Toxic doses of rac-, (-)-(S)- and (+)-(R)-propranolol in rats and rabbits.
The contribution of the individual enantiomers ([+]-[R]- and [-]-[S]-propranolol) to rac-propranolol intoxication was studied in anaesthetized, spontaneously breathing (SB) rats and artificially ventilated (AV) rats and rabbits. In the SB rat, propranolol (30 mg.kg-1.h-1 i.v.) decreased heart rate and mean arterial blood pressure and caused hypoventilation, serious hypoxaemia, respiratory acidosis, and death by respiratory arrest. Survival time (ST) in the (+)-(R)-propranolol group (ST 91 +/- 5 min) was significantly longer than in the rac-propranolol group (ST. 68 +/- 6 min). In AV rats and rabbits toxic doses of rac-, (-)-(S)- and (+)-(R)-propranolol, 30 mg.kg-1.h-1 and 15 mg.kg-1.h-1 i.v., respectively, induced comparable effects on haemodynamic variables as in the SB rat. Artificial ventilation lengthened ST by a factor of three to four in rats. In the AV rat, ST's were not significantly different between the rac-, (-)-(S)- and (+)-(R)-propranolol groups. In the rabbit, as in the SB rat, ST in the (+)-(R)-propranolol group was significantly longer than ST's in the rac- and (-)-(S)-propranolol groups. The acute respiratory acidosis in SB rats and the prolonged ST in AV rats suggest that respiratory failure is the primary and cardiovascular failure the secondary cause of death in propranolol intoxication. The potentiation of the toxic effect of the enantiomers observed after dosing the racemate instead of the pure enantiomers could not be explained by a stereoselective difference in plasma propranolol concentration.
National Poison Control Center, National Institute of Public Health and Environmental Protection, Bilthoven, The Netherlands.
A E
AE
Toet
A
A
van de Kuil
W
W
Vleeming
J
J
Wemer
W
W
Bode
J
J
Meulenbelt
D J
DJ
de Wildt
D000319:Adrenergic beta-Antagonists / Q000737:chemistry* / Q000633:toxicity*; D000818:Animals; D001784:Blood Gas Analysis; D002118:Calcium / Q000097:blood; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D008297:Male; D011433:Propranolol / Q000737:chemistry* / Q000633:toxicity*; D011817:Rabbits; D051381:Rats; D017208:Rats, Wistar; D012119:Respiration / Q000187:drug effects; D012121:Respiration, Artificial; D013237:Stereoisomerism; D016019:Survival Analysis
D000319:Adrenergic beta-Antagonists; D011433:Propranolol; D002118:Calcium