Adrenergic drugs مهم Flashcards
Epinephrine (Adrenaline) is Stimulates ?
( a1 , a2 , B1 , B2 , B3 )
Norepinephrine ?
( a1 , a2 , β1 )
Isoproterenol (isoprenaline) ? ابو التوأم الدب
( β1, β2 )
Dopamine الدب أمين ?
1- In small dose acts on D1 ( increase renal
blood flow & V.D. )
2- In moderate dose acts on (D1 & B1)
3- In large dose acts on (a1 ) V. C.
Dobutamine دبه امين = زوجته ?
Selective B1 agonist.
Phenylephrine ?
selective a1 antagonist
Oxymetazoline ?
α1& α2-adrenergic
Give examples of Selective a2 agonists ?
Clonidine and a- Methyldopa
Selective B2 agonists ?
Albuterol, salbutamol & terbutaline
Selective B3 agonists ?
Mirabegron
What is the Absorption of epinephrine ?
ineffective orally غير فعال فمويا
What is the uses of epinephrine
1- anaphylactic shock S.C. or IV 2- Cardiac arrest 3- epistaxis 4- With local anesthetics 5- open angle glaucoma 6- acute sever asthma
What is the Adverse effect of epinephrine ?
1- cerebral haemorrhages
2- cardiac arrhythmia
What is the Contraindications of epinephrine ?
1- Cardiovascular disease
2- Hypertension
3- Hyperthyroidism
4- Diabetes mellitus
Norepinephrine Act mainly on ?
alpha receptors more than beta receptors
What is the Pharmacological actions of Norepinephrine ?
1- Blood vessels (V.C.) due to alpha 1
2- Heart : Reflex bradycardia
What is the uses of Norepinephrine (a1,a2,B1 ) ?
Shock to treat acute hypotension
What is the uses of Dopamine ?
Fenoldopam (selective D1 agonist) used in ttt of hypertensive emergency
Fenoldopam (selective D1 agonist) used in ttt of ?
hypertensive emergency
What is the Side effects& contraindications of Dobutamine ?
It should be used with caution in atrial fibrillation
What is the drug that is less potent than noradrenalin in raising blood pressure but it
has a more prolonged action ?
Phenylephrine
Phenylephrine ( a1 ) is leads to ?
reflex bradycardia
What is the Therapeutic uses of Phenylephrine ( selective a1 agonist ) ?
1- nasal decongestant
2- Hypotension
3-ophthalmology to produce pupillary dilation (mydriasis)
What is the Adverse effect of phenylephrine ?
1- cardiac irregularity& hypertension.
2- Rebound nasal congestion
Give example of Selective a2 agonists ?
Clonidine and a- Methyldopa
What is the uses of Selective a2 agonists ?
1- treatment of hypertension
2- minimize the symptoms that accompany withdrawal from opiates, tobacco smoking
What is the drug that used intratment of hypertension in pregnancy ?
a Methyldopa
used intratment of hypertension in pregnancy ?
a - Methyldopa
Selective B2 agonists ?
1- Albuterol
2- salbutamol
3- terbutaline
Selective B2 agonists used in ?
bronchial asthma
Terbutaline is also used as a ?
uterine relaxant
What is the B2 activation relax the pregnant uterus ?
1- Ritodrine
2- terbutaline
What is the drug that mood-elevating (euphoriant) effect ?
Amphetamine
What is the powerful cardiac stimulant ?
Epinephrine
What is the powerful cardiac stimulant ?
Epinephrine (Adrenaline)
Injection of epinephrine, increases the?
systolic pressure but the diastolic pressure usually falls
What is the uses of Norepinephrine ?
Shock to treat acute hypotension
What is the Examples of selective a2 agonists ?
Clonidine and a- Methyldopa
What is the uses of b2 agonists ?
1- bronchial asthma
2- uterine relaxant
Ritodrine is selective ?
B2 agonist ( has relaxant effect on the uterus)
What is the uses of Ritodrine ?
has relaxant effect on the uterus
What is the uses of selective B3 agonists ?
used for patients with overactive bladder.
What is the uses of Mirabegron ?
used for patients with overactive bladder.
What is the function of Amphetamine ?
increase in nonvesicular release
What is the drug that treat Attention deficit hyperactivity disorder ?
Methylphenidate
What is the function of Cocaine ?
ability to block the sodium-chloride
Example of mixed-action agonists ?
Ephedrine & pseudoephedrine
What is the uses of mixed-action agonists ?
1- bronchial asthma
2- nasal decongestant
What is the drugs that Treatment of acute hypotension ?
1- norepinephrine
2- phenylephrine
3- methoxamine
What is the drugs for Cardiogenic shock and acute heart failure ?
1- Dopamine
2- Dobutamine
What is the drugs for Bronchial asthma ?
1- albuterol
2- salbutamol
3- terbutaline
4- formeterol
What is the drugs that activation relax the pregnant uterus. (B2) ?
1- Ritodrine
2- terbutaline
What is the drug that used for mood-elevating (euphoriant) effect ?
Amphetamine