The table below shows the pharmacological and pharmacokinetic properties of beta-blockers. We have also compiled another table on the potency of beta-blockers compared to propranolol.

 

Beta-Blockers Cardioselective / Beta-1 Selective ISA (Intrinsic Sympathomimetic Activity) / PAA (Partial Agonist Activity) Lipid Solubility Alpha Blockade Elimination Half Life (hours) Route of Elimination
Acebutolol Yes + Low – Moderate No 3-4 (Acebutolol), 8-13 (Diacetolol) Hepatic, Renal
Atenolol Yes Low No 6-7 Renal
Bisoprolol Yes Moderate No 10-12 Hepatic, Renal
Carvedilol No High Yes 6-10 Hepatic
Celiprolol Yes + Low No 5-6 Renal
Metoprolol Yes Moderate No 3-7 Hepatic
Nadolol No Low No 20-24 Renal
Nebivolol Yes High No 10 (in fast metabolisers, but 3-5 times longer in slow metabolisers) Hepatic
Oxprenolol No ++ Moderate No 1-2 Hepatic
Pindolol No +++ Moderate No 3-4 Hepatic, Renal
Propranolol No High No 3-6 Hepatic
Sotalol No Low No 10-20 Renal

 

References:

1. Accord Healthcare Ltd. Atenolol 100mg tablets – Summary of Product Characteristics. Available at: http://www.medicines.org.uk/emc/medicine/25739 [Accessed on 17/04/19].

2. Accord Healthcare Ltd. Bisoprolol 2.5mg film coated tablets – Summary of Product Characteristics. Available at: http://www.medicines.org.uk/emc/medicine/25983 [Accessed on 17/04/19].

3. Accord Healthcare Ltd. Propranolol 40 mg film-coated tablets – Summary of Product Characteristics. Available at: http://www.medicines.org.uk/emc/medicine/27274 [Accessed on 17/04/19].

4. Accord Healthcare Ltd. Sotalol hydrochloride 160 mg tablets – Summary of Product Characteristics. Available at: http://www.medicines.org.uk/emc/medicine/25989 [Accessed on 17/04/19].

5. Accord-UK Ltd. Nebivolol 5 mg tablets – Summary of Product Characteristics. Available at: https://www.medicines.org.uk/emc/product/5828/smpc [Accessed on 17/04/19].

6. Amdipharm Mercury Company Ltd. Oxprenolol 40 mg tablets – Summary of Product Characteristics. Available at: http://www.medicines.org.uk/emc/medicine/27985 [Accessed on 17/04/19].

7. Aurobindo Pharma – Milpharm Ltd. Carvedilol 12.5 mg film-coated tablets – Summary of Product Characteristics. Available at: http://www.medicines.org.uk/emc/medicine/27714 [Accessed on 17/04/19].

8. Aurobindo Pharma – Milpharm Ltd. Metoprolol tartrate 50 mg film-coated tablets – Summary of Product Characteristics. Available at: http://www.medicines.org.uk/emc/medicine/28460 [Accessed on 17/04/19].

9. Dery AS, Hamilton LA, Starr JA. Nebivolol for the treatment of heart failure. Am J Health Syst Pharm. 2011;68(10):879-886.

10. Generics UK T/A Mylan. Pindolol tablets 5mg – Summary of Product Characteristics. Available at: https://www.medicines.org.uk/emc/product/8834 [Accessed on 17/04/19].

11. Hawkins NM, Petrie MC, Macdonald MR, et al. Heart failure and chronic obstructive pulmonary disease: The quandary of beta-blockers and beta-agonists. J Am Coll Cardiol. 2011;57(21):2127-2138.

12. Lechat P. Clinical pharmacology of beta-blockers in cardiology: Trial results and clinical applications. Hot topics in Cardiology. 2008;10(1):7-44.

13. Lopez-Sendon J, Swedberg K, McMurray J, et al. Expert consensus document on beta-adrenergic receptor blockers. Eur Heart J. 2004;25(15):1341–1362.

14. Morrow DA, Boden WE. Stable ischemic heart disease. In: Mann DL, Zipes DP, Libby P, Bonow RO, editors. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 10th ed. Philadelphia, PA: Elsevier Saunders; 2014:1196-1200.

15. Sanofi. Celectol 200mg tablets – Summary of Product Characteristics. Available at: https://www.medicines.org.uk/emc/product/9241/smpc  [Accessed on 17/04/19].

16. Sanofi. Corgard tablets 80mg – Summary of Product Characteristics. Available at: http://www.medicines.org.uk/emc/medicine/12767
[Accessed on 17/04/19].

17. Sanofi. Sectral 100mg capsules – Summary of Product Characteristics. Available at: http://www.medicines.org.uk/emc/medicine/27926 [Accessed on 17/04/19].

18. Sweetman SC, editor. Martindale: The Complete Drug Reference. 37th ed. London: Pharmaceutical Press; 2011.

 

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