Coronary vasodilator; member of a class of non-benzene aromatic, heterocyclic and mesoionic type of compounds previously unknown in the pharmaceutical industry. Developmental work on sydnone imines: Brookes, Walker, J. Chem. Soc. 1957, 4409. Prepn: K. Masuda et al., JP 70 6265; eidem, US 3769283 (1970, 1973 both to Takeda); eidem, Chem. Pharm. Bull. 19, 72 (1971). Stability studies: Asahi et al., ibid. 19, 1079 (1971). Pharmacological studies: Kikuchi et al., Jpn. J. Pharmacol. 20, 102, 187, 253 (1970); Hashimoto et al., Arzneim.-Forsch. 21, 1329 (1971); T. Nakaguchi et al., Toho Igakkai Zasshi 17, 26 (1970). Metabolism: S. Tanayama et al., Xenobiotica 4, 175 (1974). Pharmacokinetics: R. Bergstrand et al., Eur. J. Clin. Pharmacol. 27, 203 (1984). Clinical trial in angina pectoris: P. A. Majid et al., N. Engl. J. Med. 302, 1 (1980); in hypertension: J. Melei et al., Eur. J. Clin. Pharmacol. 18, 231 (1980). Synergism with penbutolol in angina pectoris: A. E. Balestrini et al., ibid. 27, 1 (1984). Review of pharmacology: R.-E. Nitz, V. B. Fiedler, Pharmacotherapy 7, 28 (1987). Review: Jpn. Med. Gaz. 8(9), 10 (1971); E. Bassenge, W. R. Kukovetz in New Drugs Annual: Cardiovascular Drugs Vol. 2, A. Scriabine, Ed. (Raven Press, New York, 1984) pp 177-191.
Antianginal.
Antianginal