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Bretylium is a class III antiarrhythmic agent and an inhibitor of the Na+/K+-ATPase (IC50 = 4.5 mM).1 Bretylium also has antiadrenergic activity, inhibiting auricular nerve stimulation-induced vasoconstriction in isolated rabbit ears and hypogastric nerve stimulation-induced contraction of isolated rabbit uterus.2 It inhibits neuroeffector calcium transients (NCTs), as well as increases action potential delay and the absolute refractory period, but does not inhibit field stimulus-induced CTs in isolated mouse vas deferens sympathetic nerve terminals.3 Bretylium prevents ventricular fibrillation in anesthetized dogs in a model of sudden coronary death when administered at a dose of 10 mg/kg.4 Formulations containing bretylium were previously used in the prevention and treatment of ventricular fibrillation.
WARNING This product is not for human or veterinary use.
1. Bretylium, an organic quaternary amine, inhibits the Na,K-
2. New antiadrenergic compounds. Nature 184, BA70-BA71 (1959).
3. Bretylium abolishes neurotransmitter release without necessarily abolishing the nerve terminal action potential in sympathetic terminals. Br. J. Pharmacol. 153(4), 831-839 (2007).
4. Prevention of ventricular fibrillation by bretylium in a conscious canine model of sudden coronary death. Am. Heart J. 105(5), 711-717 (1983).