drugs And The SNS Flashcards

1
Q

What is the precursor for nadr

A

Tyrosine

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2
Q

Explain the steps of tyrosine producing nadr at the SNS post ganglionic neurone

A

Tyrosine —> dopa
Via tyrosine hydroxylase

Dopa —> dopamine
Via dopa decarboxylase

Dopamine —-> nadr
Via dopamine B hydroxylase

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3
Q

Which enzyme metabolises nadr after reuptake

A

Monoamine oxidase

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4
Q

What happens to nadr which isn’t metabolised by monoamine oxidase

A

Recycled back into vesicles pre synapse

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5
Q

What are the 5 adrenergic receptors

A
A1 
A2 
B1
B2
B3
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6
Q

What 3 things is A1 binding responsible for

A

Pupil dilation

Vasoconstriction

Brain alertness

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7
Q

Which adrenergic receptor is pre synaptic and why

A

A2

It blocks the release of NT like nadr

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8
Q

What are a2 receptors called if they’re on own or other pre neurone

A

Own- auto receptor

Other - heteroreceptor

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9
Q

What 2 things is B2 responsible for

A

Bronchodilation

Vasodilation

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10
Q

What does B3 do

A

Increase lipolysis

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11
Q

Which 3 adrenergic receptors can agonist adrenaline bind to eg to cause vasoconstriction or tachycardia

A

A1 - constriction
B1 - tachycardia
B2- bronchodilation

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12
Q

Why would adrenaline be used to treat anaphylactic shock

A

Causes increased BP if it binds to A1 or B1

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13
Q

A2 agonist can be used to treat high BP, why?

A

Because it inhibits release of nadr which stops it binding at A1 or B1 which therefore decreases BP

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14
Q

What would a B2 agonist help with and give example

A

Salbutamol
Causes bronchodilation

Helps asthma

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15
Q

What would a B3 agonist do

A

Increase metabolism via increased lipolysis

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16
Q

Why can A1 antagonists be used to help urinary problems

A

Causes vasodilation to relax the bladder

17
Q

What is an issue with A1 antagonists

A

Causes low BP (hypotension)

18
Q

What is the consequence of a B1 or B2 antagonist

A

B1 antagonist - causes bradycardia

B2- causes bronchoconstriction

19
Q

Which false substrate can be used to block synthesis of real nadr and how

A

Methyl DOPA

Forms methyl dopamine via dopa dexarboxylase

Methyl dopamine forms methyl nadr via dopamine b hydroxylase

20
Q

What is the effect of Monoamine oxidase inhibitors

A

Causes reduced nadr metabolism

More nadr available in vesicles for release

More effects like vasoconstriction at A1 or eye dilation

21
Q

Apart from increase nadr, what else do MAOI do

A

Decrease amine metabolism in food which increases them

Increased amines causes sympathomimetic effects eg tachycardia