Adrenergic Drugs Flashcards

1
Q

Albuterol

A

Direct-acting Beta agonist

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2
Q

Dobutamine

A

Direct-acting Beta agonist

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3
Q

Epinephrine

A

Direct-acting Beta agonist

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4
Q

Isoproterenol

A

Direct-acting Beta agonist

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5
Q

Metaproterenol

A

Direct-acting Beta agonist

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6
Q

Norepinephrine

A

Direct-acting Beta agonist

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7
Q

Terbutaline

A

Direct-acting Beta agonist

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8
Q

Epinephrine

A

Direct-acting Alpha agonist

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9
Q

Ergot Alkaloids

A

Direct-acting Alpha agonist

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10
Q

Metaraminol

A

Direct-acting Alpha agonist

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11
Q

Methoxamine

A

Direct-acting Alpha agonist

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12
Q

Norepinephrine

A

Direct-acting Alpha agonist

Levophed

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13
Q

Phenylephrine

A

Direct-acting Alpha agonist

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14
Q

Dobutamine

A

Direct-acting Alpha agonist

very weak alpha

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15
Q

Naphazoline, Oxymetazoline, Tetrahydrozoline, Xylometazoline

A

-peripheral Alpha 1 agonist for topical
vasoconstriction of nasal passages and red eyes
-central imidazoline receptor agonism like clonidine.

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16
Q

Amphetamines

A

Indirect acting sympathomimetic
Induce release and prevent the reuptake of norepinephrine, dopamine, and to a lesser
extent, serotonin.

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17
Q

Cocaine

A

Indirect acting sympathomimetic

Mainly prevents reuptake of all 3 transmitters into nerve terminals and also causes some release.

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18
Q

Methylphenidate

A

Indirect acting sympathomimetic

(Ritalin; Concerta) – same as cocaine but less potent.

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19
Q

Propylhexedrine

A

Indirect acting sympathomimetic

isomer of amphetamine; found in OTC Benzedrex nasal inhaler

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20
Q

Mephentermine

A

Indirect acting sympathomimetic
Wyamine) - Releases nor-epi; possibly small direct action on receptors. Used IV or IM to
maintain blood pressure during spinal anesthesia. Some sources say there is small direct action also.

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21
Q

Pemoline

A

Indirect acting sympathomimetic

(Cylert) - for ADHD.

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22
Q

Fenfluramine

A

Indirect acting sympathomimetic

(Pondimin) – appetite suppressant; releases and prevents reuptake of serotonin.

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23
Q

Phenmetrazine

A

Indirect acting sympathomimetic

(Preludin) – suppressant; prevents reuptake of nor-epi and dopamine.

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24
Q

Isocarboxazid

A
MAO Inhibition
(Marplan) - Nonspecific MAO-A & B inhibition; antidepressant - short term use.
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25
Q

Tranylcypromine

A
MAO Inhibition
(Parnate) - irreversible non selective MAOI for depression.
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26
Q

Phenelzine

A

MAO Inhibition

Nardil

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27
Q

Selegiline

A

MAO Inhibition

(Emsam transdermal patch) - irreversible MAO-B inhibitor for Parkinson’s disease.

28
Q

Pargyline

A

MAO Inhibition

off the market.

29
Q

Linezolid

A

MAO Inhibition

Antibiotic; reversible, nonselective MAO inhibitor action.

30
Q

Methylene Blue

A

MAO Inhibition

Potent, reversible MAO A inhibitor

31
Q

Dopamine

A

Mixed direct and indirect action
o Low dose (0.5 to 2 μg/kg/min) - Stimulates dopamine receptors that enhance renal blood flow
o Mid dose (2 to 20 μg/kg/min) - Directly stimulates beta1 receptors to increase strength of contraction
o High dose (20 to 50 μg/kg/min) - Releases nor-epi and has vasopresssor effect.

32
Q

Ephedrine

A

Mixed direct and indirect action

Primarily indirect release of nor-epi; may be some direct alpha 1 stimulations also.

33
Q

Pseudoephedrine

A

Mixed direct and indirect action
OTC decongestant with controls on availability due to use as starting material in illegal
synthesis of methamphetamine.

34
Q

Phenylpropanolamine

A

Mixed direct and indirect action
OTC diet aid; spikes in blood pressure pose risk of hemorrhagic stroke. Off the
market in 2009 but still found as an undeclared ingredient.

