Autacoids 2: Serotonin (5-HT) Flashcards
Serotonin effect on GIT
- facilitate peristalsis
- secretion of acetylcholine —> enhance motility
Serotonin effect on CVS
- Powerful vasoconstriction
- Aggregation of platlets
- Reflex bradycardia
effect of Serotonin of NS
stimulant for pain, itching, nausea & vomiting
Enumerate Serotonin Agonists
- Buspirone
- Sumatriptan & Zolmitriptan
- Dexfenfluramine
- Itopride& Cisapride
- Tegaserod
- Escitalopram, fluoxetine, fluvoxamine
Action of Buspirone
Anxiolytic (effect may take as long as 2 weeks)
Anti-anxiety
Action of Sumatriptan & Zolmitriptan
- Acute migrane attack treatement (short duration) = VC
side effects of Sumatriptan & Zolmitriptan
- Tingling
- Dizziness
- neck pain
- Chest pain
Contraindications of Sumatriptan & Zolmitriptan
- Angina
- Hypertension
- Peripheral vascular disease
- Pregnancy
Action of Itopride & Cisapride
treatement of GERD
Action of Tegaserod
treatment of irritable bowel syndrome
Action of Escitalopram, fluoxetine, fluvoxamine
SSRIs (selective serotonin reuptake inhibitors)
* treatment for psychic depression
Enumerate Serotonin Antagonists
- Cyproheptadine (also a 1st gen antihistaminic)
- Ketanserin
- Ondansteron, Granisteron
uses of Ondansteron, Granisteron
CTZ:
* inhibits nausea & vomiting induced by cancer chemotherapy