Alpha Antagonists Flashcards
Acts nonselective on alpha
Phenoxybenzamine
Phentolamine
Selective for alpha 1
Prazosin
Terazosin
Doxazosin
Tamsulosin
Useful for HTN Tx
Prazosin
Terazosin
Doxazosin
Tamsulosin
Acts on alpha 2
Yohimbine
DOC pheochromocytoma
Phenozybenzamine
Reversible alpha blocker
Phentolamine
Irreversible alpha blocker
Phenoxybenzamine
Used for sudden clonidine withdrawal
Phentolamine
Tx for Tyramine with MAOI
Phentolamine
Anti-HTN in stimulant OD
Phentolamine
What receptors do Phenozybenxamine block/inhibit
H1
M
5HT
NET
What receptors do Phentolamine block/inhibit
5HT
What receptors do Phentolamine activate
H1, 2, M
CVS effects of Phenoxybenzamine
Prevent vasoconstriction
Reflex tachy
Increase CO
Phenoxybenzamine AE
Postural hypotention
Nasal stiffness
N/V
Inhibit ejaculation
Contraindication of Phenoxybenzamine
Decreased Coronary perfusion
What is used for Dx and HTN crisis control of pheochromocytoma
Phentolamine
What prevents dermal necrosis when NE extravasates
Phentolamine
Contraindication of Phentolamine
Decreased Coronary perfusion
Action of Prazosin
Decrease TPR (SM relax)
What are Prazosin analogs with longer t1/2
Terazosin
Doxazosin
Which alpha 1 blocker is selective for alpha1A in UG SM
Tamsulosin
Which alpha 1 blocker decrease BP w/o reflex tachy
Prazosin
Terazosin
Doxazosin
Which alpha 1 blocker decreases LDL/TAG and increases HDL
Prazosin
Terazosin
Doxazosin
Tx of HTN and BPH
Prazosin
Terazosin
Doxazosin
What treats BPH without affecting BP
Tamsulosin
What can the first dose of alpha 1 blocker cause
Exaggerated hypotensive response and syncope
AE for Phentolamine
Postural hypotention (baro reflex and alpha 2 block) Arrhythmia and angina
Indirect adrenergic agonist
Yohimbine
Causes NE release to increase BP
Yohimbine
Tx erectile dysfunction (replaced by PDE-5i)
Yohimbine
What do you not give Yohimbine with
Clonidine