Adrenoceptor Blocker Flashcards
Phenoxybenzamine
Irreversibly blocks a adrenergic a1>a2
Pre-operative treatment pheochromocytoma
Nonselective alpha blockers
Phenoxybenzamine, PHENTOLAMINE
PHENTOLAMINE
Reversibly blocks a adrenergic receptors a1>a2
Post-surgical therapy for pheochromocytoma
Antidote for rebound hypertension to clonidine
Selective a1 blocker
PRAZOSIN, doxazosin, terazosin, tamsulosin, silodosin
BPH HPN
Give at night to prevent orthostatic hypotension
Non-selective beta blocker.
Propranolol, pindolol, timolol, labetalol, carvedilol, nadolol.
Reduces renin release.
Adrenergic antagonist
Beta-blocker with combined a and b blockade. Can mask symptoms of hypoglycemia.
Labetalol
Beta-blockers with ISA intrinsic sympathomimetic activity
Partial agonist, in asthma patients less likely to cause bronchospasm.
Pindolol, acebutalol
Beta-blocker with longest half-life
NADOLOL NAsa DOLOL
Beta blocker with shortest half life
ESMOLOL esmall
Selective beta1 blocker
BeEs Ace MeAt
Betaxolol, ESMOLOL, Acebutolol, metoprolol, ATENOLOL
SVT ESMOLOL only
Flow of aqueous humor
Ciliary body –> posterior chamber –> anterior chamber angle –> pupil –> anterior chamber –> trabecular meshwork –> canal of schlemm –> uveoscleral veins
SANS on pupil
Dilates
PANS on pupil
Constricts
Decreases aqueous secretion from ciliary body
Timolol, mannitol, apraclonidine, acetazolamide, dorzolamide
Ciliary muscle contraction, opens trabecular meshwork, increases outflow
Pilocarpine, physostigmine