35
Q

Alpha-methyldopa

A

Alpha 2 agonist

(formerly Aldomet) - Outdated blood pressure med; incredibly still in use.

36
Q

Brimonidine

A

Alpha 2 agonist

-for glaucoma

37
Q

Clonidine

A

Alpha 2 agonist & central imidazoline receptors
-unknown which receptors mediate which effects.
(Catapress, Kapvay)

38
Q

Dexmedetomidine

A

Alpha 2 agonist
(Precedex) – Alpha 2 agonist with sedative properties; IV use such as sedation for
bronchoscopy.

39
Q

Guanabenz

A

Alpha 2 agonist
(formerly Wytensin)
–Alpha 2 agonist and central imidazoline receptors

40
Q

Guanfacine

A

Alpha 2 agonist

(Intuniv, Tenex) - Similar to clonidine; particularly good for ADHD; also for hypertension.

41
Q

Alfuzosin

A

Alpha blocker
(Uroxatral) - Selective alpha1 blocker that targets only prostate (and eye); increases urine flow in
prostatic hypertrophy

42
Q

Phentolamine

A

Alpha blocker
Nonselective, competitive block of alpha 1 and 2; IM or IV as toxicology antidote for
epinephrine extravasation; hypertensive crisis.

43
Q

Phenoxybenzamine

A

Alpha blocker
Nonselective, noncompetitive alpha blocker; orally to control symptoms from
pheochromocytoma (tumor secreting epi and nor-epi.

44
Q

Doxazosin

A
Alpha blocker
(Cardura) - Nonselective alpha 1 blocker; increases urine flow in prostatic hypertrophy.
45
Q

Tamsulosin

A

Alpha blocker
(Flomax) - Selective alpha1 blocker that targets only prostate (and eye); increases urine flow in
prostatic hypertrophy

46
Q

Tolazoline

A

Alpha blocker
Direct-acting peripheral vasodilator with weak nonselective alpha-blocking properties; used for
persistent pulmonary hypertension in newborn; and aid for arteriography.

47
Q

Terazosin

A

Alpha blocker
(Hytrin) - Nonselective alpha 1 blocker; increases urine flow in prostatic hypertrophy; also used
for diastolic hypertension.

48
Q

Silodosin

A

Alpha blocker
(Rapaflo) - Selective alpha1 blocker that targets only prostate (and eye); increases urine flow in
prostatic hypertrophy

49
Q

Prazosin

A

Alpha blocker
(Minipress) - Alpha 1 selective antagonist for hypertension, erectile dysfunction; prostatic
hypertrophy.

50
Q

Drugs that have alpha blocking as a “side effect”

A

phenothiazines
atypical antipsychotics
labetalol
TCAs

51
Q

Acebutolol

A

B1 cardio-selective
Moderate membrane stabilizing
Partial agonist

t1/2 3-6 hr (Active metabolite with 3-8 hr half-life)

52
Q

Atenolol

A

B1 cardio-selective

Removable by dialysis

53
Q

Betaxolol

A

B1 cardio-selective

Main use is topical eye drops for glaucoma.

54
Q

Bisoprolol

A

B1 cardio-selective

55
Q

Carteolol

A

As eye drops only for glaucoma.

56
Q

Carvedilol

A

highly lipid soluble
Also alpha-1 blocker, so worse hypotension
in OD. Lowers BP without reflex tachycardia.

57
Q

Esmolol

A

B1 cardio-selective
t1/2 9 min
IV only, short acting; metabolized by plasma
esterase.

58
Q

Labetalol

A

Also alpha-1 blocker, so worse hypotension
in OD. Good for pre-eclampsia, hypertensive
crisis; also IV form.

59
Q

Levobunolol

A

As eye drops only for glaucoma.

60
Q

Metipranolol

A

As eye drops only for glaucoma.

61
Q

Metoprolol

A

B1 cardio-selective

Also IV form.

62
Q

Nebivolol

A

Highly lipid soluble

Active metabolite with 12 hr half-life.

63
Q

Pindolol

A

High Partial agonist
One of most potent beta blockers available;
also blocks inhibitory 5HT1a autoreceptors
which would allow more release of serotonin.

64
Q

Propranolol

A

High Membrane Stabilizing

Highly lipid soluble

65
Q

Sotalol

A

Also blocks potassium channels/Class III

antiarrhythmic; prolong QT interval.

66
Q

Timolol

A

Also topical use in eye; in many combo

products.