Autonomic Drugs Flashcards
Bethanechol: receptor
Muscarinic agonist
Bethanechol: 2 uses
Post-operative ileus
Urinary retention
Carbachol: receptor
Muscarinic agonist
Carbachol: 2 uses
glaucoma
pupillary contraction
Pilocarpine: receptor
Muscarinic agonist
Pilocarpine: 2 uses
glaucoma, pupillary contraction
Methacholine: receptor
muscarinic agonist
Methacholine: use
asthma challenge test
Neostigmine: receptor
anticholinesterase
Neostigmine: 4 uses
post-operative/neurological ileus
urinary retention
Myasthenia Gravis
reversal of NMJ blockade
Pyridostigmine: receptor
anticholinesterase
Pyridostigmine: use
Myasthenia Gravis
Edrophonium: receptor
anticholinesterase
Edrophonium: use
diagnosis of myasthenia gravis
Physostigmine: receptor
anticholinesterase
Physostigmine: 2 uses
glaucoma
atropine overdose
Echothiophate: receptor
anticholinesterase
Echothiophate: use
glaucoma
Donepezil: receptor
anticholinesterase
Donepezil: use
Alzheimer’s disease
Galantamine: receptor
anticholinesterase
Galantamine: use
Alzheimer’s disease
Rivastigmine: receptor
anticholinesterase
Rivastigmine: use
Alzheimer’s disease
Atropine: receptor
muscarinic antagonist
Atropine: 3 uses
Insecticide toxicity
dilation of eyes, cycloplegia
decreases secretions during sedation
Homotropine: receptor
muscarinic antagonist
Homotropine: use
mydriasis
Tropicamide: receptor
muscarinic antagonist
Tropicamide: use
mydriasis
Pralidoxine: receptor
chemical antagonist, regenerates cholinesterase
Pralidoxine: use
Insecticide toxicity (use with atropine)
Ipratroprium: receptor
muscarinic antagonist
Ipratroprium: use
asthma, COPD
Benztropine: receptor
muscarinic antagonist
Benztropine: use
Parkinson’s
Scopolamine: receptor
muscarinic antagonist
Scopolamine: use
motion sickness
Oxybutynin: receptor
muscarinic antagonist
Oxybutynin: use
reduces urgency in mild cystitis, bladder spasms
Glycopyrrolate: receptor
muscarinic antagonist
Glycopyrrolate: use
decrease airway secretions in surgery
Methscopolamine: receptor
muscarinic antagonist
Methscopolamine: use
peptic ulcers
Propantheline: receptor
muscarinic antagonist
Propantheline: use
Peptic ulcers
Hexamethonium: receptor
Nicotinic receptor ganglionic blocker (para and symp blockade)
Hexamethonium: use
experimental, prevents vagal reflex to drugs
Epinephrine: receptors
alpha 1/2
beta 1/2
Epinephrine: 4 uses
Anaphylactic shock
open angle glaucoma
asthma
hypotension
Norepinephrine: receptors
alpha 1/2 more than beta 1
Norepinephrine: use
Septic shock, decreases renal perfusion
Isoproterenol: receptors
beta 1/2
Isoproterenol: use
AV block (rarely used)
Dopamine: receptors
D1/2 more than beta more than alpha
Dopamine: 2 uses
heart failure, increases renal perfusion
Dobutamine: receptors
beta 1 more than beta 2
Dobutamine: 3 uses
cardiogenic shock
heart failure
stress testing
Phenylephrine: receptors
alpha 1 more than alpha 2
Phenylephrine: 3 uses
pupillary dilation
vasoconstriction, nasal decongestion
epistaxis
Metaproterenol: receptors
beta 2 more than beta 1
Metaproterenol: use
bronchodilation (asthma)
Albuterol: receptors
beta 2 more than beta 1
Albuterol: use
acute asthma
Levalbuterol: receptors
beta 2 more than beta 1
Levalbuterol: use
acute asthma
Salmeterol: receptors
beta 2 more than beta 1
Salmeterol: use
asthma long-term treatment
Terbutaline: receptors
beta 2 more than beta 1
Terbutaline: 2 uses
asthma
reduction of premature uterine contractions
Ritodrine: receptor
beta 2
Ritodrine: use
reduction of premature uterine contractions
Amphetamine: mechanism
releases stored catecholamines (indirect sympathomimetic)
Amphetamine: 4 uses
narcolepsy
obesity
ADD
major depressive disorder
Ephedrine: mechanism
releases stored catecholamines
Ephedrine: 3 uses
Nasal decongestion
Urinary incontinence
Hypotension
Cocaine: mechanism
Reuptake inhibitor (NA, dopamine, serotonin)
Cocaine: 2 uses
Vasoconstriction in nose
Local anesthesia
Clonidine: receptor
Alpha 2 agonist
Clonidine: use
renal disease (short acting)
Alpha-methyldopa:receptor
Alpha 2 agonist
Alpha-methyldopa: use
renal disease
High BP in pregnancy
-olols and -alols: receptor
Beta blockers
-olols and -alols: 2 uses
High BP
comorbidities for heart disease
Metroprolol: receptor
Beta blocker
Metroprolol: use
MI
Carbadolol: receptor
Beta blocker
Carbadolol: use
MI
Propranolol: receptor
Beta blocker (non-selective)
Propranolol: use
SVT
thyroid storm
Esmolol: receptor
Beta blocker (beta 1)
Esmolol: use
SVT
Timolol: receptor
Beta blocker (non-selective)
Nadolol: receptor
Beta blocker (non-selective)
Pindolol: receptor
Beta blocker (non-selective)
Labetalol: receptor
Beta blocker (non-selective), alpha blocker
Acebutolol: receptor
Beta 1 selective blocker
Betaxolol: receptor
Beta 1 selective blocker
Esmolol: receptor
Beta 1 selective blocker
Atenolol: receptor
Beta 1 selective blocker
Metrprolol: receptor
Beta 1 selective blocker
Benefit of Beta 1 selective drugs
Less asthma exacerbation
Alpha 1 receptor action
vasoconstriction (block to dilate)
Alpha 2 receptor action
vasodilation (block to constrict)
Phenoxybenzanine: receptor
Non selective alpha blocker
Phenoxybenzanine: use
Pheochromocytoma (give before beta blocker)
Phentolamine: receptor
Alpha 1 blocker
Phentolamine: use
Pheochromocytoma (reversible)
-zosins: receptor
Alpha 1 blocker
-zosins: use
Hypertension
Urinary retention in BPH
Tamisulisan: receptor
Alpha 1 blocker
Tamisulisan: use
Urinary retention in BPH
Mirtazapine: receptor
Alpha 2 blocker
Mirtazapine: use
Depression
Causes sedation and increased appetite