of Atenolol.
1-benzylimidazole 1-benzylimidazole may decrease the antihypertensive activities of Atenolol.
Amineptine Amineptine may decrease the antihypertensive activities of Atenolol.
Flibanserin Flibanserin may decrease the antihypertensive activities of Atenolol.
Naluzotan Naluzotan may decrease the antihypertensive activities of Atenolol.
Nitrous oxide Nitrous oxide may decrease the antihypertensive activities of Atenolol.
Cinitapride Cinitapride may decrease the antihypertensive activities of Atenolol.
Lurasidone Lurasidone may decrease the antihypertensive activities of Atenolol.
Tyramine Tyramine may decrease the antihypertensive activities of Atenolol.
Ifenprodil Ifenprodil may decrease the antihypertensive activities of Atenolol.
Dimetacrine Dimetacrine may decrease the antihypertensive activities of Atenolol.
Butriptyline Butriptyline may decrease the antihypertensive activities of Atenolol.
Moxisylyte Moxisylyte may decrease the antihypertensive activities of Atenolol.
Tianeptine Tianeptine may decrease the antihypertensive activities of Atenolol.
Oxaprotiline Oxaprotiline may decrease the antihypertensive activities of Atenolol.
Atipamezole Atipamezole may decrease the antihypertensive activities of Atenolol.
Tetrahydrocannabivarin Tetrahydrocannabivarin may decrease the antihypertensive activities of Atenolol.
Piclozotan Piclozotan may decrease the antihypertensive activities of Atenolol.
Siponimod Siponimod may decrease the antihypertensive activities of Atenolol.
Idazoxan Idazoxan may decrease the antihypertensive activities of Atenolol.
Tramazoline Tramazoline may decrease the antihypertensive activities of Atenolol.
Amitriptylinoxide Amitriptylinoxide may decrease the antihypertensive activities of Atenolol.
Dibenzepin Dibenzepin may decrease the antihypertensive activities of Atenolol.
Quinupramine Quinupramine may decrease the antihypertensive activities of Atenolol.
Trichloroethylene Trichloroethylene may decrease the antihypertensive activities of Atenolol.
Fenozolone Fenozolone may decrease the antihypertensive activities of Atenolol.
Melitracen Melitracen may decrease the antihypertensive activities of Atenolol.
Lofepramine Lofepramine may decrease the antihypertensive activities of Atenolol.
Xenon Xenon may decrease the antihypertensive activities of Atenolol.
Iprindole Iprindole may decrease the antihypertensive activities of Atenolol.
Buflomedil Buflomedil may decrease the antihypertensive activities of Atenolol.
Diethyl ether Diethyl ether may decrease the antihypertensive activities of Atenolol.
Imipramine oxide Imipramine oxide may decrease the antihypertensive activities of Atenolol.
Mefenorex Mefenorex may decrease the antihypertensive activities of Atenolol.
5-methoxy-N,N-dimethyltryptamine 5-methoxy-N,N-dimethyltryptamine may decrease the antihypertensive activities of Atenolol.
Quinoline Yellow WS Quinoline Yellow WS may decrease the antihypertensive activities of Atenolol.
Solriamfetol Solriamfetol may decrease the antihypertensive activities of Atenolol.
Sufentanil Sufentanil may decrease the antihypertensive activities of Atenolol.
Isoflurane Isoflurane may decrease the antihypertensive activities of Atenolol.
Propofol Propofol may decrease the antihypertensive activities of Atenolol.
Remifentanil Remifentanil may decrease the antihypertensive activities of Atenolol.
Halothane Halothane may decrease the antihypertensive activities of Atenolol.
Desflurane Desflurane may decrease the antihypertensive activities of Atenolol.
Sevoflurane Sevoflurane may decrease the antihypertensive activities of Atenolol.
Protriptyline Protriptyline may decrease the antihypertensive activities of Atenolol.
Opipramol Opipramol may decrease the antihypertensive activities of Atenolol.
Selpercatinib Selpercatinib may decrease the antihypertensive activities of Atenolol.
Naxitamab Naxitamab may decrease the antihypertensive activities of Atenolol.
Cannabidiol The metabolism of Atenolol can be decreased when combined with Cannabidiol.
Amiodarone The therapeutic efficacy of Atenolol can be increased when used in combination with Amiodarone.
Bupivacaine The serum concentration of Bupivacaine can be increased when it is combined with Atenolol.
Dipyridamole Dipyridamole may increase the bradycardic activities of Atenolol.
Disopyramide Disopyramide may increase the bradycardic activities of Atenolol.
Dronedarone Dronedarone may increase the bradycardic activities of Atenolol.
Fingolimod Atenolol may increase the bradycardic activities of Fingolimod.
Floctafenine The risk or severity of adverse effects can be increased when Atenolol is combined with Floctafenine.
Mepivacaine The serum concentration of Mepivacaine can be increased when it is combined with Atenolol.
Methacholine Atenolol may increase the bronchoconstrictory activities of Methacholine.

