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Propranolol

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🔗 MergedCompareTripSitPharmacologyDrugCentralDailyMed

Collated from TripSit, Pharmacology, DrugCentral, DailyMed. Where sources differ (e.g. dosing), Compare shows them side by side.

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Also known as inderal, hemangeol, innopranTS

Is a nonselective beta blocker. It is used in medication for high blood pressure, anxiety, and tremors. Also fun fact, it was the first successful beta-blocker developed.TS

Oral

Route dataTripSit

ThresholdLightCommonStrongHeavy
10–30 mg40–80 mg80–140 mg—+
0140 mg
LightCommonStrongHeavy
Onset10–45 minutes
Total3–7 hours
After-effects1–8 hours
OnsetCome-upPeakOffset

🧬 Receptor activityPHDC

TargetActionAffinitySource
Beta-2 adrenergic receptorKi 2.27 nMCHEMBL
Sigma non-opioid intracellular receptor 1Ki 95.38 nMCHEMBL
Sigma intracellular receptor 2Ki 352.9 nMCHEMBL
5-hydroxytryptamine receptor 6Ki 542 nMCHEMBL
5-hydroxytryptamine receptor 1AKi 644.31 nMCHEMBL
5-hydroxytryptamine receptor 2CKi 1373.1 nMCHEMBL
5-hydroxytryptamine receptor 2AKi 1790.2 nMCHEMBL
Alpha-1B adrenergic receptorKi 10000 nMCHEMBL
Beta-1 adrenergic receptor (ADRB1)Antagonist8.71 KiDRUGCENTRAL
Beta-2 adrenergic receptor (ADRB2)Antagonist8.25 KiDRUGCENTRAL
Beta-3 adrenergic receptor (ADRB3)Antagonist6.22 KiDRUGCENTRAL
5-hydroxytryptamine receptor 1A (HTR1A)6.913 KiDRUGCENTRAL
5-hydroxytryptamine receptor 1B (HTR1B)6.197 KiDRUGCENTRAL
5-hydroxytryptamine receptor 1D (HTR1D)5.346 KiDRUGCENTRAL
5-hydroxytryptamine receptor 2A (HTR2A)5.378 KiDRUGCENTRAL
5-hydroxytryptamine receptor 2B (HTR2B)6.662 KiDRUGCENTRAL
5-hydroxytryptamine receptor 2C (HTR2C)5.92 KiDRUGCENTRAL
5-hydroxytryptamine receptor 6 (HTR6)5.847 KiDRUGCENTRAL
Adrenergic receptor beta (Adrb2)8.62 KiDRUGCENTRAL
Beta-1 adrenergic receptor (Adrb1)8.52 KiDRUGCENTRAL
Beta-2 adrenergic receptor (Adrb2)9.01 KdDRUGCENTRAL
Cytochrome P450 1A2 (CYP1A2)5.398 IC50DRUGCENTRAL
Cytochrome P450 2D6 (CYP2D6)5.699 IC50DRUGCENTRAL
D(2) dopamine receptor (Drd2)4.89 KiDRUGCENTRAL
Histamine H1 receptor (HRH1)4.699 KiDRUGCENTRAL
Membrane-associated progesterone receptor component 1 (Pgrmc1)5.671 KiDRUGCENTRAL
Multidrug resistance protein 1 (ABCB1)4.32 KiDRUGCENTRAL
Potassium/sodium hyperpolarization-activated cyclic nucleotide-gated channel 4 (HCN4)4.297 IC50DRUGCENTRAL
Sigma non-opioid intracellular receptor 1 (SIGMAR1)5.919 KiDRUGCENTRAL
Sodium-dependent serotonin transporter (SLC6A4)6.695 KiDRUGCENTRAL
Solute carrier family 22 member 1 (SLC22A1)4.2 IC50DRUGCENTRAL
Voltage-dependent L-type calcium channel subunit alpha-1C (CACNA1C)4.319 KiDRUGCENTRAL
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Mechanism of actionPHDM

Propranolol is a nonselective β-adrenergic receptor antagonist. Blocking of these receptors leads to vasoconstriction, inhibition of angiogenic factors like vascular endothelial growth factor (VEGF) and basic growth factor of fibroblasts (bFGF), induction of apoptosis of endothelial cells, as well as down regulation of the renin-angiotensin-aldosterone system.

PharmacodynamicsPH

Propranolol is a beta-adrenergic receptor antagonist used to treat hypertension. Propranolol has a long duration of action as it is given once or twice daily depending on the indication. When patients abruptly stop taking propranolol, they may experience exacerbations of angina and myocardial infarctions.

Pharmacokinetics

Half-lifePH

The elimination half-life of propranolol is approximately 8 hours. The plasma half-life of propranolol is 3 to 6 hours.

AbsorptionPHDM

Patients taking doses of 40mg, 80mg, 160mg, and 320mg daily experienced Cmax values of 18±15ng/mL, 52±51ng/mL, 121±98ng/mL, and 245±110ng/mL respectively. Propranolol has a Tmax of approximately 2 hours, though this can range from 1 to 4 hours in fasting patients. Taking propranolol with food does not increase Tmax but does increase bioavailability.
91% of an oral dose of propranolol is recovered as 12 metabolites in the urine.
The volume of distribution of propranolol is approximately 4L/kg or 320L.
The clearance of propranolol is 2.7±0.03L/h/kg in infants <90 days and 3.3±0.35L/h/kg in infants >90 days. Propranolol clearance increases linearly with hepatic blood flow. Propranolol has a clearance in hypertensive adults of 810mL/min.

MetabolismPHDM

Propranolol undergoes side chain oxidation to α-naphthoxylactic acid, ring oxidation to 4’-hydroxypropranolol, or glucuronidation to propranolol glucuronide. It can also be N-desisopropylated to become N-desisopropyl propranolol. 17% of a dose undergoes glucuronidation and 42% undergoes ring oxidation.
Propranolol has known human metabolites that include (2S,3S,4S,5R)-3,4,5-Trihydroxy-6-[1-naphthalen-1-yloxy-3-(propan-2-ylamino)propan-2-yl]oxyoxane-2-carboxylic acid.

Protein bindingPHDM

Approximately 90% of propranolol is protein bound in plasma. Other studies have reported ranges of 85-96%.

Plan when to take Propranolol — see where onset, peak and comedown land on the clock

Fact-sheets from PsychonautWiki. Harm-reduction reference only — not medical advice.