Adrenergic Antagonists Flashcards
What are the three non selective Beta blockers?
Propranolol
Timolol
Nadolol
What are the two cardioselective Beta blockers?
Atenolol
Metoprolol
What is a partial agonist of B1 and B2 receptors?
Pindolol
How do all beta blockers affect the heart?
They decrease heart rate and force of contraction. (Note: partial agonist pindolol’s bradycardic response is limited).
How do nonselective Beta blockers affect peripheral resistance?
They block B2 receptors, so they decrease vasodilation and increase peripheral resistance. There is unopposed vasoconstriction by A1 receptors.
How do cardioselective Beta blockers affect peripheral resistance?
They have no effect because they do not block B2 receptors.
How does partial agonist pindolol affect peripheral resistance?
Slight decrease due to partial B2 activation
How do all beta blockers affect renin release?
They all decrease renin release because they all decrease B1 activation.
How do nonselective Beta blockers affect bronchioles?
They cause bronchoconstriction due to their blocking of B2 receptors. You should NEVER give a beta blocker to an asthmatic patient!
How do cardioselective beta blockers affect bronchioles?
Little bronchoconstriction because cardioselective beta blockers only block B1 receptors. Still not recommended in asthmatics.
How does partial agonist pindolol affect bronchioles?
Some bronchodilation, but asthmatics have a reduced capacity to dilate bronchioles.
How do nonselective beta blockers affect glucose metabolism?
Reduced hyperglycemic response ot epinephrine. Use caution with these drugs in diabetics because they can mask symptoms of hypoglycemia.
How to cardioselective beta blockers affect glucose metabolism?
Little effect
How does partial agonist pindolol affect glucose metabolism?
Reduced response to epinephrine because partial agonist activity is not as potent as endogenously released epinephrine
What are the physiological effects of non selective beta blockers? (Propranalol, Nadolol, Timolol)
Decreased HR Decreased renin release Decreased contractility Reduced sympathetic activation Inhibition of aqueous humor production