Androgenic/Cholinergic Flashcards

1
Q

Bethanechol

A

Muscarinic agonist, used as stimulant of GI tract and bladder

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2
Q

Muscarine

A

Muscarinic agonist, derived from poisonous mushroom, treatment for glaucoma

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3
Q

Pilocarpine

A

Muscarinic agonist, used for treatment of xerostomia (dry mouth) and glaucoma

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4
Q

Nicotine

A

Nicotinic agonist

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5
Q

Neostigmine

A

Anticholinesterase, used to treat lack of tone in GI tract and bladder, stimulates GI tract

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6
Q

Physotigmine

A

Anticholinesterase, Isolated from Calabar bean, can cross blood brain barrier, treat atropine overdose

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7
Q

Hexamethonium

A

Nicotinic antagonist, blocks open ionic change of the nicotinic receptor in autonomic ganglia, whichever system is the predominant tone (PNS vs. SNS) will be overridden by the less predominant system

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8
Q

Atropine

A

Muscarinic antagonist, treatment for bradycardia, anti cholinesterase overdose

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9
Q

Scopolamine

A

Muscarinic antagonist, treatment for motion sickness

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10
Q

Epinephrine

A

Non specific agonist, Binds α1, α2, β1, β2 receptors
Route: IM or SC (b/c PO ! GI degradation by COMT & MAO)
Effects: Vasoconstriction/↑BP, ↑HR, bronchodilation
Treats: anaphylaxis, hypotension, prevents sx blood loss w/
perioperative vasoconstriction

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11
Q

Norepinephrine

A

Non specific agonist, Binds α1, α2, β1 receptors
Effects: ~E, but more marked ↑diastolicBP, so BRR ! ↓HR
Treats: hypotension

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12
Q

Phenylephrine

A

α agonist, Binds α1 receptor
Effect: Vasoconstriction/↑BP
Treats: Hypotension, nasal decongestion, pupillary dilation

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13
Q

Clonidine

A

α agonist, Binds α2 receptor
Effect: SympNS inhibition (CNS preganglionic synapse & presynaptic
PM postganglionic synapse) ! ↓BP
Treats: hypertension

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14
Q

Brimonidine

A

α agonist, Binds α2 receptor
Effect: ↓aqueous humor production
Treats: glaucoma

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15
Q

Isoproterenol

A

Non-specific β agonist, Binds β1, β2 receptors
OPPOSITE OF NE
Effects: net↓BP (so BRR ! ↑HR), bronchodilation, ↓GI motility

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16
Q

Metaproterenol

A

Binds β2 receptor
Treats: asthma
Effect: long-acting bronchodilation w/o cardiac side effects!

17
Q

Albuterol

A

Binds β2 receptor
Treats: asthma
Effect: long-acting bronchodilation w/o cardiac side effects!

18
Q

Salmeterol

A

Binds β2 receptor
Treats: COPD
Effect: long-acting bronchodilation w/o cardiac side effects!

19
Q

Terbutaline

A

Binds β2 receptor
Treats: asthma, premature labor (↓contractions)
Effect: long-acting bronchodilation w/o cardiac side effects!

20
Q

Phenoxybenzamine

A
α blocker, blocks α1, α2 receptors 
Irreversible, non-competitive
Effects: vasodilation = ↓BP = BRR = ↑HR
Treats: pheochromocytoma
Co-admin w/ Epi: only Epi’s β1&2
effects will work = ↓BP (“epi reversal”)
21
Q

Phentolamine

A

α blocker, blocks α1, α2 receptors
Reversible, competitive
Effects: vasodilation = ↓BP = BRR = ↑HR, histamine release

22
Q

Prazosin

A

α blocker, blocks α1 receptors
Effects: vasodilation ! ↓BP w/o ΔHR
Treats: hypertension

23
Q

Yohimbine

A

α blocker, blocks α2 receptors
Reversible, competitive, opposite of Clonidine
Effects: SympNS activation = ↑BP & ↑HR (probably blocks α2)
Treats: hypotension

24
Q

Propanolol, Timolol, Pindolol

A

Non-specific first generation β blockers
Blocks β1, β2 receptors
Short-lived pharmacological effect b/c lipid-soluble, short T1/2, & 1st pass liver metabolism
Effects: ↓HR, ↓CF = ↓BP w/ long-term use
Side effect: Bronchoconstriction (bad for asthmatics!)
Treats: hypertension

25
Q

Acebutolol, Atenolol, Metoprolol

A
Second generation β blockers 
Blocks β1 receptors
Longer-lived pharmacological effect
Effects: ↓HR, ↓CF = ↓BP but w/o bronchoconstriction
Treats: hypertension
26
Q

Carvediol

A

Third generation β blocker
Blocks α1, β1 receptors
Effects: ↓HR, ↓CF = ↓BP + vasodilation
Treats: heart failure

27
Q

Celiprolol

A
Third generation β blocker 
Blocks β1 receptors
Effects: ↓HR, ↓CF = ↓BP + vasodilation
Partial β2 agonist = vasodilation
Treats: heart failure
28
Q

Nebivolol

A
Third generation β blocker 
Blocks β1 receptors
Effects: ↓HR, ↓CF = ↓BP + vasodilation
Also causes release of NO by endothelial cells = vasodilation
Treats: heart failure