【Celeste】評論
ANonselective beta-adrenergic and alpha1-adrenergic blocking agent with no intrinsic activity for use in congestive heart failure and hypertensionBCarvedilol is administered as its racemate. Its S(-)-enantiomer is both an a- and nonselective B blocker, whereas its R(+)-enantiomer is an a-blocker.CCarvedilol is extensively metabolized; phenol ringdemethylation and hydroxylation produce 3 metabolites with beta adrenergic blocking activity and (weak) vasodilating activity. Plasma concentrations of active metabolites are about 10% those of carvedilol. The 4' hydroxyphenyl metabolite is 13 times more potent than carvedilol in beta-adrenergic blocking activity.DCongestive Heart Failure, Hypertension