What type of antagonists are carvedilol and labetalol?

Explore the USMLE Step 3 Drug MOA Test. Use flashcards and multiple-choice questions, each with hints and explanations. Ace your exam with confidence!

Carvedilol and labetalol are classified as non-selective alpha and beta antagonists. This means that they block both alpha-adrenergic receptors, which can lead to vasodilation and reduced peripheral resistance, as well as beta-adrenergic receptors, which can lower heart rate and myocardial contractility.

The dual mechanism of these drugs allows for their effective use in managing conditions like hypertension and heart failure. The non-selective action on both receptor types contributes to a reduction in blood pressure and improvement in cardiac function, which is beneficial in these clinical scenarios.

Selective beta-1 antagonists, on the other hand, primarily target the heart and can reduce heart rate and myocardial oxygen demand, but they do not have the vasodilatory effects seen with the alpha blockade present in carvedilol and labetalol. Beta-1 specific agonists would activate beta-1 receptors to increase heart rate and myocardial contractility, which is not consistent with the actions of carvedilol and labetalol. Thus, these drugs' unique properties as non-selective antagonists are key to their therapeutic effects.

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