Adrenergic Antagonist Flashcards
Phenooxybenzamine
Trade names: dibenzyline, fenoxene. Not competitive somewhat alpha-1 selective locker long duration therefore ideal for Pheochromocytoma treatment
Phentolamine
Trade name regitine. Competitive nonselective alpha blocker.long-lasting about four hours. Perfusion use. Short-term treatment of pheoChromocytoma hypertension. May also be used with levophed (nore). Given with epinephrine lowers blood pressure.
Prazosin
Trade name: Minipress. Used extensively for treatment of hypertension. Alpha 1 blocker
Terazosin
Trade name: Hytrin used for hypertension alpha 1 blocker
Doxazosin
Trade name cardura. Used for hypertension. Alpha 1 blocker.
Tamsulosin
Tradename Flomax. Alpha-1 a blocker with less vascular smooth muscle affect use for BPH (prostate)
Alfuzosin
Trade name : Uroxatral. Alpha-1 block or less vascular smooth muscle effect. use for BPH prostate because works on alpha 1 a receptors
Beta-adrenergic blockers treat hypertension by
Decreasing cardiac output, decreasing renal renin release, decreases vascular tone
Propanolol,timolol,nadolol,
Trade name : Inderal,betimol/istaolol,corgard. Treats angina arrhythmias hyperthyroidism hypertension migraine headaches
Esmolol,atenolol,betaxolol,Nebivol,metoprolol,bisoprolol
Trade name:brevibloc,tenormin,Kerlone,bystolic,lopressor/toprol-xl,zebeta
All of these drugs are relatively specific for beta-1 receptors so they are relatively safer to use in asthmatics
Acebutolol b1,carteolol, penbutolol,pindolol
Sectral,cartrol,levatol,viskin. these drugs are used for hypertension with bradycardia they possess a mild intrinsic sympathetic activity less cardiac depression less lipid dyscrasias not use for arrhythmias
Labetolol, carvedilol
Trade name: trandate,coreg. These drugs are beta and alpha one antagonist. This makes them useful for pregnancy hypertension and congestive heart failure and elderly or black patients whose pressure is poorly controlled
Reserpine
Serpasil blocks ATP dependent transport from cytoplasm into storage vesicles which deplete catecholamines.
Dosing of beta blockers must be individualized do to
Individual differences in base catecholamine levels catecholamine receptor density and variable cellular response