Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Monoisotopic mass
292.178692644
InChI
InChI=1S/C16H24N2O3/c1-16(2,3)17-9-11(19)10-21-14-6-4-5-13-12(14)7-8-15(20)18-13/h4-6,11,17,19H,7-10H2,1-3H3,(H,18,20)
InChI Key
InChIKey=LWAFSWPYPHEXKX-UHFFFAOYSA-N
IUPAC Name
5-[3-(tert-butylamino)-2-hydroxypropoxy]-1,2,3,4-tetrahydroquinolin-2-one
Traditional IUPAC Name
carteolol
SMILES
CC(C)(C)NCC(O)COC1=CC=CC2=C1CCC(=O)N2
pKa (strongest acidic)
13.41
pKa (Strongest Basic)
9.76
Refractivity
83.14 m3·mol-1
Dược Lực Học :
Carteolol is a beta1 and beta2 (non-selective) adrenergic receptor-blocking agent that does not have significant intrinsic sympathomimetic, direct myocardial depressant, or local anesthetic (membrane-stabilizing) activity. Carteolol, when applied topically to the eye, has the action of reducing elevated, as well as normal, intraocular pressure, whether or not accompanied by glaucoma. Elevated intraocular pressure is a major risk factor in the pathogenesis of glaucomatous visual field loss and optic nerve damage. Carteolol reduces intraocular pressure with little or no effect on pupil size or accommodation in contrast to the miosis which cholinergic agents are known to produce.
Cơ Chế Tác Dụng :
A beta-adrenergic antagonist used as an anti-arrhythmia agent, an anti-angina agent, an antihypertensive agent, and an antiglaucoma agent. [PubChem]
The primary mechanism of the ocular hypotensive action of carteolol in reducing intraocular pressure is most likely a decrease in aqueous humor production. This process is initiated by the non-selective beta1 and beta2 adrenergic receptor blockade.
Dược Động Học :
▧ Metabolism :
Hepatic.
Độc Tính :
The most common effects expected with overdosage of a beta-adrenergic blocking agent are bradycardia, bronchospasm, congestive heart failure and hypotension.
Chỉ Định :
For the treatment of intraocular hypertension and chronic open-angle glaucoma
Tương Tác Thuốc :
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Acetohexamide
The beta-blocker, carteolol, may decrease symptoms of hypoglycemia.
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Aminophylline
Antagonism of action and increased effect of theophylline
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Chlorpropamide
The beta-blocker, carteolol, may decrease symptoms of hypoglycemia.
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Clonidine
Increased hypertension when clonidine stopped
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Dihydroergotamine
Ischemia with risk of gangrene
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Disopyramide
The beta-blocker, carteolol, may increase the toxicity of disopyramide.
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Epinephrine
Hypertension, then bradycardia
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Ergotamine
Ischemia with risk of gangrene
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Fenoterol
Antagonism
-
Formoterol
Antagonism
-
Gliclazide
The beta-blocker, carteolol, may decrease symptoms of hypoglycemia.
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Glyburide
The beta-blocker, carteolol, may decrease symptoms of hypoglycemia.
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Ibuprofen
Risk of inhibition of renal prostaglandins
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Indomethacin
Risk of inhibition of renal prostaglandins
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Insulin Glargine
The beta-blocker, carteolol, may decrease symptoms of hypoglycemia.
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Methyldopa
Possible hypertensive crisis
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Methysergide
Ischemia with risk of gangrene
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Orciprenaline
Antagonism
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Oxtriphylline
Antagonism of action and increased effect of theophylline
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Pipobroman
Antagonism
-
Piroxicam
Risk of inhibition of renal prostaglandins
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Prazosin
Risk of hypotension at the beginning of therapy
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Repaglinide
The beta-blocker, carteolol, may decrease symptoms of hypoglycemia.
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Terazosin
Increased risk of hypotension. Initiate concomitant therapy cautiously.
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Terbutaline
Antagonism
-
Theophylline
Antagonism of action and increased effect of theophylline
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Treprostinil
Additive hypotensive effect. Monitor antihypertensive therapy during concomitant use.
Liều Lượng & Cách Dùng :
Solution - Ophthalmic
Dữ Kiện Thương Mại
Giá thị trường
-
Giá bán buôn : USD >1.37
Đơn vị tính : tablet
-
Giá bán buôn : USD >1.37
Đơn vị tính : tablet
-
Giá bán buôn : USD >3.93
Đơn vị tính : ml
-
Giá bán buôn : USD >22.13
Đơn vị tính : bottle
-
Giá bán buôn : USD >38.55
Đơn vị tính : bottle
-
Giá bán buôn : USD >57.82
Đơn vị tính : bottle
Nhà Sản Xuất
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Sản phẩm biệt dược : Cartrol
-
Sản phẩm biệt dược : Endak
-
Sản phẩm biệt dược : Ocupress
Tài Liệu Tham Khảo Thêm
National Drug Code Directory