Timolol

Timolol is a non-selective beta-blocker used to treat hypertension, angina, and glaucoma by reducing heart rate and intraocular pressure.

Structure of Timolol

  • Timolol is a non-selective beta-adrenergic receptor blocker featuring a diphenylmethanol structure with a secondary amine.
  • Chemical Formula: C₁₅H₂₂N₂O₃
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Structure of Timolol

Mode of Action

  • Beta-Blockade: Inhibits both β₁ and β₂ adrenergic receptors.
  • Cardiac Effects: Reduces heart rate, myocardial contractility, and cardiac output.
  • Vascular Effects: Decreases renin release from the kidneys, leading to vasodilation and reduced blood pressure.
  • Ocular Effects: Reduces intraocular pressure by decreasing aqueous humor production (used in glaucoma).
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Uses

  • Hypertension: Lowers blood pressure by decreasing cardiac output and renin release.
  • Angina Pectoris: Reduces myocardial oxygen demand by lowering heart rate and contractility.
  • Arrhythmias: Manages supraventricular and ventricular arrhythmias by slowing AV node conduction.
  • Glaucoma: Topically applied to reduce intraocular pressure.
  • Migraine Prophylaxis: Prevents migraine attacks by stabilizing vascular tone.

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