autonomics Flashcards
rapidly hydrolyzed by AChE
Acetylcholine (TOPNOTCH)
resistant to AChE
Betanechol (TOPNOTCH)
for Bladder and bowel atony
Betanechol (TOPNOTCH)
Nonselective muscarinic and nicotinic agonist , used topically for glaucoma treatment
Carbachol (TOPNOTCH)
Partial muscarinic agonist; used for treatment of Glaucoma, Sjogren’s syndrome and Sicca syndrome
Pilocarpine (TOPNOTCH)
Adverse Effects of Acetylcholine
CNS stimulation, miosis, cyclospasm, brochoconstriction, excessive GI and GU smooth muscle contraction, increased secretory activity of sweat gland, airways etc, vasodilation (TOPNOTCH)
activates autonomic post ganglionic neurons (both sympathetic and parasympathetic) and skeletal muscle neuromuscular end plants
Nicotine(TOPNOTCH)
used exclusively for smoking cessation
Varenicline (TOPNOTCH)
for Myasthenia gravis diagnosis (Tensilon test)
Edrophonium (TOPNOTCH)
for Myasthenia gravis treatment; reversal of nondepolarizing muscular blockade
Neostigmine (TOPNOTCH)
Long Acting Cholinesterase Inhibitors used as Scabicide and Insecticide
Malathion, Parathion (TOPNOTCH)
Competitively blocks all muscarinic receptors, antagonizes histamine and serotonin ; for motion sickness, dec. acid secretion in the GIT
Scopolamine (TOPNOTCH)
DOC for organophosphate poisoning
Atropine (TOPNOTCH)
for bradycardia, hypersalivation and to decrease airway secretion during general anesthesia
Atropine (TOPNOTCH)
Mydriatic, cycloplegic in eye examinations
Homatropine, Cyclopentolate, Tropicamide (TOPNOTCH)
Competitive nonselective antagonist at muscarinic receptors ; for BA and COPD, not as effective as SABAs but less tachycardia and arrhythmia
Ipratropium, Tiotropium (TOPNOTCH)
Nonselective muscarinic antagonist which reduces detrussor smooth muscle tone spasms
Oxybutinin (TOPNOTCH)
for decreasing urgency in mild cystitis and dec. bladder spasm after urologic surgery
Oxybutinin (TOPNOTCH)
Usual antidote for early stage (48h) cholinesterase inhibitor poisoning, Must be administered before 6-8 hours of organophosphate bond with cholinesterase occurs
Pralidoxime (TOPNOTCH)
Competitively blocks all Nn nicotinic Ach receptors ; for Hypertensive emergencies (obsolete)
Hexamethonium, Mecamylamine, Trimethaptan (TOPNOTCH)
DOC for Anaphylaxis
Epinephrine (TOPNOTCH)
used for Cardiac arrest, anaphylaxis, asthma, COPD, Hemostasis
Epinephrine (TOPNOTCH)
for cardiogenic Shock and heart failure
Norepinephrine (TOPNOTCH)
causes vasodilation in splanchnic and renal blood vessels ; for cardiogenic Shock and heart failure
Dopamine (TOPNOTCH)
Beta nonselective sympathomimetic, for Asthma
Isoproterenol (TOPNOTCH)
SE: Rebound nasal congestion, hypertension, stroke, MI
Phenylephrine (TOPNOTCH)
A2 agonist, for Hypertension, Cancer pain, opioid withdrawal
Clonidine (TOPNOTCH)
Sedation, rebound hypertension, dry mouth
Clonidine (TOPNOTCH)
Sedation, positive Coomb’s test (Hemolytic anemia)
Methyldopa (TOPNOTCH)
A2 agonist; reserved for ophthalmologic use in glaucoma for reduction of intraocular pressure
Apraclonidine, Brimonidine (TOPNOTCH)
B1 agonist, for cardiogenic shock and acute heart failure
Dobutamine (TOPNOTCH)
DOC as Asthma reliever, Rapid development of tolerance
Albuterol/Salbutamol (TOPNOTCH)
D1 agonist, for Hypertension
Fenoldopam (TOPNOTCH)
D2 agonist, restores dopamine actions in the CNS for Parkinson’s disease, prolactinemia
Bromocriptine (TOPNOTCH)
Irreversibly blocks A1 and A2 receptors resulting to indirect baroreflex activation
Phenoxybenzamine (TOPNOTCH)
Reversible A1 and A2 receptor antagonist, for Pheochromocytoma and Rebound hypertension
Phentolamine (TOPNOTCH)
Blocks A1, for Benign Prostatic Hyperplasia, Hypertension
Prazosin, Doxazosin, Terazosin (TOPNOTCH)
Slightly selective A1a blockade causing relaxation of prostatic smooth muscles > vascular smooth muscle ; for BPH
Tamsulosin (TOPNOTCH)
