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Timolol

噻嗎洛爾
Mechanism of action:
Timolol 是一種非選擇性 β-腎上腺素受體阻斷劑(non-selective β-adrenergic blocker)。Timolol 能阻斷眼部的睫狀體上皮的 β₂ 受體,使 cAMP 生成下降,房水分泌減少;也能阻斷心肌的 β₁ 受體,使心跳速率下降、心肌收縮力下降、心輸出量減少;對於支氣管與血管平滑肌的 β₂ 受體阻斷則會造成平滑肌收縮。
Reference(s):
1. Nieminen T et al. (2007). Ophthalmic timolol: plasma concentration and systemic cardiopulmonary effects. Scand J Clin Lab Invest.
2. Dunn FG et al. (1981). Pharmacokinetics, mechanisms of action, indications, and adverse effects of timolol maleate, a nonselective beta-adrenoreceptor blocking agent. Pharmacotherapy.
3. Obel AO et al. (1983). A comparison of timolol plus hydrochlorothiazide plus amiloride and methyldopa in essential hypertension in Black Africans. Trop Geogr Med.
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