Relative Pharmacodynamic Potency of Selected
Enantiomers
Compound Relative Activity Biological Response
terbutaline - > + (3000:1) trachea relaxation
propranolol S > R (100:1) block tachycardia
pindolol - > + (200:1) inhibit tachycardia
methadone - > + (3:1) respiratory depression
ketamine S > R (4:1) anesthesia
tocainide R > S (3:1) antiarrhythmic
flecainide +=- antiarrhythmic
propafenone +=- antiarrhythmic
disopyramide S>R antiarrhythmic
disopyramide S>R anticholinergic
warfarin S > R (8:1) anticoagulant
verapamil - > + (5-18:1) block AV conduction
Data from: Jamali F, et al. J Pharm Sci 78:695, 1989.
1
From: Olbe et al, Nat Rev Drug Discovery 2:132, 2003 2
Different actions of R,S-enantiomer (1)
Different actions of R,S-enantiomer (2)