Celivarone

[8] Celivarone is a non-iodinated benzofuran derivative, structurally related to amiodarone, a drug commonly used to treat arrhythmias.

[1] Celivarone has potential as an antiarrhythmic agent, attributable to its multifactorial mechanism of action; blocking Na+, L-type Ca2+ and many types of K+ channels (IKr, IKs, IKACh and IKv1.5), as well as inhibiting β1 receptors, all in dose-dependent manners.

[1][10] Celivarone may be an effective antihypertensive therapy, as it inhibits both angiotensin II and phenylephrine induced hypertension in dogs, despite having no affinity for these receptors.

The non-iodinated nature of celivarone means that the harmful side-effects on the thyroid commonly seen with amiodarone therapy are eliminated, making the drug an attractive alternative.

[1][10] Higher oral bioavailability, shorter duration of action, and lower accumulation in body tissues are also benefits of celivarone.