Drugs that affect cardiac metabolism: focus on perhexiline

CR Chong, B Sallustio, JD Horowitz - Cardiovascular drugs and therapy, 2016 - Springer
Approaches to the pharmacotherapy of angina pectoris have previously centred on the
concept that a transient imbalance between myocardial oxygen “demand” and supply within …

Systematic review of the efficacy and safety of perhexiline in the treatment of ischemic heart disease

SM Killalea, H Krum - American Journal of Cardiovascular Drugs, 2001 - Springer
Perhexiline was introduced about 30 years ago and rapidly gained a reputation for efficacy
in the management of angina pectoris. However, hepatic and neurological adverse effects …

Can perhexiline be utilized without long-term toxicity? A clinical practice audit

H Phuong, BY Choi, CR Chong, B Raman… - Therapeutic drug …, 2016 - journals.lww.com
Background: Perhexiline, originally used as a first-line prophylactic antianginal agent, is now
regarded primarily as a treatment for otherwise refractory myocardial ischemia. Recent …

Perhexiline maleate treatment for severe angina pectoris—correlations with pharmacokinetics

JD Horowitz, STB Sia, PS Macdonald, AJ Goble… - International journal of …, 1986 - Elsevier
Perhexiline maleate, which causes inhibition of myocardial fatty acid catabolism with a
concomitant increase in glucose utilization, is particularly useful in the management of …

Interaction of terbinafine (anti-fungal agent) with perhexiline: a case report

AR Sheikh, I Westley, B Sallustio, JD Horowitz… - Heart, Lung and …, 2014 - Elsevier
Perhexiline is a unique anti-anginal agent that is frequently used in the treatment of chronic
refractory angina. Its utility has been limited because of its complex pharmacokinetics that …

Stereoselective handling of perhexiline: implications regarding accumulation within the human myocardium

CR Chong, NE Drury, G Licari, MP Frenneaux… - European journal of …, 2015 - Springer
Purpose Perhexiline is a prophylactic anti-ischaemic agent with weak calcium antagonist
effect which has been increasingly utilised in the management of refractory angina. The …

Pharmacokinetics of perhexiline maleate in anginal patients with and without peripheral neuropathy

E Singlas, MA Goujet, P Simon - European journal of clinical …, 1978 - Springer
Perhexiline maleate (Pexid®) which has been in general use in France with good results for
the treatment of angina pectoris since 1973, may be associated with severe side effects …

Pharmacokinetics of the antianginal agent perhexiline: relationship between metabolic ratio and steady‐state dose

BC Sallustio, IS Westley… - British journal of clinical …, 2002 - Wiley Online Library
Aims 1) To develop an estimate of oral clearance (/F) for the antianginal agent perhexiline
based on the ratio of cis‐OH‐perhexiline metabolite/parent perhexiline plasma …

Efficacy and safety of perhexiline maleate in refractory angina. A double-blind placebo-controlled clinical trial of a novel antianginal agent.

PL Cole, AD Beamer, N McGowan, CO Cantillon… - Circulation, 1990 - Am Heart Assoc
Despite large gains in the medical and surgical treatment of angina pectoris in the past two
decades, many patients are refractory to conventional medical therapy and are unsuitable …

[HTML][HTML] Perhexiline: lessons for heart failure therapeutics

TP Cappola - JACC: Heart Failure, 2015 - jacc.org
In heart failure with reduced ejection fraction, mechanical work produced by the left ventricle
to support the systemic circulation decreases over time despite relatively constant …