Drugs - Autonomic Flashcards
methacholine
longer-lasting acetylcholine; methacholine challenge test
carbachol
glaucoma (pupillary constriction and lower intraocular pressure by opening drainage canals)
mainly muscarinic; some nicotinic
pilocarpine
glaucoma; more sweating and salivating
mainly muscarinic; some nicotinic
bethanechol
promote GI and urinary tract motility
muscarinic
physostigmine
reversible cholinesterase inhibitor
glaucoma; anticholinergic overdose
edrophonium
reversible cholinesterase inhibitor
used to distinguish myasthenia gravis from cholinergic crisis
donepezil
reversible cholinesterase inhibitor
rivastigmine
reversible cholinesterase inhibitor
galantamine
reversible cholinesterase inhibitor
pralidoxime (2-PAM)
used to reactivate the phosphorylated acetylcholinesterase before aging occurs. organophosphate poisoning antidote.
lobeline
nicotinic agonist (used for nicotine withdrawal)
arecoline
nicotinic agonist (derived from betel nut)
succinylcholine
nicotinic agonist (paralysis during surgery) depolarizing blocker
atropine
muscarinic antagonist; anticholinergic
lo secretions, dilate pupils, hi HR,
scopolamine
muscarinic antagonist; 3º amine
motion sickness, antiemetic, oral secretion management
glycopyrrolate
muscarinic antagonist; 4º amine
decrease oral secretions, peptic ulcer disease, lo GI spasms, prevent bradycardia
ipratropium and tiotropium
muscarinic antagonist; 4º amine
respiratory use
benztropine
antimuscarinic
-curonium
neuromuscular non depolarizing blocker (nicotinic receptor antagonist)
d-tubocararine
neuromuscular non-depolarizing blocker (nicotinic receptor antagonist)
pancuronium
long-lasting nicotinic receptor antagonist (think PAN - across it all)
rocuronium, cisatracurium
intermediate nicotinic receptor antagonist
catecholamine
sympathetic agonist; rapid; metabolized by COMT and MAO
norepinephrine
catecholamine; rapid sympathomimetic
acts on a1,a2,b1,b2,b3 (a>b1»b2,b3
epinephrine
catecholamine; rapid sympathomimetic
dopamine
catecholamine; rapid sympathomimetic
isoproterenol
catecholamine; rapid sympathomimetic; synthetic
dobutamine (racemic)
catecholamine; rapid sympathomimetic; synthetic
phenylephrine
a1-selective adrenergic agent
vasoconstriction - may cause reflex bradycardia parenterally, can be used for mydriasis
clonidine
a2-selective adrenergic agent
(CNS: INHIBITS exhitatory outflow from neurons of CV centres; posynaptic receptor)
(PNS: INHIBITS release of catecholamines from postganglionic sympathetic neurons; presynaptic)
dobutamine
b1 selective adrenergic agonist (d-isomer). L-isomer is a weak b1 agonist and potent a1 agonist.
salbutamol
b2 adrenergic agonist (short)
salmeterol
b2 adrenergic agonist (long)
metaproterenol
b2 adrenergic agonist
terbutaline
b2 adrenergic agonist (short)
formoterol
b2 adrenergic agonist (long)
isoproterenol
non-selective beta blocker; rarely used because nonselective
amphetamine
indirect adrenergic agent (NE release)
tyramine
indirect adrenergic agent (NE release)
cocaine
indirect adrenergic agent (lo NE reuptake)
tricyclic antidepressant
indirect adrenergic agent (lo NE reuptake)
ephedrine
mixed sympathomimetic
pseudoephedrine
mixed sympathomimetic for nasal/sinus congestion
a-methyl-p-tyrosine
indirect sympatholytic
decrease synthesis
reserpine
indirect sympatholytic
decrease storage via vesicular monoamine transporter VMAT inhibition
guanethidine
indirect sympatholytic
decrease release
phentolamine
reversible a-adrenergic receptor antagonist. nonselective.
prazocin
reversible a-adrenergic receptor antagonist
phenoxybenzamine
irreversible a-adrenergic receptor antagonist. nonselective.
-osin
a1-selective adrenergic antagonist
tamsulosin
a1-selective antagonist, selective for a1A receptors in the prostate. doesn’t affect a1B (in CV system)
propanolol
nonselective beta blocker
timolol
nonselective beta blocker. potent. usually topical for eye.
nadolol
nonselective beta blocker. potent.
labetalol
blocker for b1, b2, a1.
metoprolol
b1 blocker
atenolol
b1 blocker
bisoprolol
b1 blocker
esmolol
b1 blocker. short half life.
carbamazepine
voltage-gated sodium channel inactivation stabilizer
muscarine
cholinergic agonist
-stigmine
acetylcholinesterase inhibitor
diphenhydramine
anticholinergic (benadryl)
dimenhydrinate
anticholinergic (gravol)
benztropine
anticholinergic
benzodiazepine
sedative. (enhance GABA)