Pharmacodynamic profile of bisoprolol, a new beta 1-selective adrenoceptor antagonist

Br J Clin Pharmacol. 1986 Sep;22(3):293-300. doi: 10.1111/j.1365-2125.1986.tb02890.x.

Abstract

The pharmacodynamic profile of bisoprolol, a new beta 1-selective adrenoceptor antagonist, was investigated in four independent studies including 36 healthy male volunteers. Using the model of exercise-induced tachycardia (ET) the beta-adrenoceptor blocking properties of bisoprolol (2.5-40 mg) were examined in comparison to metoprolol (50 and 100 mg), propranolol (40 and 80 mg) and atenolol (50 and 100 mg). The maximal reduction of ET was achieved between 1 and 4 h following single oral administration. The dose-response relationship using individual maximal reduction of ET showed, on a molar basis, that bisoprolol is about 5, 7 and 10 times more effective than propranolol, atenolol and metoprolol, respectively. In the model of insulin-induced hypoglycaemia bisoprolol behaved as a beta 1-selective adrenoceptor antagonist. There was a good correlation (r = 0.94) between the log bisoprolol concentration and the reduction in exercise-induced tachycardia. Bisoprolol is a potent new cardioselective beta-adrenoceptor antagonist with a competitive action at beta 1-adrenoceptors.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adrenergic beta-Antagonists / pharmacology*
  • Adult
  • Atenolol / pharmacology
  • Bisoprolol
  • Dose-Response Relationship, Drug
  • Heart Rate / drug effects
  • Humans
  • Male
  • Metoprolol / pharmacology
  • Physical Exertion
  • Propanolamines / pharmacology*
  • Propranolol / pharmacology
  • Time Factors

Substances

  • Adrenergic beta-Antagonists
  • Propanolamines
  • Atenolol
  • Propranolol
  • Metoprolol
  • Bisoprolol