9-Adrenergic Drug Flashcards
selective direct acting adrenergic agonists (4)
A1 - phenylephrine
A2- clonidine
B2- terbutaline
D1- fenoldopam
nonselective direct acting adrenergic agonists (5)
B1/2- isoproterenol B1/2A1- dobutamine A1/2 B1/2- epi A1/2B1- NE D1/2A1- dopa
direct acting adrenergic drugs are _____- by prior treatment with reserpine or guanethidine
not reduced!
mix ating adrenegic agonist (1)
ephedrine (A1/2B1/2)
ephedrine response is_____ by prior treatment with reserpine or guanethidine
reduced
indirect acting releasing agents adrenergic agonists (2)
amphetamine
tyramine
indirect acting releasing agents adrenergic agonists responses are ____________ by prior treatment with reserpine or guanethidine
abolished by
indirect acting uptake inhibitor adrenergic agonist (1)
cocaine
indirect acting MAO/COMT inhbitors adrenergic receptor (2)
pargyline
entacapone
clinical indications for phenylephrine
anithypotensive
paoxysmal atrial tachycardia
nasal decongestant
mydriatic
MOA for clonidine and alpha methyldopa
activate central a2 receptors and decrease central sympathetic outlflow to decrease BP
MOA for apraclonidine and brimonidine
decrease aquesous humor production and decrease intraocular pressure
adverse effects of alpha 2 slective adrenergic receptor agonists
dry mouth
sedation
hypotension
therapeutic use for metaproterenol
long term lung conditions
*resistant to methylation by COMT
albuterol
main use for bronchospasm
specific use as a uterine relaxant
ritodrine
arrests premature labor and prolongs pregnancy
what increases risk of adverse cardio effects with B2 agonists?
MAO inhibitors
degredation of compound would decrease
clinical use of fenoldopam
hypertensive crisis
D1 receptor agonist
clinical uses of isoproterenol
bradycardia
AV block
torsades de pointes
mainly acts on B1 receptors at therapeutic dose
dobutamine
acute MI - want to increase performance - use?
dobutamine
because increase contraction without increasing HR too much
stress test for people who can’t run etc.
use dobutamine to stimulate heart working out