Adrenergic Pharm Flashcards
epinephrine
Alpha1, beta 1, and beta 2 activator
Short half life
Norepinephrine
Alpha 1 and beta 1 activator
little effect on beta 2
Short half life
Isoproterenol
Potential non-selective beta-receptor agonist
Dopamine
Actives D1 receptors in renal vasculature
Increases renal blood flow
Dobutamine
Relatively beta1-selective
Short half life
Phenylephrine
Prototypic alpha1 agonist
Mydriatic and decongestant
Methoxamine
Alpha1 selective agonist
Ephedrine
First orally active sympathomimetic drug
Pseudoephedrine
OTC decongestant
Indirectlyreleases endogenous NE
Oxymetazoline
Direct alpha1 agonist
Topical decongestant
Xylometazoline
Direct alpha1 agonist
Topical decongestant
Clonidine
Alpha2 selective agonist
Anti hypertensives
Methyldopa
Alpha2 selective agonist
Anti hypertensives
Used in pregnancy
Guanfacine
Alpha2 selective agonist
Anti hypertensives
Guanabenz
Alpha2 selective agonist
Anti hypertensives
Prenalterol
Beta1 selective partial agonist
Albuterol
Beta2 selective agonist
Salmeterol
Beta2 selective agonist
Terbutaline
Beta2 selective agonist
Ritodine
Beta2 selective agonist
Used for uterine relaxation in premature labor
Amphetamine
Indirect sympathomimetic
Methamphetamine
Indirect sympathomimetic
Higher ratio of central to peripheral action
Methylphenidate
Indirect sympathomimetic
Amphetamine variant, used in ADHD
Cocaine
Indirect sympathomimetic
Local anestetic
Blockade of uptake 1
Tyrosine
Indirect sympathomimetic Releases stored catecholamines Found in fermented foods (cheese) MAO inhibitors potentiate effects Can produce hypertensive crisis
Phentolamine
Prototypic alpha antagonist
Nonselective between alpha 1 and 2
Competitive and reversible
Phenoxybenzamine
Alpha antagonist
Irreversible (covalent binding)
Somewhat selective to alpha 1 (less so than prazosin)
Used in pheochromocytoma
Prazosin
Selective alpha 1 antagonist
Terazosin
Selective alpha 1 antagonist
Doxasosin
Alpha 1 antagonist with longer half life
Used for HTN and BPH
Tamsulosin
Competitive alpha 1 antagonist
Used in BPH
Alfuzosin
Competitive alpha 1 antagonist
Used in BPH
Yohimbine
Alpha2 selective antagonist
No clinical role
Reserpine
Indirect sympatholytic
Irreversibly blocks vesicular monoamine transporter
Storage of ALL catecholamines is inhibited
Drug-induced parkinsonism
Propranolol
Prototypical beta-blocker
Nonselective
Metoprolol
Beta1-selective antagonist
Atenolol
Beta1-selective antagonist
Nadolol
Beta blocker
Long duration of action
Timolol
Beta blocker
Long duration of action
Used for glaucoma
Pindolol
Beta blocker
partial agonist
Significant intrinsic sympathomimetic effects
Acebutolol
Beta blocker
partial agonist
Significant intrinsic sympathomimetic effects
Carteolol
Beta blocker
partial agonist
Significant intrinsic sympathomimetic effects
Labetalol
Nonselective beta antagonist
Reversible alpha1 antagonist
Esmolol
Short acting beta1-selective antagonist
Ester linkage results in rapid hydrolysis
Butoxamine
Selective beta2 antagonist
No clinical application
Guanadrel
Adrenergic neuron blocking drug
Pendutolol
Nonselective beta antagonist
Levobunolol
Nonselective beta antagonist
Metipranolol
Nonselective beta antagonist
Betxolol
Beta-1 selective antagonist
Bisoprolol
Beta-1 selective antagonist
Nebivolol
Beta-1 selective antagonist