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(±)-Ibutilide is a class III antiarrhythmic agent.1 It inhibits the rapidly activating delayed-rectifier potassium current (IKr) in AT-1 myocytes with an IC50 value of 20 nM.2 (±)-Ibutilide also enhances the late inward sodium current (INa) and increases the action potential duration in isolated guinea pig ventricular cells.3 It decreases ventricular fibrillation induced by the ATP-dependent potassium channel activator pinacidil (Item No. 15416) in Langendorff isolated perfused rabbit hearts when used at concentrations ranging from 3 to 30 µM.4 (±)-Ibutilide (15 µg/kg, i.v.) increases the effective refractory period (ERP) of the left and right atrium in anesthetized pigs.5 It prevents rapid pacing-induced atrial flutter in dogs when administered orally at doses ranging from 0.25 to 5 mg/kg. Formulations containing ibutilide have been used in the treatment of atrial arrhythmias.
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1. Pharmacology of cardiac potassium channels. Cardiovasc. Res. 62(1), 9-33 (2004).
2. Ibutilide, a methanesulfonanilide antiarrhythmic, is a potent blocker fo the rapidly activating delayed rectifier K+ current (IKr) in AT-
3. Ibutilide, a new compound with potent class III antiarrhythmic activity, activates a slow inward Na+ current in guinea pig ventricular cells. J. Pharm. Exp. Ther. 262(1), 99-108 (1992).
4. Antifibrillatory effects of ibutilide in the rabbit isolated heart: Mediation via ATP-
5. Electrophysiological and antiarrhythmic effects of the novel IKur channel blockers, S9947 and S20951, on left vs. right pig atrium in vivo in comparison with the IKr blockers dofetilide, azimilide, d,l-