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Bisoprolol+pyridostgmine

Seoul National University Hospital · FDA-approved active Small molecule

Bisoprolol blocks beta-1 adrenergic receptors to reduce heart rate and blood pressure, while pyridostigmine inhibits acetylcholinesterase to increase acetylcholine levels and enhance neuromuscular transmission.

Bisoprolol blocks beta-1 adrenergic receptors to reduce heart rate and blood pressure, while pyridostigmine inhibits acetylcholinesterase to increase acetylcholine levels and enhance neuromuscular transmission. Used for Myasthenia gravis with concurrent hypertension or arrhythmia (investigational combination).

At a glance

Generic nameBisoprolol+pyridostgmine
SponsorSeoul National University Hospital
Drug classBeta-1 selective adrenergic antagonist + Cholinesterase inhibitor combination
TargetBeta-1 adrenergic receptor; Acetylcholinesterase
ModalitySmall molecule
Therapeutic areaCardiovascular / Neuromuscular
PhaseFDA-approved

Mechanism of action

Bisoprolol is a selective beta-1 blocker that decreases cardiac contractility and heart rate, reducing myocardial oxygen demand and lowering blood pressure. Pyridostigmine is a cholinesterase inhibitor that prolongs acetylcholine action at the neuromuscular junction, improving muscle strength. This combination is used to address both cardiovascular and neuromuscular symptoms, particularly in conditions where both beta-blockade and cholinergic enhancement are therapeutically beneficial.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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