Effects of midaglizole, a new hypoglycaemic drug on the electrophysiological properties of guinea-pig papillary muscle.

1. The electrophysiological effects of midaglizole, a new oral hypoglycaemic agent which is an alpha 2-adrenoceptor antagonist, were assessed in the reserpinized ventricular myocardium of the guinea-pig. 2. Midaglizole suppressed the maximal rate of rise (Vmax) and the amplitude of action potentials (APA) of the fast and the slow responses in a concentration-dependent manner without influencing the resting potentials. 3. Voltage-dependency of the Vmax block of the action potentials by midaglizole (10 microM) did not appear in solutions containing various concentrations of KCl. 4. It is concluded that midaglizole has inhibitory effects on the fast Na+ and slow Ca2+ currents of the membrane independent of the blockade of myocardial alpha-adrenoceptors, and that these effects may be significant in some clinical uses of the drug.