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Prinodolol: Full Drug Profile

Medically reviewed by Min Clinic Staff | Updated: January 2026

Prinodolol - General Information

A moderately lipophilic beta blocker (adrenergic beta-antagonists). It is non-cardioselective and has intrinsic sympathomimetic actions, but little membrane-stabilizing activity. (From Martindale, The Extra Pharmocopoeia, 30th ed, p638)

 

Pharmacology of Prinodolol

Prinodolol is a non-selective beta-adrenergic antagonist (beta-blocker) which possesses intrinsic sympathomimetic activity (ISA) in therapeutic dosage ranges but does not possess quinidine-like membrane stabilizing activity. Prinodolol impairs AV node conduction and decreases sinus rate and may also increase plasma triglycerides and decrease HDL-cholesterol levels. Prinodolol is nonpolar and hydrophobic, with low to moderate lipid solubility. Prinodolol has little to no intrinsic sympathomimetic activity and, unlike some other beta-adrenergic blocking agents, pindolol has little direct myocardial depressant activity and does not have an anesthetic-like membrane-stabilizing action.

 

Prinodolol for patients

Patients, especially those with evidence of coronary artery insufficiency, should be warned against interruption or discontinuation of pindolol therapy without the physicianís advice. Although cardiac failure rarely occurs in properly selected patients, patients being treated with beta-adrenergic blocking agents should be advised to consult the physician at the first sign or symptom of impending failure.

 

Prinodolol Interactions

Catecholamine-depleting drugs (e.g., reserpine) may have an additive effect when given with beta-blocking agents. Patients receiving pindolol plus a catecholamine-depleting agent should, therefore, be closely observed for evidence of hypotension and/or marked bradycardia which may produce vertigo, syncope, or postural hypotension.

Pindolol has been used with a variety of antihypertensive agents, including hydrochlorothiazide, hydralazine, and guanethidine without unexpected adverse interactions.

Pindolol has been shown to increase serum thioridazine levels when both drugs are co-administered. Pindolol levels may also be increased with this combination.

Risk of anaphylactic reaction: While taking beta blockers, patients with a history of severe anaphylactic reaction to a variety of allergens may be more reactive to repeated challenge, either accidental, diagnostic, or therapeutic. Such patients may be unresponsive to the usual doses of epinephrine used to treat allergic reactions.

 

Prinodolol Contraindications

Pindolol tablets are contraindicated in:

1) bronchial asthma;
2) overt cardiac failure;
3) cardiogenic shock;
4) second and third degree heart block;
5) severe bradycardia.

 

Additional information about Prinodolol

Prinodolol Indication

For the management of hypertension, edema, ventricular tachycardias, and atrial fibrillation.

Mechanism Of Action
Prinodolol non-selectively blocks beta-1 adrenergic receptors mainly in the heart, inhibiting the effects of epinephrine and norepinephrine resulting in a decrease in heart rate and blood pressure. By binding beta-2 receptors in the juxtaglomerular apparatus, Prinodolol inhibits the production of renin, thereby inhibiting angiotensin II and aldosterone production and therefore inhibits the vasoconstriction and water retention due to angiotensin II and aldosterone, respectively.
Drug Interactions
Acetohexamide The beta-blocker decreases the symptoms of hypoglycemia
Generic Name
Pindolol
Drug Category
Vasodilator Agents; Antihypertensive Agents; Adrenergic beta-Antagonists; Serotonin Antagonists
Drug Type
Small Molecule; Approved
Other Brand Names containing Pindolol
Betapindol; Blockin L; Blocklin L; Calvisken; Cardilate; Decreten; Durapindol; Glauco-Visken; Pectobloc; Pinbetol; Prinodolol; Pynastin; Visken;
Absorption
Rapidly and reproducibly absorbed (bioavailability greater than 95%).
Toxicity (Overdose)
LD50=263 mg/kg (orally in rats). Signs of overdose include excessive bradycardia, cardiac failure, hypotension, and bronchospasm.
Protein Binding
40%
Biotransformation
Hepatic. In man, 35% to 40% is excreted unchanged in the urine and 60% to 65% is metabolized primarily to hydroxy-metabolites which are excreted as glucuronides and ethereal sulfates.
Half Life
3 to 4 hours
Dosage Forms of Prinodolol
Tablet Oral
Chemical IUPAC Name
1-(1H-indol-4-yloxy)-3-(propan-2-ylamino)propan-2-ol
Chemical Formula
C14H20N2O2
Organisms Affected
Humans and other mammals