NCIt definition : The maleate salt form of timolol, a propanolamine derivative and a non-selective beta-adrenergic
antagonist with antihypertensive property. Timolol competitively binds to beta-1-adrenergic
receptors in the heart and vascular smooth muscle and beta-2-receptors in the bronchial
and vascular smooth muscle, resulting in a decrease in beta-adrenergic stimulation.
Beta-1-receptor blockade results in a decrease in resting and exercise heart rate
and cardiac output, a decrease in both systolic and diastolic blood pressure, and,
possibly, a reduction in reflex orthostatic hypotension. Beta-2-blockade results in
an increase in peripheral vascular resistance. The ultimate results include vasodilation,
and negative chronotropic and inotropic effects. In addition, timolol reduces intra-ocular
pressure possibly by decreasing aqueous humor production by reduction of blood flow
to the ciliary processes and cAMP synthesis.;