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Bopindolol Hydrogen Malonate

Published: July 26, 2026Updated: August 24, 2026

Bopindolol Hydrogen Malonate is a non-selective beta-blocker with intrinsic sympathomimetic activity, used primarily for the treatment of hypertension. It works by blocking beta-adrenergic receptors while also providing mild partial agonist effects, making it suitable for patients who may not tolerate traditional beta-blockers.

Quick summary

A beta-blocker medication used to treat hypertension, with unique partial agonist properties that may offer advantages for certain patients.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

RxNorm
236903
Generic
Bopindolol Hydrogen Malonate
Class
pin-variant
Brands
—
Availability
rx
Lactation
unknown
Routes
—
Forms
—
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Doses above 25 mg may cause significant toxicity in adults; serious outcomes possible with higher amounts
Chronic overdose: Prolonged use exceeding recommended doses may lead to cumulative cardiovascular depression
Immediate actions
Activate charcoal if within 1-2 hours of ingestion; consider gastric lavage for large recent overdoses; continuous cardiac monitoring
Antidote
Glucagon(Effective for reversing severe beta-blocker induced cardiogenic depression; early administration recommended)
Poison Control: 1-800-222-1222

Special Populations

10 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if benefits outweigh potential risks to fetus

Monitor

regular fetal monitoring including heart rate

Use with caution and monitor for adverse effects.

⚠

pregnancy

second third trimester
caution
FDA Category
C
Dose Adjustment

reduce dose to lowest effective

Key Recommendations

continue only if essential, monitor fetal growth

Monitor

regular fetal ultrasound and heart rate monitoring

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
N
Dose Adjustment

use lowest effective dose

Key Recommendations

monitor infant for signs of beta-blockade

Monitor

observe infant for bradycardia, hypotension, hypoglycemia

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly over 65
caution
FDA Category
N
Dose Adjustment

start at 0.5mg once daily

Key Recommendations

initiate at low dose and titrate slowly

Monitor

monitor blood pressure, heart rate, renal function

Use with caution and monitor for adverse effects.

✗

pediatric_age

children under 12
unsafe
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

use is not recommended in pediatric population

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

pediatric_age

adolescents 12 18
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

limited data available, use only if clearly needed

Monitor

monitor growth, development, vital signs

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild moderate
caution
FDA Category
N
Dose Adjustment

reduce dose by 25-50%

Key Recommendations

monitor renal function and adjust dose accordingly

Monitor

regular monitoring of renal function and electrolytes

Use with caution and monitor for adverse effects.

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

reduce dose by 50% or use alternative

Key Recommendations

use with extreme caution, consider alternative therapy

Monitor

close monitoring of renal function, electrolytes, blood pressure

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild moderate
caution
FDA Category
N
Dose Adjustment

reduce dose by 25-50%

Key Recommendations

use with caution, monitor liver function tests

Monitor

monitor liver function tests and clinical response

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

severe
caution
FDA Category
N
Dose Adjustment

reduce dose by 50% or avoid

Key Recommendations

use only if benefits outweigh risks, consider alternative

Monitor

frequent monitoring of liver function and clinical status

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:1990s

General prescribing information

drug_classWHO
2023

Drug class

Value:Beta-blocker (non-selective)

Drug class information

usageMedical guidelines
2023

Common uses

Value:Hypertension, Angina

Common therapeutic uses

mechanismFDA
2023

Mechanism of action

Value:Beta-adrenergic blocking agent

Primary pharmacological mechanism

Primarily used for the management of hypertension (high blood pressure). May also be used for angina pectoris (chest pain) in some regions.

Bopindolol is a non-selective beta-blocker that blocks both beta-1 and beta-2 adrenergic receptors. It also possesses intrinsic sympathomimetic activity (partial agonist properties), meaning it can produce some beta-receptor stimulation while primarily blocking the effects of catecholamines.

Like other beta-blockers, it should not be discontinued abruptly. Caution is advised in patients with asthma, diabetes, or certain heart conditions. Dosing is typically once daily. Medical supervision is required for proper evaluation and monitoring.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy