Pindolol


Concise Prescribing Info
Indications/Uses
Listed in Dosage.
Dosage/Direction for Use
Adult : PO HTN Initial: 5 mg bid or tid or 15 mg once daily. Increased gradually according to response. Maintenance: 15-45 mg/day, in single or divided doses. Max: 60 mg/day. Angina pectoris 2.5-5 mg up to tid. Max: 40 mg/day.
Dosage Details
Oral
Hypertension
Adult: Initially, 5 mg bid or tid, or 15 mg once daily. Increase gradually according to response. Maintenance: 15-45 mg/day, in single or divided doses. Max: 60 mg/day.

Oral
Angina pectoris
Adult: 2.5-5 mg up to tid. Max: 40 mg/day.
Administration
May be taken with or without food. May be taken w/ meals to reduce GI discomfort.
Contraindications
AV block (2nd and 3rd degree), severe bradycardia, sick sinus syndrome, cardiogenic shock, overt cardiac failure, metabolic acidosis, peripheral circulatory disease, Prinzmetal's angina, prolonged fasting, untreated phaechromocytoma, obstructive pulmonary disease, severe renal failure. History of cor pulmonale, bronchospasm or bronchial asthma. Concomitant use w/ thioridazine.
Special Precautions
Patients w/ inadequate cardiac function, nonallergic bronchospasm. Avoid abrupt withdrawal as it may cause exacerbation of angina or precipitate MI or thyroid crisis. May mask symptoms of hyperthyroidism and hypoglycaemia. Patients undergoing major surgery requiring general anaesth. Renal and hepatic impairment. Pregnancy and lactation.
Adverse Reactions
Bradycardia, hypotension, peripheral oedema, dyspnoea, wt gain, palpitation, claudication, coldness of extremities, syncope, tachycardia; dizziness, fatigue, insomnia, bizarre dreams, visual disturbances, paraesthesia, weakness, nervousness or anxiety, hallucination and lethargy; nausea and abdominal discomfort; muscle, leg or joint pain or cramps, chest pain; pruritus, rash, impotence; elevated AST and ALT.
MonitoringParameters
Monitor BP, heart rate and resp function.
Overdosage
Symptoms: Hypotension, symptomatic bradycardia, bronchospasm, acute cardiac failure. Management: Perform gastric lavage. Admin IV atropine sulfate and isoproterenol HCl cautiously for symptomatic bradycardia; epinephrine and norepinephrine for severe hypotension; cardiac glycoside and diuretic for heart failure; isoproterenol and theophylline derivative for bronchospasm.
Drug Interactions
May cause severe bradycardia w/ verapamil and diltiazem. May cause transient reduction in serum digoxin levels. May increase risk of hypotension and bradycardia w/ reserpine. May enhance hypotensive effect w/ hydralazine, hydrochlorothiazide, MAOIs. Hypotensive effects may be reduced w/ NSAIDs.
Potentially Fatal: May prolong QT interval and increase the risk of torsade de pointes w/ thioridazine.
Action
Description: Pindolol is a non-cardioselective β-blocker w/ intrinsic sympathomimetic activity but little quinidine-like membrane-stabilising property.
Pharmacokinetics:
Absorption: Rapidly absorbed from the GI tract. Bioavailability: Approx 87%. Time to peak plasma concentration: Approx 1-2 hr.
Distribution: Crosses the placenta and enters breast milk. Volume of distribution: Approx 2 L/kg. Plasma protein binding: Approx 40-60%.
Metabolism: Undergoes partial hepatic metabolism (approx 60-65%) to hydroxylated metabolites.
Excretion: Via urine (approx 35-50% as unchanged drug) and faeces (6-9%). Elimination half-life: 3-4 hr.
Storage
Store between 15-30°C. Protect from light.
MIMS Class
Disclaimer: This information is independently developed by MIMS based on Pindolol from various references and is provided for your reference only. Therapeutic uses, prescribing information and product availability may vary between countries. Please refer to MIMS Product Monographs for specific and locally approved prescribing information. Although great effort has been made to ensure content accuracy, MIMS shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2020 MIMS. All rights reserved. Powered by MIMS.com
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