Autonomic Pharmacology Flashcards
Drug affecting the ____________ either stimulate or inhibit the parasympathetic of sympathetic components
Autonomic Nervous System
Parasympathetic is equal to?
Cholinergic
Sympathetic is equal to?
Adrenergic
The predominance of one division over the other
state of tomus
maintains systemic blood pressure
sympathetic tone
maintains gut motility
parasympathetic tone
the major neurotransmitter at the postganglionic fibers in the sympathetic division
norepinephrine
postganglionic fibers are called?
adrenergic fibers
norepinephrine is also called?
noradrenaline
_____________ is the transmitter released at the peripheral motor portions of the autonomic nervous system and the fibers are called ___________.
Acetylcholine (Ach)
cholinergic fibers
is not used in clinical therapeutics
Ach
Reasons in which Ach is not used in clinical therapeutics.
- administration, causes too generalized but transient effect
- so readily hydrolyzed by plasma cholinesterase, cannot be detected in the plasma following absorption
include effects of acetylcholine on glands, smooth muscles, and cardiac muscles
muscaranic effects
include the action of acetylcholine of the parasympathetic and sympathetic ganglia and the neuroeffector junctions
nicotinic effects
increased skeletal muscle concentration
neuroeffector junctions
a poisonous substance in certain species of mushrooms
muscarine
a substance derived from tobacco
nicotine
cholinergic drugs are also called?
parasympathomimetic or cholinomimetics
Directly acting cholinergics
✓ methacholine
✓ carbachol
✓ betanechol
✓ muscarine
✓ pilocarpine
✓ arecoline
indirect acting cholinergics (cholinesterase inhibitors)
✓ physostigmine
✓ neostigmine
✓ endrophonium
✓ pyridostigmine
✓ organophosphates
✓ carbamates like carbaryl and propoxour
Anticholinergics are also called?
parasympatholytics
Examples of anticholinergics
✓ atropine
✓ scopolamine
✓ glycopyrrolate
present in postsynaptic fibers
a1
present in both pre and post synaptic fibers
a2
chiefly in the heart
B1
in blood vessels, bronchi, etc.
B2
Classification of adrenergic receptors
✓ alpha adrenergic
✓ beta adrenergic
✓ dopaminergic
Blockage of cholinesterase action result in?
accumulation of Ach
Clinical Signs in Accumulation of Ach
- Muscarinic Signs
- Nicotinic Signs
Muscarinic Signs
✓ colic
✓ diarrhea
✓ dyspnea
✓ hypotension
✓ miosis
✓ excessive secretions
Nicotinic Signs
✓ muscle tremors than paralysis
✓ convulsions
✓ mania then coma
acting adrenergic (symphatomimetic) drugs include?
- epinephrine
- norepinephrine
- phenylephrine
- isoproterenol