Alpha blockers Flashcards
What do Alpha I agonist do in the heart
Cause increased contractility
What do Alpha 1 agonists do on the blood vessels
Vasoconstriction
What do alpha 1 agonists do on the kidneys
Vasoconstriction
What do alpha 1 agonists do to thrombocytes
Aggregation
What do alpha 1 agonists do to adipocytes
Inhibit lipolysis
Agonist affinity for alpha receptors
Norepinephrine> epinephrine»_space; isoprenaline
Why does blood pressure have a tendancy to increase with age
Because the number of Alpha i receptors in vascular smooth muscle increases. Activation of these receptors causes vasoconstriction
Describe the location of alpha receptors on neuromuscular terminals in VSM
Pre-synaptic alpha 2 receptors.
Post synaptic alpha 1 receptors
Name one alpha 1 antagonist
Doxazosin
Describe PD of doxazosin
Reversible alpha blockade (a1»>a2).
Vasodilator
Reduces prostate symptoms
Indications for use of an alpha blocker
Essential hypertension (combonation therapy) BPH
Side effects of alpha blockers
Orthostatic hypotension Dizziness Lassitude Nasal stuffiness Dry mouth Urinary incontinece (females)