Target Protein

Beta-1 adrenergic receptor ADRB1
Beta-2 adrenergic receptor ADRB2

Referensi & Sumber

Synthesis reference: Barrett, A.M., Carter, J., Hull, R., Le Count, D.J. and Squire, C.J.; U.S. Patent 3,663,607; May 16, 1972; assigned to Imperial Chemical Industries Limited, England. Barrett, A.M., Carter, J., Hull, R., Le Count, D.J. and Squire, C.J.; U.S. Patent 3,836,671; September 17, 1974; assigned to Imperial Chemical Industries Limited, England.
Artikel (PubMed)
  • PMID: 30703530
    January CT, Wann LS, Calkins H, Field ME, Chen LY, Furie KL, Cigarroa JE, Heidenreich PA, Cleveland JC Jr, Murray KT, Ellinor PT, Shea JB, Ezekowitz MD, Tracy CM, Yancy CW: 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Heart Rhythm. 2019 Jan 28. pii: S1547-5271(19)30037-2. doi: 10.1016/j.hrthm.2019.01.024.
  • PMID: 27521067
    Ross DS, Burch HB, Cooper DS, Greenlee MC, Laurberg P, Maia AL, Rivkees SA, Samuels M, Sosa JA, Stan MN, Walter MA: 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis. Thyroid. 2016 Oct;26(10):1343-1421. doi: 10.1089/thy.2016.0229.
  • PMID: 29111106
    Ezekowitz JA, O'Meara E, McDonald MA, Abrams H, Chan M, Ducharme A, Giannetti N, Grzeslo A, Hamilton PG, Heckman GA, Howlett JG, Koshman SL, Lepage S, McKelvie RS, Moe GW, Rajda M, Swiggum E, Virani SA, Zieroth S, Al-Hesayen A, Cohen-Solal A, D'Astous M, De S, Estrella-Holder E, Fremes S, Green L, Haddad H, Harkness K, Hernandez AF, Kouz S, LeBlanc MH, Masoudi FA, Ross HJ, Roussin A, Sussex B: 2017 Comprehensive Update of the Canadian Cardiovascular Society Guidelines for the Management of Heart Failure. Can J Cardiol. 2017 Nov;33(11):1342-1433. doi: 10.1016/j.cjca.2017.08.022. Epub 2017 Sep 6.
  • PMID: 25064578
    Mancini GB, Gosselin G, Chow B, Kostuk W, Stone J, Yvorchuk KJ, Abramson BL, Cartier R, Huckell V, Tardif JC, Connelly K, Ducas J, Farkouh ME, Gupta M, Juneau M, O'Neill B, Raggi P, Teo K, Verma S, Zimmermann R: Canadian Cardiovascular Society guidelines for the diagnosis and management of stable ischemic heart disease. Can J Cardiol. 2014 Aug;30(8):837-49. doi: 10.1016/j.cjca.2014.05.013. Epub 2014 May 28.
  • PMID: 26409259
    Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NAM 3rd, Field ME, Goldberger ZD, Hammill SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM: 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2016 Apr 5;67(13):e27-e115. doi: 10.1016/j.jacc.2015.08.856. Epub 2015 Sep 24.
  • PMID: 29084731
    Al-Khatib SM, Stevenson WG, Ackerman MJ, Bryant WJ, Callans DJ, Curtis AB, Deal BJ, Dickfeld T, Field ME, Fonarow GC, Gillis AM, Granger CB, Hammill SC, Hlatky MA, Joglar JA, Kay GN, Matlock DD, Myerburg RJ, Page RL: 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death. Circulation. 2018 Sep 25;138(13):e272-e391. doi: 10.1161/CIR.0000000000000549.
  • PMID: 26172390
    Jackson JL, Cogbill E, Santana-Davila R, Eldredge C, Collier W, Gradall A, Sehgal N, Kuester J: A Comparative Effectiveness Meta-Analysis of Drugs for the Prophylaxis of Migraine Headache. PLoS One. 2015 Jul 14;10(7):e0130733. doi: 10.1371/journal.pone.0130733. eCollection 2015.
  • PMID: 2719503
    Horwitz RI, Gottlieb LD, Kraus ML: The efficacy of atenolol in the outpatient management of the alcohol withdrawal syndrome. Results of a randomized clinical trial. Arch Intern Med. 1989 May;149(5):1089-93.
Menampilkan 8 dari 23 artikel.
Textbook
  • ISBN: 978-1-25-958473-2
    Thomas C. Westfall; Heather Macarthur; David P. Westfall (2018). 12. In Goodman & Gilman's: The Pharmacological Basis of Therapeutics (13th ed.). McGraw-Hill Education.

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