Drugs indication and AE (1) Flashcards
Phenylephrine
Alpha 1 Direct adrenergic agonist for hypotension or nasal decongestion.
AE: Hypertension, reflex bradycardia
Brimonidine
Alpha 2 Direct adrenergic agonist for glaucoma
AE: Hypotension
Isoprenaline
Non selective Beta Direct adrenergic agonist for asthma or resuscitation
AE: Arrythmia, tachycardia
Oxymetazoline
Non selective alpha Direct adrenergic agonist for nasal decongestion
AE: Rebound congestion
Dobutamine
Beta 1 Direct adrenergic agonist for congestive heart failure
AE: Tachycardia
Salbutamol/ Terbutaline
Beta 2 Direct adrenergic agonist for asthma or premature labor
AE: Arrythmia, tachycardia, vasodilation
Mirabegron
Beta 3 Direct adrenergic agonist for overactive bladder. Also has slight B2/B1 effects
AE: Arrythmia, tachyardia
Moclobemide
MAO A inhibitor for depression
AE: Tachycardia, tremors
Reboxetine
Tricyclic antidepressant that acts as presynaptic uptake 1 inhibitor
AE: Insomnia
Ephidrine
Displacement of endogenous NE, acting as nasal decongestion. Also have direct alpha and beta adrenoreceptor agonist
AE: Bradycardia if systemic
Prazosin
Direct Alpha 1 anti adrenergic for hypotension or symptoms of BPH
AE: Postural hypotension, reflex tachycardia, nasal congestion, drowsiness
Propanolol
Non-selective beta anti-adrenergic for hypertension, arrythmia, excessive cathecholamine in hyperthyriod. Additional antihypertensive effect due to less renin by kidneys. Also has direct membrane effect causing local anesthetic like actions that prevent blink reflex.
AE: Bronchoconstriction, heart failure, rebound tachycardia, hypertension
Sotalol
Non-selective beta anti-adrenergic for arrythmias. Additional antihypertensive effect due to less renin by kidneys.
AE: Bronchoconstriction, heart failure, rebound tachycardia, hypertension
Timolol
Non-selective beta anti-adrenergic for glaucoma. No local anesthetic effect.
AE limited due to direct application to eyes
Bisoprolol
Selective beta 1 anti-adrenergic for hypertension, angina, MI, CHF
AE: Hypotension, bradycardia, bronchoconstriction, cold extremities, impotence, fatigue
Betaxolol
Selective beta 1 anti-adrenergic for glaucoma
Limited AE due to direct application to eyes
Dexmedetomidine/ Clonidine
Agonist at pre-synaptic alpha 2 adrenergic auto-receptors (feedback inhibition of NE release, leading to less visceral vasoconstriction). Used as sedative/ centrally acting hypertension
AE: hypotension, dry mouth
Methyldopa
Inhibits tyrosine kinase, used for hypertension in pregnancy.
AE: hemolytic anemia, hepatotoxicity