Beta-blockers Flashcards
What are the two adrenoreceptors???
Alpha and Beta
What are the two adrenoreceptors???
Alpha and Beta
What are Beta-blockers???
Drugs which prevent the stimulation of the adrenergic receptors. It’s responsible for cardiac action.
What are examples of the first generation of beta-blockers???
Propanolol
Isoprinosine
Dichloroisoprenaline
Pronethalol
What are examples of the second generation of beta-blockers???
Practolol
What is the structure-activity relationship of Aryloxypropanolamines?
The O bond is involved in H bonding to the receptor.
The NH bond is an essential ionic bonding interaction.
The OH bond is an essential H bonding interaction.
Last branch fits hydrophobic pocket.
What are the side effects of the synthesis of propranolol?
Fatigue and tiredness owing to reduced cardiac output.
Bronchoconstriction.
CNS effects owing to lipophilicity.
Coldness in extremities.
Heart failure for those on the verge of heart attack.
What are the observations of the synthesis of Propranolol?
Variation of the aromatic ring system and heteroaromatic rings is possible.
Substitution of the side-chain methylene increases metabolic stability but lowers activity.
Alcohol group is essential for activity.
Replacing oxygen with S, CH2 or NMe has a detrimental effect.
N-Alkyl substituents longer than isopropyl or t-butyl are less effective.