Adrenergic agonists and antagonists Flashcards

1
Q

Where are noradrenergic receptors found?

A

Post-ganglionic sympathetic fibres

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2
Q

How is NA transmission terminated?

A

Re-uptake and metabolism of NA to amines using monoamine oxidases

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3
Q

2 types of NA receptors?

A

Alpha and beta

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4
Q

What type of receptors are adreno-receptors/NA receptors?

A

G coupled

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5
Q

What effects do alpha 1 receptors target?

A

Vasoconstriction to visceral organs

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6
Q

Where are alpha 2 receptors found? What is their function?

A

Pre-synaptic receptors, retake NA and inhibit release by negative feedback

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7
Q

Difference between auto and heteroreceptor (alpha 2)?

A

Autoreceptor on the same synapse as NA and inhibits release of NA from that synapse
Hetero = on another synapse - reputes NA into a different fibre and inhibits transmission of that NT

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8
Q

What do B1, B2, B3 receptors mediate?

A
B1 = Increased HR
B2 = Bronchodilation
B3 = Increase lipolysis
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9
Q

Name an alpha 1 agonist? How does it change with route of admin?

A

Adrenaline
Iv = alpha 1 mediated vasoconstriction (prolong LA)
IM = alpha 1 mediated vasoconstriction, B1 increase HR< B2 bronchodilation = treat anaphylactic shock

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10
Q

Name a selective B1 and a selective B2 agonist?

A
Dobutamine = increase heart rate
Salbutamol = bronchodilation = treat asthma
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11
Q

Prazosin is an alpha 2 agonist, what is its function?

A

Vasodilation to visceral organs = treat hypertension

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12
Q

Propanol and atenolol are both used for what?

A

B1 mediated decrease in heart rate to treat hypertension

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13
Q

How are salivary glands innervated/

A

Direct innervations by alpha 1, Beta 1 and beta 2

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14
Q

How can drugs affect synthesis of NA? What is this used to treat?

A

False substrate
MeDOPA = decreased Na production
Treat hypertension

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15
Q

How does reserpine effect NA storage?

A

Disrupt synaptic vesicles, less Na available for release, treat hypertension

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16
Q

What drug affects NA release? what receptor does it affect?

A

Clondien (alpha 2 agonist) = treat hypertension

17
Q

What kind of drug will prolong action fo NA in the synapse?

A

Re-uptake inhibitors

18
Q

Effect of monamine oxidase inhibitors?

A

Block metabolism of NA, more available for release

19
Q

Cheese reaction?

A

MAOI block metabolism of other dietary amines so they accumulate and have a sympathomimetic effect = hypertension