Beta blockade > A1 blockade
Labetalol (TOPNOTCH)
Blocks B1 and B2 receptors
Propranolol, Nadolol, Timolol (TOPNOTCH)
B1 > B2 blockade
Metoprolol, Atenolol, Alprenolol, Betaxolol, Nebivolol (TOPNOTCH)
B1, B2 with intrinsic sympathomimetic (partial agonist) effect
Pindolol, Acebutolol, Carteolol, Bopindolol, Oxprenolol, Celiprolol, Penbutolol (TOPNOTCH)
Beta blockade > A1 blockade
Carvedilol, Medoxalol, Bucindolol, Labetalol (TOPNOTCH)
B1 > B2 blockade; for rapid control of BP and arrhythmias, thyrotoxicosis and myocardial ischemia intraoperatively ; for Supraventricular tachycardia
Esmolol (TOPNOTCH)
BB with direct vasodilating effect
Nebivolol (TOPNOTCH)
BB with local anesthetic effect
Propranolol (TOPNOTCH)
BB which is safe in pregnant patients
Labetalol (TOPNOTCH)
Mydriasis without cycloplegia
Phenylephrine (TOPNOTCH)
Cholinesterase Inhbitors with poor lipid solubility, oral, DOA: 30min-2h
Neostigmine (TOPNOTCH)
rapidly hydrolyzed by AChE
Acetylcholine (TOPNOTCH)
resistant to AChE
Betanechol (TOPNOTCH)
for Bladder and bowel atony
Betanechol (TOPNOTCH)
Nonselective muscarinic and nicotinic agonist , used topically for glaucoma treatment
Carbachol (TOPNOTCH)
Partial muscarinic agonist; used for treatment of Glaucoma, Sjogren’s syndrome and Sicca syndrome
Pilocarpine (TOPNOTCH)
Adverse Effects of Acetylcholine
CNS stimulation, miosis, cyclospasm, brochoconstriction, excessive GI and GU smooth muscle contraction, increased secretory activity of sweat gland, airways etc, vasodilation (TOPNOTCH)
activates autonomic post ganglionic neurons (both sympathetic and parasympathetic) and skeletal muscle neuromuscular end plants
Nicotine(TOPNOTCH)
used exclusively for smoking cessation
Varenicline (TOPNOTCH)
for Myasthenia gravis diagnosis (Tensilon test)
Edrophonium (TOPNOTCH)
for Myasthenia gravis treatment; reversal of nondepolarizing muscular blockade
Neostigmine (TOPNOTCH)
Long Acting Cholinesterase Inhibitors used as Scabicide and Insecticide
Malathion, Parathion (TOPNOTCH)
Competitively blocks all muscarinic receptors, antagonizes histamine and serotonin ; for motion sickness, dec. acid secretion in the GIT
Scopolamine (TOPNOTCH)
DOC for organophosphate poisoning
Atropine (TOPNOTCH)
for bradycardia, hypersalivation and to decrease airway secretion during general anesthesia
Atropine (TOPNOTCH)
Mydriatic, cycloplegic in eye examinations
Homatropine, Cyclopentolate, Tropicamide (TOPNOTCH)
Competitive nonselective antagonist at muscarinic receptors ; for BA and COPD, not as effective as SABAs but less tachycardia and arrhythmia
Ipratropium, Tiotropium (TOPNOTCH)
Nonselective muscarinic antagonist which reduces detrussor smooth muscle tone spasms
Oxybutinin (TOPNOTCH)
for decreasing urgency in mild cystitis and dec. bladder spasm after urologic surgery
Oxybutinin (TOPNOTCH)
Usual antidote for early stage (48h) cholinesterase inhibitor poisoning, Must be administered before 6-8 hours of organophosphate bond with cholinesterase occurs
Pralidoxime (TOPNOTCH)
Competitively blocks all Nn nicotinic Ach receptors ; for Hypertensive emergencies (obsolete)
Hexamethonium, Mecamylamine, Trimethaptan (TOPNOTCH)
DOC for Anaphylaxis
Epinephrine (TOPNOTCH)
used for Cardiac arrest, anaphylaxis, asthma, COPD, Hemostasis
Epinephrine (TOPNOTCH)
for cardiogenic Shock and heart failure
Norepinephrine (TOPNOTCH)
causes vasodilation in splanchnic and renal blood vessels ; for cardiogenic Shock and heart failure
Dopamine (TOPNOTCH)
Beta nonselective sympathomimetic, for Asthma
Isoproterenol (TOPNOTCH)
SE: Rebound nasal congestion, hypertension, stroke, MI
Phenylephrine (TOPNOTCH)
A2 agonist, for Hypertension, Cancer pain, opioid withdrawal
Clonidine (TOPNOTCH)
Sedation, rebound hypertension, dry mouth
Clonidine (TOPNOTCH)
Sedation, positive Coomb’s test (Hemolytic anemia)
Methyldopa (TOPNOTCH)