indication

For the treatment of hypertension and as an adjunct in the management of angina pectoris.

pharmacology

Alseroxylon is a purified extract of Rauwolfia serpentina, containing reserpine and other amorphous alkaloids. Alseroxylon is an indole alkaloid antipsychotic and antihypertensive drug known to irreversibly bind to storage vesicles of neurotransmitters such as dopamine, norepinephrine, and serotonin. This leads to depletion of the neurotransmitters and subsequent depression in humans.

mechanism of action

The antihypertensive actions of alseroxylon are a result of its ability to deplete catecholamines from peripheral sympathetic nerve endings. Alseroxylon almost irreversibly blocks the accumulation of noradrenaline and dopamine into synaptic vesicles by inhibiting the Vesicular Monoamine Transporters (VMAT). This depletion ultimately affects the carotid pressoreceptors which leads to a decrease in vascular pressure.

drug interactions

Epinephrine: Increased arterial pressure

Fenoterol: Increased arterial pressure

Orciprenaline: Increased arterial pressure

Phenylephrine: Increased arterial pressure

Phenylpropanolamine: Increased arterial pressure

Pseudoephedrine: Increased arterial pressure

Terbutaline: Increased arterial pressure