PBM Lecture Exam 1 Flashcards
Reserpine
inhibit syn/storage of NE in sym n endings
Guanethidine
block release of NE from sym endings
Phentolamine
Phenoxybenzamine
block sym alpha receptors
Propranolol
Metoprolol
block sym beta receptors
propranolol (beta 1 and 2)
metoprolol (mainly beta 1)
Hexamethonium
sym activity blocked by inhibiting n transmission through autonomic ganglia
Works on nic-receptor
(Decreases reflex tachycardia if you drop BP)
Muscarine
Nicotine
direct-acting parasympathomimetic (cholinergic drugs)
bind directly to and activate receptors
Edrophonium
quaternary alcohol
- -REVERSIBLY bind active site of AchE, prevent Ach access
- -indirect-acting cholinomimetrics
Neostigmine
Physostigmine
carbamates
- -REVERSIBLY bind AchE to form carbamoylated enz which is slowly hydrolyzed – more prolonged
- -indirect acting cholinomimetics
Parathion
Malathion
organophosphates --undergo initial binding and hydrolysis by enz resulting in phosphorylated active site, phosphorous-enz complex extremely stable --IRREVERSIBLE -- very slowly hydrolyzed --insecticides that can kill you
Sympathomimetic (adrenergic) drugs
act on adrenergic effector organs Examples: Phenylephrine (alpha 1 receptor) Isoproterenol (beta receptor) Albuterol (beta 2 receptor)
Drugs w/ indirect sympathomimetic action: cause release of NE from storage vesicles in sym n endings –> NE causes sym effects
Examples:
ephedrine
amphetamin
Hyperkalemic periodic paralysis
mutation in Na+ channel
Met–>Val
Thr –> Met
Paramyotonia congenita
mutation in Na+ channel Leu --> Arg Arg --> His or Cys Gly-->Val Thr--> Met
Modulators of VG Ca channels
Dihydropyridines: --nitrendipine (inhibitor) --Bay K8644 (agonist) Verapmil (phenylalkylamines) Ditiazem (benzothiazepines)
Curare
Ach receptor agonist
Botulinum toxin
dec Ach release by n terminals
TTX
STX
block neuronal Na channel in presynaptic neuron
w-Conotoxin
Ca2+ channel blocker on presynaptic neuron
TTX
SSX
u-Conotoxin
blocks muscle Na+ channel at NMJ