autonomic drugs Flashcards

1
Q

Direct acting cholinergi agonists, muscarinic

A

muscarine, piocarpine, bethanechol

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2
Q

Direct acting chol agonists. nicotinic

A

nicotine, succinylcholine

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3
Q

direct acting chol agonists. partial nicotinic agonists

A

varenicline

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4
Q

indirect acting chol. agonists

A

physostigmine, neostigmine, demecarium, edrophonium, echothipophate, donepezil, tacrine

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5
Q

how do indirect acting chol agonists work

A

all of them inhibit AChE to prolong the effect of ACH

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6
Q

which indirect chol agonists have lon lasting effects

A

physostigmine, neostigmine, demecarium

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7
Q

which indirect chol agonist has a short effect

A

edrophonium

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8
Q

what is echothiophate used for

A

glycoma, myasthenia gravis, sgogren’s syndrome, is phosphorylates AChE and can inhibit hundreds of hours. also affects choleno receptors of muscles

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9
Q

which indirect chol antagonists treat alzheumer’s

A

donepezil, tacrine

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10
Q

what does pralidoxime do

A

if given early, can revearse any permanent damage caused by organophosphate AChE inhibitors

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11
Q

what are irreversibel AChE inhibitors

A

Malathion (insecticide) Sarin (nerve gas)

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12
Q

Antimuscarinic agents

A

atropine, scopolamine, ipratropium

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13
Q

atropine

A

antimuscarinic agent, it blocks a lot of DUMBBELS effect if given soon after exposer, lasts 7-10 days

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14
Q

scopolamine

A

antimuscarinic agent, blocks dumbbels lasts 3-7 days. used to treat motion sickness

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15
Q

ipratropium

A

antimuscarinic agent. used in asthma

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16
Q

derifenicin

A

used to treat urinary incontinece

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17
Q

tiotropium

A

asthma

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18
Q

antinicotinic agents

A

succinycholine, pancuronium, atracurium, rocuronium, sugammadex

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19
Q

succinylcholine

A

depolarizing antinicotinic agent. long duration, intially activates receptor, eventually there is muscle hyperpolarization lead to paralysis (used in surgery)

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20
Q

non depolarizing antinicotinic agents

A

pancuronium, atracurium, rocuronium, skeletal muscle ACh receptor blockers, all derived from curare

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21
Q

sugammadex

A

non depolarizing antinicotinic agent, reverses blockade by rocuronium by binding it directly

22
Q

botulinum toxin type A

A

antinicotinic agent, inhibitor of ACh release, muscle paralytic agent. used cosmetically, treats muscle spasms…tics, strabismus, nystagmus

23
Q

epinephrine

A

adrenergic agonist, acts on all adregergic receptors (alpha and beta)

24
Q

agents that activate alpha 1 receptor

A

phenylephrine, tetrahydrozoline, naphazoline

25
Q

pheylephrine

A

adrenergic agonist, activates alpha 1 receptor, decreases intranasal congestion

26
Q

tetrahydrozoline

A

adrenergic agonist, activatesalpha 1 receptor, decreases intranasal congestion

27
Q

naphazoline

A

adrenergic agonist, activates alpha 1 receptor, decreases intranasal congestion

28
Q

agents that activate alpha 2 receptors

A

clonidine, alpha methyl norepinephrine

29
Q

clonidine

A

adrenergic agonist, alpha 2, decrease symp. outflow from CNS. used to treat hypertension

30
Q

alpha methyl norepinephrine

A

adrenergic agonist, alpha 2. decrease symp. outflow from CNS, used to treat hypertension.

31
Q

agents that activate beta 1 receptor

A

norepinephrine, dobutamine

32
Q

agents that activate beta 2 receptors

A

metaproterenol, terbutaline, fenoterol, aluterol. bronchodilation for treating asthma

33
Q

indirect acting amines, which induce the release of NE from nerve terminals

A

amphetamine, methamphetamine, tyramine, pheylpropanolamine, pseudo-ephedrine

34
Q

amphetamine/methamphetamine

A

indirect acting amines, which induce the release of NE from nerve terminals

35
Q

tyramine

A

indirecting acting amines, which inuce the release of NE from nerve terminals

36
Q

phenylpropanolamine

A

indirect acting amines, which induce the release of NE from nerve terminals

37
Q

pseudoephedrine

A

indirect acting amines, which induce the release of NE from nerve terminals

38
Q

adrenergic antagonists - alpha 1 blocker

A

prazosin, pheoxybenzyamine

39
Q

prazosin

A

adrenergic antagonist, alpha 1 blocker, antihypertensive

40
Q

phenoxybenzyamine

A

adrenergic antagonist alpha 1 blocker

41
Q

phetolamine

A

adrenergive antagonist, alpha 1 and 2 receptor blocker

42
Q

tolazoline

A

adrenergic antagonist, alpha 2 blocker

43
Q

metoprolol

A

specific beta 1 blocke, decrease HR

44
Q

acebutolol

A

specific beta 1 blocker, decrease HR

45
Q

alprenolol

A

specific beta 1 blocker, decrease HR

46
Q

atenolol

A

specific beta 1 blocker, decrease HR

47
Q

esmolol

A

specific beta 1 blocker, decrease HR

48
Q

propranolol

A

non specific beta 1 and 2 blocker

49
Q

timolol

A

non specific beta 1 and 2 blocker

50
Q

levobuolol

A

non specific beta 1 and 2 blocker

51
Q

carteolol

A

non specific beta 1 and 2 blocker

52
Q

metipranolol

A

non specific beta 1 and 2 blocker