10. Indirect sympathomimetics. Selective α1-agonists. Selective α2-agonists and drugs acting on the imidazoline receptors Flashcards
Indirectly acting sympathomimetics
Tyramine Ephedrine Amphetamine Reuptake inhibitors MAO inhibitors
α receptor agonists
Systemic & Loca
α1 & α2
drugs acting on imidazoline receptors
clonidine
imidazolines
Ephedrine
mixed sympathomimetic
Amphetamine
Methylphenidate
MDMA
Methamphetamine
Reuptake inhibitors
Cocaine
Tricyclic Antidepressants (TCA)
SNRi
SSNRi
MAO inhibitors
Tranylcypromine
Moclobemide
Selegiline
Phenelzine
Methylphenidate
ADHD treatment
α1 selective agonist
Phenylephrine
α2 selective agonist
Clonidine Guanfacine Methyldopa dexmedetomidin tizanidin
Local use
selectivity is not important in local use
Nasal: Naphazolin, Phenylephrine
Ophthalmology: Phenylephrine
Phenylephrine
↑BP
Clonidine
↓ sympathetic tone
↓BP
also acts on I1 imidazoline R
Guanfacine
Centrally acting antihypertensive drug
Methyldopa
inhibits α2 autoreceptor
α-methyldopa becomes α-methylNE which binds α2 autoreceptor