Pharmacology for Anaesthesia and Intensive Care

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December 28, 2007

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Table 13.3.Various pharmacological properties of someβ-blockers.

Drug

Lipid
solubility

Absorption
(%)

Bioavailability
(%)

Protein binding
(%)

Elimination
half-life (h) Clearance

Active
metabolites
Acebutolol ++ 90 40 25 6 hepatic metabolism and
renal excretion

yes
Atenolol + 45 45 5 7 renal no
Esmolol +++ n/a n/a 60 0.15 plasma hydrolysis no
Metoprolol +++ 95 50 20 3–7* hepatic metabolism no
Oxprenolol +++ 80 40 80 2 hepatic metabolism no
Pindolol ++ 90 90 50 4 hepatic metabolism no
Propranolol +++ 90 30 90 4 hepatic metabolism yes
Sotalol + 85 85 0 15 renal no
Timolol +++ 90 50 10 4 hepatic metabolism and
renal excretion

no
Labetalol +++ 70 25 50 5 hepatic metabolism no
*Depends on genetic polymorphism – may be fast or slow hydroxylators.

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