Pronethalol
A non-selective beta blocker
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Pronethalol is a non-selective beta blocker that was developed in the early 1960s. It was one of the first beta blockers to be synthesized and was used in the treatment of angina pectoris and hypertension. However, it was later withdrawn from the market due to concerns about its safety profile.
History[edit | edit source]
Pronethalol was developed by Imperial Chemical Industries (ICI) in the early 1960s. It was part of the pioneering work on beta blockers by Sir James Black, who later received the Nobel Prize in Physiology or Medicine for his contributions to the development of beta blockers and H2 receptor antagonists.
Mechanism of Action[edit | edit source]
Pronethalol works by blocking beta-adrenergic receptors, which are part of the sympathetic nervous system. By inhibiting these receptors, pronethalol reduces the effects of adrenaline and noradrenaline, leading to a decrease in heart rate and blood pressure. This makes it useful in the management of conditions like angina and hypertension.
Clinical Use[edit | edit source]
Initially, pronethalol was used to treat angina pectoris, a condition characterized by chest pain due to reduced blood flow to the heart. It was also used to manage hypertension, or high blood pressure. However, its use was limited due to the discovery of more effective and safer beta blockers.
Safety Concerns[edit | edit source]
Pronethalol was withdrawn from the market after studies indicated that it could cause carcinogenic effects in laboratory animals. This led to the development and use of other beta blockers, such as propranolol, which had a better safety profile.
Legacy[edit | edit source]
Despite its withdrawal, pronethalol played a crucial role in the development of beta blockers. It paved the way for the synthesis of safer and more effective beta blockers that are widely used today in the treatment of cardiovascular diseases.
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