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metoprolol, amiodarone
Metoprolol is a beta-1 selective adrenergic antagonist that reduces heart rate and blood pressure, while amiodarone is a class III antiarrhythmic that blocks potassium channels and prolongs the action potential duration to prevent arrhythmias.
Metoprolol is a beta-1 selective adrenergic antagonist that reduces heart rate and blood pressure, while amiodarone is a class III antiarrhythmic that blocks potassium channels and prolongs the action potential duration to prevent arrhythmias. Used for Hypertension, Angina pectoris, Myocardial infarction.
At a glance
| Generic name | metoprolol, amiodarone |
|---|---|
| Sponsor | Kuopio University Hospital |
| Drug class | Beta-1 selective adrenergic antagonist; Class III antiarrhythmic |
| Target | Beta-1 adrenergic receptor; Potassium channels (hERG and others) |
| Modality | Small molecule |
| Therapeutic area | Cardiovascular |
| Phase | FDA-approved |
Mechanism of action
Metoprolol competitively blocks beta-1 adrenergic receptors on the heart, decreasing contractility and heart rate. Amiodarone is a potent antiarrhythmic with multiple mechanisms including potassium channel blockade (class III effect), sodium channel inhibition (class I), beta-blockade (class II), and calcium channel blockade (class IV), making it effective for both atrial and ventricular arrhythmias. Together, they provide complementary cardiac effects for rate and rhythm control.
Approved indications
- Hypertension
- Angina pectoris
- Myocardial infarction
- Atrial fibrillation
- Ventricular arrhythmias
- Heart failure
Common side effects
- Bradycardia
- Fatigue
- Dizziness
- Hypotension
- Pulmonary toxicity (amiodarone)
- Thyroid dysfunction (amiodarone)
- Photosensitivity (amiodarone)
- Hepatotoxicity (amiodarone)
Key clinical trials
- Optimising Pacing Therapy, Integrated Medical Therapy, and Catheter AbLation for Atrial Fibrillation in Heart Failure Trial (PHASE4)
- Assessing the Neurological Outcomes After Atrial Fibrillation Ablation for Rhythm Control
- Radiofrequency Ablation for Polymorphic Ventricular Tachycardia With Heart Failure (RFCA for PMVT-HF) (NA)
- Lenient Rate Control Versus Strict Rate Control for Atrial Fibrillation. The Danish Atrial Fibrillation Randomised Clinical Trial (NA)
- Catheter Ablation vs Anti-arrhythmic Drug Therapy for Atrial Fibrillation Trial (NA)
- Acute Cardioversion Versus Wait And See-approach for Symptomatic Atrial Fibrillation in the Emergency Department (NA)
- Prophylaxis to Reduce Postoperative Atrial Fibrillation in Cardiac Surgery (PHASE3)
- Randomized Trial Comparing Diltiazem and Metoprolol For Atrial Fibrillation Rate Control (PHASE4)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- metoprolol, amiodarone CI brief — competitive landscape report
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- Kuopio University Hospital portfolio CI