Exam 1 Indirect Adrenergic drugs Flashcards

1
Q

Indirect adrenergic agonist mechs

A

-reverse action of NET and DAT
-MAOi
-NET blockers

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2
Q

NET and DAT reversers

A

-Amphetamine
-Pseudoephidrine

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3
Q

Indirect adrenergic agonists

A

-Amphetamine
-Ephedrine (not really)
-pseudoephedrine
-Phenelzine
-selegiline
-cocaine
-methylphenidate
-atomexetine

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4
Q

Amphetamine mech

A

-NET and DAT reversal
-indirect adrenergic

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5
Q

Amphetamine structure

A

monoamine with methyl on C

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6
Q

amphetamine use

A

-narcolepsy
-ADHD
-appetite suppressant

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7
Q

Amphetamine problems

A

-anorexia
-poor growth
-insomnia
-jitteriness
-inc HR, BP, stroke, arrhytmias, death
-agitation, confusion, addiction

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8
Q

(-) ephedrine

A

-R config
-direct adrenergic activity

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9
Q

(-) ephedrine problems

A

-incr BP
-stroke
-death
-banned from weigh loss supplements

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10
Q

(+) Pseudoephedrine mech

A

-NET reversal

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11
Q

Pseudoephedrine use

A

-nasal congestion

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12
Q

MAOi drugs

A

-phenelzine
-selegiline

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13
Q

Wine and Cheese effect

A

-Tyramine in wine, beer, cheese
-MAOi decreases metabolism of tyramine
-huge release of NE

=HTN CRISIS!

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14
Q

NET blockers

A

-cocaine
-methylphenidate
-atomexetine

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15
Q

Cocaine mech

A

-indirect adrenergic
-block NET and DAT
-decrease uptake
-keep NE in cleft
=inc signaling

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16
Q

Cocaine use

A

-local anesthetic
-nasal mucosa
-vasoCONSTRICTION

17
Q

Cocaine problems

A

-inc BP and HR
-potential for stroke, MI, death
-euphoria, alertness, addiction

18
Q

Methylphenidate mech

A

-indirect adrenergic
-block NET and DAT
-enhance NE signaling

19
Q

methylphenidate use

A

-ADHD
-narcolepsy

20
Q

methylphenidate problems

A

-similar to amphetamine
-priapism
-addictive

21
Q

Atomexetine mech

A

-selective NET inhibitor

22
Q

Atomexetine use

A

-ADHD

23
Q

Atomextine problems

A

-suicide
-priapism
-not as good