Adrenergic pharm random Flashcards
butoxamine
beta 2 selective antagnoist
no clinical application - take away B2 and the bronchioles will collapse down
cocaine
indirect sympathomimetic
blocks uptake 1- stops uptake of catecholamines = longer time in the synapse
can be used as local anesthetic - blocks Na channels - differnet MOA and binding site than sympathomimetic effects
salmeterol
direct beta 2 selective agonist
levobunalol
nonselective beta antagonist
atenolol
beta1 selective antagonists
prenalterol
direct B1 selective agonist
partial agonist -
incresae CO with less reflex tach - lack of B2 stimulated venous dilation
oxymethoxamine
direct A1 selective agonist
used as topical decongestants
prazosin
alpha 1 selective antagonist
metoprolol
beta1 selective antagonists
labetalol
nonselective beta antagonist
reversible alpha 1 antagonist - lowers the BP (the beta blocker helps with the reflex tach
phenoxybenzamine
nonselective irreversible alpha antagonist
treatment for pheochromocytoma
postural hypotnesion and tachy limit use
propranolol
nonselective beta antagonist
extensive first pass metabolism (low bioavalibility)
dopamine
catecholamine
D1
A1 and B1 at high doses
guanabenz
direct A2 selective agonist
used as antihypertensive
diminish SNS outflow
methoxamine
direct A1 selective agonist
doxazosin
alpha 1 selective antagonist
longer half life
used in hypertension and BPH
metipranolol
nonselective beta antagonist
nadolol
nonselective beta antagonist
long duration of action
good for open angle glaucoma
phentolamine
nonselective competitive alpha(1 and 2) antagonist
produces reflex tach
albuterol
direct beta 2 selective agonist
tamsulosin
alpha 1 selective competitive antagonist
good in BPH - may be selective to the prostate somehow
Ritodrine
beta 2 selective agonist
more selective for uterine SM - prevents labor
terbutaline
direct beta 2 selective agonist
orally avalible - longer lasting
dobutamine
catecholamine
A1, B1
betaxolol
beta1 selective antagonists
pindolol
nonselective beta antagonist
significant intrinsic sympathomimetic effects
labetalol
alpha 1 selective antagonist
guanadrel
adrenergic neuron blocking drugs
gets taken up by VMAT slowly and displaces NE = no NE release
ephedrine/ pseudoephedrine
indirect sympathomimetic
can also act directly on receptors
penbutolol
nonselective beta antagonist
tolazoline
nonselective alpha antagonist
nebivolol
beta1 selective antagonists
clonidine
direct A2 selective agonist
used as antihypertensive
diminish SNS outflow
acebutolol
beta1 selective antagonists
significant intrinsic sympathomimetic effects (partial agonists)
esmolol
beta1 selective antagonists
rapidly hydrolyzed - HL = 10 min
tyramine
indirect sympathomimetic
high affinity for VMAT - displaces NE from vessicles - NE diffuses into the synapse
can precipitate hypertensive crisis
MAO inhibitors potentiate effects - less breakdown of NE
bisprolol
beta1 selective antagonists
methyldopa
direct A2 selective agonist
used as antihypertensive
diminish SNS outflow
dobutamine
direct B1 selective agonist (also A1)
incresae CO with less reflex tach - lack of B2 stimulated venous dilation
norepinephrine
catecholamine
A1/2, B1 (no B2) = no vasodilation in skel muscles
compensetory vagal reflexes at low dose - overcome with high dose
yohimbine
alpha 2 selective antagonist
no established clinical role
may be useful in hypotensive emergencies
silodosin
alpha 1 selective antagonist
alfuzosin
alpha 1 selective competitive antagonist
good at BPH - may be selective for the prostate somehow
amphetamine
indirect sympathomimetic
VMAT puts it in the vessicles instead of NE - NE diffuses out into synapse
methamphetamine - higher cetneral to peripheral effects
timolol
nonselective beta antagonist
long duration of action
use for treatment of open angle glaucoma
guanfacine
direct A2 selective agonist
used as antihypertensive
diminish SNS outflow
terazosin
alpha 1 selective antagonist
epinephrine
catecholamine
A1/2, B1/2
reserpine
adrenergic neuron blocking drug
inhibits VMAT = no packaging of NE = no neuron release
phenylephrine
direct A1 selective agonist
not metabolized by COMT (not a catecholamine) = longer duration of action
can be used as decongestant
cartelolol
nonselective beta antagonist
significant intrinsic sympathomimetic effects
Isoproterenol
catecholamine
B1/2
the BP will drop because the B2 receptors are stronger than B1 activation - reflex tach = higher HR than with epi (low dose)
methylphenidate
indirect sympathomimetic
amphetamine variant - used in ADHD