EFFORTIL Solution for injection Ref.[51028] Active ingredients: Etafedrine

Source: Health Products Regulatory Authority (ZA)  Revision Year: 2022  Publisher: Pharmaco Distribution (Pty) Ltd, 3 Sandown Valley Crescent, South Tower, First Floor, Sandton 2196, Gauteng, South Africa Ethical assistance Line: +27 (0) 784 00 77

5.1. Pharmacodynamic properties

Etilefrine hydrochloride belongs to the medicine class A 5.1 Adrenomimetics (sympathomimetics).

Mechanism of action

EFFORTIL in pharmacological terms is regarded as a sympathomimetic. Recent investigations allow for a more precise description as a cardio-selective drug. This term deserves some explanation: EFFORTIL has a mild stimulating effect on peripheral α-adrenoceptors (approximately 1/10 of that of noradrenaline), a mild stimulating effect of β2-adrenoceptors, and a prominent effect on β1-adrenoceptors.

The pharmacologically assessed action on adrenoceptors results in a number of typical cardiovascular changes. They are: increase in venous return, increase in stroke volume and cardiac output, unchanged heart rate, slight drop in peripheral arterial resistance, relaxation in precapillary sphincters and increase in transcapillary flow. By the same token, the circulation time is shortened. The combination of the above cardiovascular actions causes improved tissue perfusion. Based on the above considerations, EFFORTIL can be used in all conditions where a decreased tissue perfusion is assumed. One of the leading symptoms of reduced tissue perfusion is a drop in blood pressure.

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