REVIEW Bevantolol acts as both a beta blocker and a calcium channel blocker for the treatment of angina pectoris and hypertension. It possesses a relatively high degree of antagonistic selectivity for beta 1-adrenoceptors, thereby inhibiting normal epinephrine-mediated sympathetic actions such as increased heart rate. This has the effect of decreasing preload and blood pressure. It is devoid of intrinsic sympathomimetic activity and possesses only weak local anaesthetic properties. Interestingly, bevantolol has been shown to cause a lowering effect on peripheral vascular resistance.
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