Adrenergic Agonists and Antagonists Flashcards
What are the indirect acting NE releasers?
Tyramine
Amphetamine
Ephedrine
Where is tyramine normally found?
Diet, aged/fermented foods like cheese and wine
Why does dietary tyramine not normally cause NE release?
Normally oxidized by MAO in gut and liver before reaching the circulation
MAO-I inhibitors will allow NE release
What are amphetamines used to treat?
Narcolepsy and ADD
What is the mechanism of action of ephedrine?
NE releaser and weak Beta2 agonist
What are the uses of ephedrine?
Decongestant
Vasopressor (BP increased)
Stress urinary incontinence (contracts bladder sphincter)
What is the difference between ephedrine and pseudoephedrine?
Less psychostimulant
Less CV effects with equivalent decongestant potency
What is the mechanism of NE release caused by the indirect acting NE releasers?
Nonvesicular release
NE-releaser displaces NE from vesicle to cytoplasm
NE released by reversal of NET
What is the mechanism by which cocaine increases NE?
Blocks neuronal NE uptake by NET
What is the direct-acting Alpha1 agonist?
Phenylephrine
What are the uses of phenylephrine?
Decongestant, vasoconstriction, mydriasis
What are the direct-acting Alpha2 agonists?
Clonidine
Brimonidine
What is clonidine used for?
Reduces sympathetic activity by inhibiting NE release (alpha2 receptors are autoreceptors)
Used for hypertension
What is Brimonidine used for?
Analog of clonidine, used to treat IOP
What are the direct-acting Beta2 agonists?
Albuterol
Salmeterol
Formoterol
Ritodrine