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Coretal - General Information: A beta-adrenergic antagonist used in the treatment of hypertension, angina pectoris, arrhythmias, and anxiety. [PubChem] Pharmacology: Coretal is a non-selective beta blocker with some intrinsic sympathomimetic activity. Coretal is a lipophilic beta blocker which passes the blood-brain barrier more easily than water soluble beta blockers. As such, it is associated with a higher incidence of CNS-related side effects than hydrophilic ligands such as atenolol, sotalol and nadolol. Coretal is an potent beta-blocker and should not be administered to asthmatics because it can cause irreversible airway failure and inflammation. Additional information about CoretalCoretal Indication: Used in the treatment of hypertension, angina pectoris, arrhythmias, and anxiety. Mechanism Of Action: Like other beta-adrenergic antagonists, oxprenolol competes with adrenergic neurotransmitters such as catecholamines for binding at sympathetic receptor sites. Like propranolol and timolol, oxprenolol binds at beta(1)-adrenergic receptors in the heart and vascular smooth muscle, inhibiting the effects of the catecholamines epinephrine and norepinephrine and decreasing heart rate, cardiac output, and systolic and diastolic blood pressure. It also blocks beta-2 adrenergic receptors located in bronchiole smooth muscle, causing vasoconstriction. By binding beta-2 receptors in the juxtaglomerular apparatus, oxprenolol inhibits the production of renin, thereby inhibiting angiotensin II and aldosterone production. Coretal therefore inhibits the vasoconstriction and water retention due to angiotensin II and aldosterone, respectively. Drug Interactions: Acetohexamide The beta-blocker decreases the symptoms of hypoglycemiaChlorpropamide The beta-blocker decreases the symptoms of hypoglycemiaClonidine Increased hypertension when clonidine stoppedGliclazide The beta-blocker decreases the symptoms of hypoglycemiaGlipizide The beta-blocker decreases the symptoms of hypoglycemiaGlisoxepide The beta-blocker decreases the symptoms of hypoglycemiaGlibenclamide The beta-blocker decreases the symptoms of hypoglycemiaGlycodiazine The beta-blocker decreases the symptoms of hypoglycemiaInsulin The beta-blocker decreases the symptoms of hypoglycemiaLidocaine The beta-blocker increases the effect and toxicity of lidocaineRepaglinide The beta-blocker decreases the symptoms of hypoglycemiaTolbutamide The beta-blocker decreases the symptoms of hypoglycemiaTolazamide The beta-blocker decreases the symptoms of hypoglycemiaDihydroergotamine Ischemia with risk of gangreneDihydroergotoxine Ischemia with risk of gangreneMethysergide Ischemia with risk of gangreneErgonovine Ischemia with risk of gangreneErgotamine Ischemia with risk of gangrenePrazosin Risk of hypotension at the beginning of therapyVerapamil Increased effect of both drugsEpinephrine Hypertension, then bradycardiaMethyldopa Possible hypertensive crisisIbuprofen Risk of inhibition of renal prostaglandinsIndomethacin Risk of inhibition of renal prostaglandinsPiroxicam Risk of inhibition of renal prostaglandinsFenoterol AntagonismFormoterol AntagonismIsoproterenol AntagonismOrciprenaline AntagonismPirbuterol AntagonismPractolol AntagonismSalbutamol AntagonismSalmeterol AntagonismTerbutaline Antagonism Food Interactions: Avoid alcohol.Avoid natural licorice. Generic Name: Oxprenolol Synonyms: (+)-1-(o-(Allyloxy)phenoxy)-3-(isopropylamino)propan-2-ol; (+-)-oxprenolol; (1)-1-(o-(Allyloxy)phenoxy)-3-(isopropylamino)propan-2-ol; 1-(Isopropylamino)-2-hydroxy-3-(o-(allyloxy)phenoxy)propane; 1-(o-(Allyloxy)phenoxy)-3-(isopropylamino)-2-propanol; 1-[2-(Allyloxy)phenoxy]-3-(isopropylamino)-2-propanol; DL-oxprenolol; Osprenololo [dcit]; Oxprenololum [inn-latin] Where to order Oxprenolol (and Coretal analogs) online: Drug Category: Adrenergic beta-Antagonists; Anti-anxiety Agents; Anti-Arrhythmia Agents; Antihypertensive Agents; Sympatholytics; Vasodilator Agents Drug Type: Small Molecule; Approved Other Brand Names containing Oxprenolol: Coretal; Laracor; Slow-pren; Trasacor; Trasicor; Absorption: Oral bioavailability is 20-70%. Toxicity (Overdose): Symptoms of overdose include abdominal irritation, central nervous system depression, coma, extremely slow heartbeat, heart failure, lethargy, low blood pressure, and wheezing. Protein Binding: Not Available Biotransformation: Hepatic. Half Life: 1-2 hours Dosage Forms of Coretal: Tablet Oral Chemical IUPAC Name: 1-(propan-2-ylamino)-3-(2-prop-2-enoxyphenoxy)propan-2-ol Chemical Formula: C15H23NO3 Oxprenolol on Wikipedia: http://en.wikipedia.org/wiki/Oxprenolol Organisms Affected: Humans and other mammals
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