A Comparison of the Cardiovascular Effects of (+)-sotalol and (+/-)-sotalol Following Intravenous Administration in Normal Volunteers
Overview
Authors
Affiliations
In a placebo controlled open study in six healthy male volunteers (+)-sotalol in the dose range 0.125 mg kg-1-2.0 mg kg-1 intravenously, was found to have little or no beta-adrenoceptor blocking activity in comparison to the racemic mixture (+/-)-sotalol. The repolarization effects of (+)- and (+/-)-sotalol on the QTc interval however were comparable over the same dose range. The beta-adrenoceptor blocking activity and repolarization effects of sotalol appear to be unrelated.
Polypharmacy. Pharmacokinetic perspectives.
Honig P, Cantilena L Clin Pharmacokinet. 1994; 26(2):85-90.
PMID: 8162659 DOI: 10.2165/00003088-199426020-00001.
Advani S, Singh B Drugs. 1995; 49(5):664-79.
PMID: 7601009 DOI: 10.2165/00003495-199549050-00003.
Fitton A, Sorkin E Drugs. 1993; 46(4):678-719.
PMID: 7506652 DOI: 10.2165/00003495-199346040-00007.
Sotalol. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use.
Singh B, Deedwania P, Nademanee K, Ward A, Sorkin E Drugs. 1987; 34(3):311-49.
PMID: 3315621 DOI: 10.2165/00003495-198734030-00002.
A mechanism of D-(+)-sotalol effects on heart rate not related to beta-adrenoceptor antagonism.
Funck-Brentano C, Silberstein D, Roden D, Wood A, Woosley R Br J Clin Pharmacol. 1990; 30(2):195-202.
PMID: 2169833 PMC: 1368218. DOI: 10.1111/j.1365-2125.1990.tb03765.x.