Generalized Convulsions in a Patient Receiving Ultrashort-Acting Beta-Blocker Infusion

1988 ◽  
Vol 22 (6) ◽  
pp. 484-485 ◽  
Author(s):  
Gopal Das ◽  
Janine C. Ferris

Beta-receptor blocking agents are commonly used to treat patients with heart disease, and generalized seizures due to therapy with these agents are rare. All reported cases of seizures due to beta blocking agents have occurred only in those subjects who ingested large doses of the drugs. We observed generalized convulsions in a patient who was receiving therapeutic doses of an ultrashort-acting beta-blocking agent (esmolol hydrochloride) intravenously. A literature survey and possible mechanisms by which these agents induce seizures are presented.

1967 ◽  
Vol 5 (22) ◽  
pp. 85-86

Verapamil (Cordilox - Pfizer; iproveratril*), described by the manufacturers as a mild beta-blocking agent, is promoted as an important new compound for the long-term control of angina pectoris.1 It is claimed that, unlike other beta-blocking agents which reduce the response of the heart to sympathetic stimulation, verapamil induces neither coronary vasoconstriction nor broncho-spasm and is less likely to provoke low-output cardiac failure. These unwanted effects are an unavoidable consequence of intense beta receptor blockade, and (although the manufacturers attribute the advantages to a direct relaxation of plain muscle) their absence suggests that the action of verapamil may depend not on beta receptor blockade but on other mechanisms. The claims for verapamil of advantages over potent beta-blocking agents are clearly aimed at propranolol (Inderal - ICI), the only one available for clinical use. We discussed propranolol in 1965.1


1974 ◽  
Vol 35 (2) ◽  
pp. 272-280 ◽  
Author(s):  
CHANG-SENG LIANG ◽  
WILLIAM B. HOOD

1973 ◽  
Vol 23 ◽  
pp. 35
Author(s):  
Yoichi Maruyama ◽  
Takafumi Ishihara ◽  
Ichiva Hiraki ◽  
Masayoshi Nozaki ◽  
Fumio Takenaka

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