Abstract
Various studies were conducted to evaluate the effects of timolol, an S-enantiomer, relative to its R-enantiomer upon intraocular pressure and related ocular systems in the rabbit. The R-enantiomer was about one-third as potent as timolol in displacing3H-dihydroalprenolol binding to iris-ciliary body tissue, reducing aqueous humor formation, and lowering intraocular pressure of α-chymotrypsin hypertensive eyes. In contrast, the R-enantiomer was 50 to 90 times less potent than timolol in antagonizing the effects of isoproterenol on pulmonary and atrial β-adrenergic receptors. The data indicate that the R-enantiomer may lower intraocular pressure in man at concentrations less likely than timolol to block extraocular β-adrenergic receptors. Finally, to account for the differential effect of the R-enantiomer upon ocular as opposed to extraocular β-adrenergic receptors, it is tentatively suggested that this agent may also act upon a population of ocular β-adrenergic receptors showing relatively poor stereoselectively.
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Share, N.N., Lotti, V.J., Gautheron, P. et al. R-Enantiomer of timolol: a potential selective ocular antihypertensive agent. Graefe's Arch Clin Exp Ophthalmol 221, 234–238 (1984). https://doi.org/10.1007/BF02134145
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DOI: https://doi.org/10.1007/BF02134145