Autonomic/Neuromuscular Junction Drugs Flashcards
Parasympathetic
Cholinergic Receptors (muscarinic)
-bronchoconstriction, mitosis, rest and digest
-SLUD: salivation, lacrimation, urination, defecation
Sympathetic
Adrenergic Receptors (alpha and beta)
-bronchodilation, mydriasis, fight or flight
-decrease in secretions
Cholinergic Agonist
parasympathetic
-Direct: Pilocarpine, acetylcholine, bethanechol, carbachol
-Indirect: edrophonium, echothiophate, pyridostigmine, neostigmine
Cholinergic Antagonist
sympathetic
anti-anti-anti
Ocular: STop ACH
Donepezil
acetylcholinesterase inhibitor (indirect cholinergic agonist)
-indicated for the treatment of Alzheimer dementia
1st Generation H1 Blockers
Benadryl, brompheniramine, chlorpheniramine, promethazine
Antipsychotics
phenothiazines
-chlorpromazine, thioridazine
Antidepressants
TCAs: Elavil, Tofranil
MAOIs: Nardil
Muscle Relaxant
cyclobenzaprine (Flexeril)
Anxiolytic
diazepam (Valium)
Ipratropium (Atrovent)
MOA: muscarinic blockade (bronchodilation)
Adrenergic Agonist
sympathetic
-A2 and B1/B2 agonists
-increase aqueous humor production (glaucoma risk)
Alpha 2 Agonist
clonidine (Catapres)
Beta1/Beta2 agonist
isoproterenol (Isuprel)
Beta 2 agonists
salmetrol, albuterol, levabuterol. terbutaline. metaproterenol
-warning for glaucoma patients
Salmetrol
-only long acting Beta 2 agonist
-does not carry warning for glaucoma
Dopamine Agonist Drugs
adrenergic agonist properties
(may cause angle closure glaucoma)
-bromocriptine
-ADHD drugs (Ritalin, Dexedrine)
-Parkinsons Drugs (Amantadine)
Adrenergic Antagonist
parasympathetic
-A1 and B blockers
Alpha 1 antagonist
-indicated for BPH
-tamsulosin (Flomax)
-terazosin
-prazosin
Non-Selective Beta Blocker
labetolol, proranalol
Beta 1 specific antagonist
atenolol, metoprolol