The tremorolytic action of beta-adrenoceptor blockers in essential, physiological and isoprenaline-induced tremor is mediated by beta-adrenoceptors located in a deep peripheral compartment

Br J Clin Pharmacol. 1985 Oct;20(4):369-76. doi: 10.1111/j.1365-2125.1985.tb05079.x.

Abstract

The effects of intravenous propranolol 100 micrograms kg-1, sotalol 500 micrograms kg-1, timolol 7.8 micrograms kg-1, atenolol 125 micrograms kg-1 and placebo on essential, physiological and isoprenaline-induced tremor were studied. These beta-adrenoceptor blocker doses produced equal reduction of standing-induced tachycardia in essential tremor patients. Atenolol produced significantly less reduction of essential and isoprenaline-induced tremor than the non-selective drugs, confirming the importance of beta 2-adrenoceptor blockade in these effects. Propranolol and sotalol produced equal maximal inhibition of isoprenaline-induced tremor but propranolol was significantly more effective in reducing essential tremor. The rate of development of the tremorolytic effect was similar in essential, physiological and isoprenaline-induced tremors but all tremor responses developed significantly more slowly than the heart rate responses. It is proposed that these results indicate that the tremorolytic activity of beta-adrenoceptor blockers in essential, physiological and isoprenaline-induced tremor is exerted via the same beta 2-adrenoceptors located in a deep peripheral compartment which is thought to be in the muscle spindles.

MeSH terms

  • Adrenergic beta-Antagonists / pharmacology*
  • Adult
  • Aged
  • Female
  • Heart Rate / drug effects
  • Humans
  • Isoproterenol
  • Male
  • Middle Aged
  • Receptors, Adrenergic, beta / drug effects*
  • Tremor / chemically induced
  • Tremor / prevention & control*

Substances

  • Adrenergic beta-Antagonists
  • Receptors, Adrenergic, beta
  • Isoproterenol