Drugs midterm 1 Flashcards
Acetylcholine
AcHR agonist
-decrease HR,BP (via NO)
-visceral SM contraction
-increase glandular secretion
Pilocarpine
mAcHR agonist
-decrease HR,BP (via NO)
-visceral SM contraction
-increase glandular secretion
———
-Glaucoma (decrease ocular pressure)
-Sjogrens syndrome
Cevimeline
mAcHR agonist
-decrease HR,BP (via NO)
-visceral SM contraction
-increase glandular secretion
———
-Sjogrens syndrome (increase secretion)
Atropine
mAcHR antagonist
-increase HR,BP,
-decrease glandular secretion
-relax lungs, bladder, GI
————
-Bradycardia
-organophosphate poising
Hyoscine
mAcHR antagonist
-increase HR,BP,
-decrease glandular secretion
-relax lungs, bladder, GI
————
-Relax GI for endoscopy
-anti emetic effect
Trapicamide
mAcHR antagonist
-increase HR,BP,
-decrease glandular secretion
-relax lungs, bladder, GI
————
-dilate pupils (SM relaxation)
Ipratropium
mAcHR antagonist
-increase HR,BP,
-decrease glandular secretion
-relax lungs, bladder, GI
————
-asthma/COPD, relax lung SM
Benzotropine
mAcHR antagonist
-increase HR,BP,
-decrease glandular secretion
-relax lungs, bladder, GI
————
-Parkinsons (decreases unwanted movement)
Pancuronium
nAcHR antagonist
-non-depolarizing muscle block paralysis (motor endplate)
———-
N/A
———-
-Tachycardia from mAcHr block in heart
-Histamine release
Vecuronium
nAcHR antagonist
-non-depolarizing muscle block paralysis (motor endplate)
———-
N/A
———-
-Histamine release
Mivacurium
nAcHR antagonist
-non-depolarizing muscle block paralysis (motor endplate)
———-
N/A
———-
-Histamine release
Suxamethonium
nAcHR agonist
-depolarizing muscle block (long binding action keeps depolarized)
——–
N/A
——–
-bradycardia/ dysrhythmia (M2 agonist)
-increased ocular pressure (M3 agonist)
Botulinum toxin
wrinkle treatment
——-
Neostigmine
Acetylcholinesterase enzyme inhibitor
-increase muscle tension (paralysis at high dose)
-CNS excitation then depression (depolarizing block)
———-
-myasthenia graves
———–
-unconsciousness (CNS depression)
-resp. failure
Physostigmine
Acetylcholinesterase enzyme inhibitor
-increase muscle tension (paralysis at high dose)
-CNS excitation then depression (depolarizing block)
———-
-myasthenia graves
———–
-unconsciousness (CNS depression)
-resp. failure
Adrenaline
Adrenergic Agonist
-increase BR,HR
-Constrict SM
———–
-hypotension
-anaphylactic shock
-cardiac arrest
————
-hypertension
-tachycardia
-reflex bradycardia
Noradrenaline
Adrenergic Agonist
-increase BR,HR
-Constrict SM
———–
-hypotension
————
-hypertension
-tachycardia
-reflex bradycardia
Phenylephrine
Alpha 1 adrenergic agonist
-Constrict SM
———-
-nasal congestion (via decreased blood flow
———-
-reflex bradycardia (response to high BP)
-hypertension
Salbutamol
Beta 2 adrenergic agonist
-Relax SM
-Increase HR/BP
——–
-asthma
-delayed labour
———-
-tachycardia
-tremor
-peripheral vasodilation
Salmuterol
Beta 2 adrenergic agonist
-Relax SM
-Increase HR/BP
——–
-asthma
———-
-tachycardia
-tremor
-peripheral vasodilation
Mirabegron
Beta 3 Adrenergic agonist
-Relax bladder
——-
overactive bladder
———
tachycardia
Phenoxybenzamine
Alpha adrenergic antagonist
-relax SM
——–
pheochromocytoma
———
-hypotension
-reflex tachycardia
-nasal congestion
Prazosin
alpha 1 adrenergic antagonist
-relax SM to lower BP
——–
-hypertension
———
-nasal congestion
-hypotension
-reflex tachycardia
Doxazosin
alpha 1 adrenergic antagonist
-relax SM to lower BP
——–
-hypertension
———
-nasal congestion
-hypotension
-reflex tachycardia
Propanolol
Beta adrenergic antagonist
-constrict SM
-lower HR
——–
-hypertension
-angina
-tremor
-glaucoma
———-
-Bradycardia
-hypotension
-lung SM constriction
alprenolol
Beta adrenergic partial agonist
-constrict SM
-lower HR
——–
-hypertension
-angina
-tremor
-glaucoma
———-
-Bradycardia
-hypotension
-lung SM constriction
Metoprolol
Beta 1 adrenergic antagonist
-decrease HR
-less broncoconstriction b/c of selectivity
——–
-hypertension
-angina
-heart failure
——-
-cardiac failure
-cold limbs
-fatigue
atenolol
Beta 1 adrenergic antagonist
-decrease HR
-less broncoconstriction b/c of selectivity
——–
-hypertension
-angina
-heart failure
——-
-cardiac failure
-cold limbs
-fatigue
Nebivolol
Beta 1 adrenergic antagonist
-Lower heart rate
-Dilate BV with NO release
———
-hypertension
———-
-Headache from dilation (NO)