Epoprostenol
has two above pharmacological actions: absolute vasodilation of pulmonary and
systemic arterial vascular beds, and inhibition of platelet aggregation. In
animals, the vasodilatory furnishings abate appropriate and larboard
ventricular afterload and access cardiac achievement and achievement volume.
The aftereffect of epoprostenol on affection amount in animals varies with
dose. At low doses, there is vagally advised brudycardia, but at college doses,
epoprostenol causes reflex tachycardia in acknowledgment to absolute
vasodilation and hypotension. No above furnishings on cardiac advice accept
been observed. Added pharmacologic furnishings of epoprostenol in animals cover
bronchodilation, inhibition of belly acid secretion, and decreased belly
emptying. No accessible actinic appraisal is abundantly acute and specific to
appraise the in vivo beastly pharmacokinetics of epoprostenol.
Epoprostenol
is metabolized to 2 primary metabolites: 6-keto-PGF1α (formed by ad-lib
degradation) and 6,15-diketo-13,14-dihydro-PGF1α (enzymatically formed), both
of which accept pharmacological action orders of consequence beneath than
epoprostenol in beastly analysis systems. Fourteen added accessory metabolites
accept been abandoned from urine, advertence that epoprostenol is abundantly
metabolized in humans.
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