Perhexiline Therapy in Patients with Type 2 Diabetes: Dissociation Between Potentiation of Nitric Oxide Signalling and Changes in Insulin Resistance

CR Chong, S Liu, H Imam, T Heresztyn, B Sallustio… - 2021 - researchsquare.com
Purpose: Perhexiline (Px) has previously been utilized primarily in the treatment of otherwise
refractory angina pectoris and/or systolic heart failure. In recent years, Px has also shown …

Perhexiline Therapy in Patients with Type 2 Diabetes: Incremental Insulin Resistance despite Potentiation of Nitric Oxide Signaling

CR Chong, S Liu, H Imam, T Heresztyn, BC Sallustio… - Biomedicines, 2022 - mdpi.com
Perhexiline (Px) inhibits carnitine palmitoyltransferase 1 (CPT1), which controls uptake of
long chain fatty acids into mitochondria. However, occasional cases of hypoglycaemia have …

[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 …

Pleiotropic mechanisms of action of perhexiline in heart failure

CH George, AN Mitchell, R Preece… - Expert opinion on …, 2016 - Taylor & Francis
Introduction: The re-purposing of the anti-anginal drug perhexiline (PHX) has resulted in
symptomatic improvements in heart failure (HF) patients. The inhibition of carnitine …

Effects of aging, renal dysfunction, left ventricular systolic impairment, and weight on steady state pharmacokinetics of perhexiline

L Ling, W Chik, P Averbuj, PK Pati… - Therapeutic drug …, 2011 - journals.lww.com
Materials and Methods: Two hundred patients at steady-state on long-term perhexiline were
identified retrospectively. The ratio of maintenance dose to steady-state plasma …

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 …

Beneficial clinical effects of perhexiline in patients with stable angina pectoris and acute coronary syndromes are associated with potentiation of platelet …

SR Willoughby, S Stewart, YY Chirkov… - European heart …, 2002 - academic.oup.com
Aims To examine whether the prophylactic antianginal agent perhexiline potentiates platelet
responsiveness to nitric oxide (NO) in patients with stable angina pectoris (SAP) and acute …

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 …

Metabolic modulation with perhexiline in chronic heart failure: a randomized, controlled trial of short-term use of a novel treatment

L Lee, R Campbell, M Scheuermann-Freestone… - Circulation, 2005 - Am Heart Assoc
Background—Chronic heart failure (CHF) is a major cause of morbidity and mortality that
requires a novel approach to therapy. Perhexiline is an antianginal drug that augments …

Effects of perhexiline and nitroglycerin on vascular, neutrophil and platelet function in patients with stable angina pectoris

EA Liberts, SR Willoughby, JA Kennedy… - European journal of …, 2007 - Elsevier
Perhexiline, a “metabolic” anti-anginal agent currently under investigation in management of
congestive heart failure and acute coronary syndromes improves platelet nitric oxide …