kjhb Flashcards

1
Q

alpha 1 agonists

A
  • adrenaline (prolongation of local anaesthetics, anaphylactic reactions)
  • NA
  • phenylephrine (nasal decongestant)
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2
Q

beta 1 agonists

A
  • adrenaline
  • NA
  • isoprenaline
  • dobutamine (contraction of heart muscle)
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3
Q

alpha antagonists

A
  • ergot alkaloids (ergotamine, ergometrine, hydergine)
  • phentolamine
  • phenoxybenzamine
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4
Q

beta antagonists

A
  • atenolol
  • propranolol
  • sotalol
  • carvedilol
  • labetolol
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5
Q

Post-junctional adrenergic synthesis

A
  • Metirosine (tyrosine hydroxylase)
  • alpha-methyl DOPA (false transmitter)
  • carbidopa (decarboxylase enzyme)
  • disulfiram (DA-beta-hydroxylase)
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6
Q

Post-junctional adrenergic release

A
  • clonidine (inhibit NA)

- guanethidine (inhibit NA release)

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7
Q

Post-junctional adrenergic uptake

A
  • cocaine (uptake 1)
  • tricyclic antidepressants e.g. desmethylimipramine (uptake 1)
  • beta-oestradiol (uptake 2)
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8
Q

Post-junctional adrenergic metabolism

A
  • phenelzine (non-selective MAO)
  • selegiline (MAO-B)
  • entacapone (COMT)
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9
Q

Post-junctional adrenergic storage

A
  • reserpine

- tetrabenzine

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10
Q

Physiological consequences of alpha blockade

A
  • fall in BP -> tachycardia, sodium and water retention
  • nasal stuffiness
  • postural hypotension
  • miosis
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11
Q

Therapeutic uses of alpha antagonists

A
  • hypertension
  • phaeochromocytoma
  • BPH
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12
Q

Therapeutic uses of beta antagonists

A
  • angina
  • hypertension
  • glaucoma
  • myocardial infarction
  • arrhythmias
  • thyrotoxicosis
  • CHF
  • anxiety
  • prophylaxis of migraine
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