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Eutensol - General Information: An antihypertensive agent that acts by inhibiting selectively transmission in post-ganglionic adrenergic nerves. It is believed to act mainly by preventing the release of norepinephrine at nerve endings and causes depletion of norepinephrine in peripheral sympathetic nerve terminals as well as in tissues. [PubChem] Pharmacology: High blood pressure can cause the heart and arteries to not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled. Eutensol works by decreasing the heart rate and relaxing the blood vessels so that blood can flow more easily through the body, thereby reducing these risks. It is a postganglionic sympathetic nerve terminal blocker that prevents the release of norepinephrine from nerve terminals. Eutensol for patients Eutensol Interactions http://www.rxlist.com/cgi/generic3/guanethidine_od.htm Eutensol Contraindications Known or suspected pheochromocytoma; hypersensitivity; frank congestive heart failure not due to hypertension; use of monoamine oxidase (MAO) inhibitors. Additional information about EutensolEutensol Indication: For the treatment of moderate and severe hypertension, either alone or as an adjunct, and for the treatment of renal hypertension. Mechanism Of Action: Eutensol acts at the sympathetic neuroeffector junction by inhibiting or interfering with the release and/or distribution of norepinephrine, rather than acting at the effector cell by inhibiting the association of norepinephrine with its receptors. In contrast to ganglionic blocking agents, Eutensol suppresses equally the responses mediated by alpha-and beta-adrenergic receptors but does not produce parasympathetic blockade. Since sympathetic blockade results in modest decreases in peripheral resistance and cardiac output, Eutensol lowers blood pressure in the supine position. It further reduces blood pressure by decreasing the degree of vasoconstriction that normally results from reflex sympathetic nervous activity upon assumption of the upright posture, thus reducing venous return and cardiac output more. Drug Interactions: Acetophenazine The agent decreases the effect of guanethidineAmitriptyline The tricyclic decreases the effect of guanethidineAmphetamine The agent decreases the effect of guanethidineBenzphetamine The agent decreases the effect of guanethidineChlorpromazine The agent decreases the effect of guanethidineChlorprothixene The agent decreases the effect of guanethidineDexfenfluramine The agent decreases the effect of guanethidineDextroamphetamine The agent decreases the effect of guanethidineDiethylpropion The agent decreases the effect of guanethidineDobutamine The agent decreases the effect of guanethidineDopamine The agent decreases the effect of guanethidineEphedra The agent decreases the effect of guanethidineEphedrine The agent decreases the effect of guanethidineEpinephrine The agent decreases the effect of guanethidineEthopropazine The agent decreases the effect of guanethidineFenfluramine The agent decreases the effect of guanethidineFluphenazine The agent decreases the effect of guanethidineHaloperidol The agent decreases the effect of guanethidineIsocarboxazid The agent decreases the effect of guanethidineMethotrimeprazine The agent decreases the effect of guanethidineMazindol The agent decreases the effect of guanethidineMesoridazine The agent decreases the effect of guanethidineMetaraminol The agent decreases the effect of guanethidineMethamphetamine The agent decreases the effect of guanethidineMethdilazine The agent decreases the effect of guanethidineMethoxamine The agent decreases the effect of guanethidineMethylphenidate The agent decreases the effect of guanethidineNorepinephrine The agent decreases the effect of guanethidinePargyline The agent decreases the effect of guanethidinePropericiazine The agent decreases the effect of guanethidinePerphenazine The agent decreases the effect of guanethidinePhendimetrazine The agent decreases the effect of guanethidinePhenelzine The agent decreases the effect of guanethidinePhenmetrazine The agent decreases the effect of guanethidinePhentermine The agent decreases the effect of guanethidinePhenylephrine The agent decreases the effect of guanethidinePhenylpropanolamine The agent decreases the effect of guanethidineProchlorperazine The agent decreases the effect of guanethidinePromazine The agent decreases the effect of guanethidinePromethazine The agent decreases the effect of guanethidinePropiomazine The agent decreases the effect of guanethidinePseudoephedrine The agent decreases the effect of guanethidineThiethylperazine The agent decreases the effect of guanethidineThioridazine The agent decreases the effect of guanethidineThiothixene The agent decreases the effect of guanethidineTranylcypromine The agent decreases the effect of guanethidineTrifluoperazine The agent decreases the effect of guanethidineTriflupromazine The agent decreases the effect of guanethidineTrimeprazine The agent decreases the effect of guanethidineAmoxapine The tricyclic decreases the effect of guanethidineClomipramine The tricyclic decreases the effect of guanethidineDesipramine The tricyclic decreases the effect of guanethidineDoxepin The tricyclic decreases the effect of guanethidineImipramine The tricyclic decreases the effect of guanethidineNortriptyline The tricyclic decreases the effect of guanethidineTrimipramine The tricyclic decreases the effect of guanethidineProtriptyline The tricyclic decreases the effect of guanethidine Food Interactions: Take without regard to meals. Generic Name: Guanethidine Synonyms: Guanethidine Monosulfate; Guanethidine Sulphae Where to order Guanethidine (and Eutensol analogs) online: Drug Category: Adrenergic Agents; Antihypertensive Agents; Sympatholytics Drug Type: Small Molecule; Approved Other Brand Names containing Guanethidine: Apo-Guanethidine; Ismelin; Eutensol; Abapresin; Oktadin; Absorption: 3-30% of oral dose (poor and highly variable) Toxicity (Overdose): Side effects include drowsiness, dizziness, tiredness or confusion. LD50=1000 mg/kg (mouse, oral) Protein Binding: Not Available Biotransformation: Guanethidine is converted by the liver to three metabolites, which are excreted in the urine. The metabolites are pharmacologically less active than the parent compound. Half Life: 1.5 days Dosage Forms of Eutensol: Tablet Oral Chemical IUPAC Name: 2-[2-(azocan-1-yl)ethyl]guanidine Chemical Formula: C10H22N4 Guanethidine on Wikipedia: http://en.wikipedia.org/wiki/Guanethidine Organisms Affected: Humans and other mammals
http://www.rxlist.com/cgi/generic3/guanethidine_od.htm
Known or suspected pheochromocytoma; hypersensitivity; frank congestive heart failure not due to hypertension; use of monoamine oxidase (MAO) inhibitors.
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