Neuroscience Week 5: Adrenergic Phys 2 Flashcards
Adrenergic Receptors second messenger, targets and effects


α1 agonist example
Phenylephrine
α2 agonist example
Clonidine
Adrenergic receptor type and organ system effects


α2 agonist mechanism
agonist at α2 receptor decrease excitation-secretion coupling causes even less release of Norepinephrine

Question 1

Phenylephrine Nasal Spray

Clonidine historical use
Systemic hypertension

α antagonist examples
- Phentolamine
- Prazosin

Phentolamine Receptor target
non-selective α1/α2
Phentolamine uses
Some use in control of hypertension
Prazosin Receptor target
α1 antagonist
Prazosin Uses

Benign Prostatic Hyperplasia description

Question 2

D.

BPH AKA
Benign Prostatic Hyperplasia
Treatment of BPH
Prazosin

β Receptor Drug Agonists examples
‘enol’
‘erol’

β Receptor Drug Antagonists examples
‘olol’

β Agonists to know
- Isoproterenol
- Albuterol

Isoproterenol receptor target
non-selective β1/β2
Albuterol Receptor target
some β2 selectivity
non-selective β agonists effects
↑HR
↓relax smooth muscle
Question 3

E.

β receptor agonist side effects in asthma therapy
3 listed
- CV effects
- Tremor
- Hypokalemia

β receptor agonist actions in asthma therapy

β receptor antagonist examples
Propranolol
Atenolol

Propranolol Receptor target
non-selective β1/β2
Atenolol Receptor target
selective β1
β1 receptor antagonist effects
Opposite of this so decreases excitation
prevents this pathway from getting turned on

β receptor antagonists effects in hypertension

Resting tone

β receptor antagonist in hypertension Adverse effects

Indirect acting sympathomimetics examples
4 listed

Amphetamine MOA Effects

Amphetamine MOA
more NE not packaged in vesicles and so more norepinephrine is being released

Amphetamine Therapeutic Uses
3 listed

Cocaine MOA
disrupts sympathetic transmission
binds to transporter and prevents reuptake of NE

Cocaine MOA
cocaine doesn’t modify nerve activity, cocaine doesn’t cause release but enhances systems already in use by preventing NE reuptake

Cocaine Therapeutic Uses
- ENT surgery
- limits bleeding and local anesthetic effect

Cocaine Deleterious effects
- Seizures
- Hypertensive crisis-cerebral hemorrhage
- Cardiac arrhythmias
- Myocardial ischemia (in situ thrombosis or coronary spasm)

Tyramine MOA
causes release of catecholamines from vesicles, increasing synaptic concentrations
works like amphetamine

Tyramine found where
tyrosine metabolism - pickled foods or sausage or smelly cheese
Tyramine contraindicated in
people taking MAOI’s
Tyramine Therapeutic Relevance
3 listed

Ephedrine MOA
causes release of catecholamines from vesicles and directly activates adrenergic receptors

Ephedrine was used antiquity for?
Treatment of asthma
Ephedrine therapeutic relevance

Ephedrine Abuse potential

Adrenergic Pharmacology Summary
