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Acebutolol - Indications, Dosage, Side Effects and Precautions

Last Updated on Dec 10, 2010
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Information about Acebutolol

Generic Name : Acebutolol
Pronunciation : A-se-BUE-toe-lol
Latest prescription information about Acebutolol. Learn how to pronounce the drug's name, its indications, dosage, how to take, when to take, when not to take, side effects, special precautions, warnings and its storage instructions . Also listed are the International and Indian trade name(s) of the drug and its price list.
ICD Code : Y42.3 | Therapeutic Classification : Antidiabetics

Trade Names/Brand Names of Acebutolol

International- Sectral, Prent.

Other Name(s) of Acebutolol

Acebutolol hydrochloride

Overview of Acebutolol

Acebutolol is used for treating hypertension, cardiac arrhythmia, and angina.

Why is Acebutolol Prescribed? (Indications)

This medication is used to treat high blood pressure and irregular heartbeat.

It helps by relaxing the narrowed blood vessels, making them wider, and thereby allowing the blood to flow very easily resulting in low blood pressure. 


When should Acebutolol not be taken? (Contraindications)

The drug is contraindicated in people with following conditions:
• Heart failure, poor circulation, and low blood pressure.
• Persistent slow heart rate (bradycardia).
• Atrioventricular block (AV block) in the heart.
• Tumor of adrenal gland called as pheochromocytoma.
• Known allergy to the drug.

What is the dosage of Acebutolol?

• For hypertension: Initial treatment is with 400 mg once a day or 200 mg twice a day. Maintenance dose is 400-800 mg per day.
• For ventricular arrhythmia: Initial therapy is with 200 mg twice a day. Maintenance dose is 600 to 1200 mg per day in divided doses.

How should Acebutolol be taken?

• Take the drug with water.
• Taking the drug after meal is advisable to reduce chances of stomach upset. However, the drug can be taken on an empty stomach.

Missed a Dose?

• Take the missed dose as soon as you remember. If your next dose is less than 8 hours away, skip the missed dose.
• Never take two doses together.

What are the warnings and precautions for Acebutolol?

• Acebutolol interacts with many drugs. Make sure your doctor knows all the drugs you are taking before starting the treatment with acebutolol.
• Never stop the drug abruptly without consulting your doctor.

What are the side effects of Acebutolol?

• Heart - Chest pain, low blood pressure and heart failure.
• Central Nervous System - Depression, fainting, dizziness, fatigue, headache, feeling light-headed, sleeplessness and abnormal dreams.
• Skin and mucous membranes- Rash, swelling (especially of the face/tongue/throat) and itching due to allergic reaction.
• Gastrointestinal - Constipation, diarrhoea, indigestion, flatulence, loss of appetite, nausea, vomiting and abdominal pain.
• Genitourinary - Increased urination at night, painful urination.
• Musculoskeletal - Joint/muscle pain.
• Respiratory - Cough, difficulty in breathing.
• Liver - Increase in liver enzymes, jaundice, dark urine, clay-coloured stools
• Eye - Dry eye and eye pain.
• Miscellaneous - Development of anti-nuclear antibodies, swelling of ankles or feet.

What are the other precautions for Acebutolol?

The drug should be used with extreme caution in patients with the following conditions:
• Pregnancy and breastfeeding.
• Kidney functioning problems.
• Liver functioning problems.
• Asthma or breathing problem or chronic obstructive pulmonary disease (COPD).
• Chest pain due to Prinzmetal’s angina, an angina which occurs due to spasm of blood vessels.
• Skin condition known as psoriasis.
• Muscle weakness due to myasthenia gravis.
• Hyperthyroidism or high thyroid hormone level.
• In patients with diabetes, since it may mask the effects of low blood sugar levels.

What are the Drug Interactions of Acebutolol?

Acebutolol should be avoided with:
• Other beta blockers due to additive effects.
• Other drugs that can slow down the heart like verapamil, digitalis, amiodarone and diltiazem.
• Drugs used in the treatment of asthma due to opposite effects on the bronchi.
• Antidiabetes medications since acebutolol can block the signs of hypoglycemia.
• Drugs that act on alpha receptors. Along with alpha agonists like ephedrine, it can produce excessive rise in blood pressure, while with alpha blockers like prazosin, it can result in excess fall in blood pressure.
• NSAIDs like ibuprofen and naproxen, which may block the effect of acebutolol on blood pressure.
• Anticholinesterase drugs used in Alzheimer's disease like rivastigmine due to additive effect on the heart and blood pressure.
• Drugs that lower blood pressure and increase potassium levels like chlorthiazide.
• Other drugs that may lower blood pressure like antihypertensive medications, aldesleukin, and barbiturates.

What are the storage conditions for Acebutolol?

Store is a cool, dry place away from direct sunlight. Keep out of the reach of children.

Schedule : H
Prescription drugs - Drugs to be sold only under the prescription of a Registered Medical Practitioner.
Last Updated : Jul 2018
Learn more about Acebutolol's interaction with Food, Herbs, Alcohol and Caffeine

Acebutolol : Frequently Asked Questions

Q: Is Acebutolol a beta blocker?

A: Acebutolol is a cardioselective beta-blocker that is used to treat high blood pressure (hypertension), angina pectoris, and cardiac arrhythmias (1 Trusted Source

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Q: Can Acebutolol cause a slow heart rate?

A: Yes, acebutolol reduces blood pressure by slowing the heart rate and relaxing the blood vessels (2 Trusted Source

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Q: When is the best time of day to take Acebutolol?

A: Acebutolol works the same whether taken in the morning or evening. It is usually taken once or twice a day, with or without food (2 Trusted Source

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Q: Is it safe to drink coffee while taking Acebutolol?

A: Consuming caffeine-containing products such as tea or coffee while taking acebutolol can reduce the antihypertensive effect of the drug (3 Trusted Source
Acebutolol : Interaction with Food, Herbs, Alcohol and Caffeine

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Q: What happens if Acebutolol is suddenly discontinued?

A: Sudden withdrawal of acebutolol may result in serious heart problems, such as a heart attack or chest pain (4 Trusted Source
Withdrawal of beta-blocking drugs

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  • 1. Acebutolol - (https://pubchem.ncbi.nlm.nih.gov/compound/Acebutolol )
  • 2. Acebutolol - (https://medlineplus.gov/druginfo/meds/a687003.html )
  • 3. Acebutolol : Interaction with Food, Herbs, Alcohol and Caffeine - (https://www.medindia.net/drugs/drug-food-interactions/acebutolol.htm)
  • 4. Withdrawal of beta-blocking drugs - (https://pubmed.ncbi.nlm.nih.gov/6125098/ )
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