Pharm Final 3 Flashcards
Clinical use of Sympathomimetics a a a c o a n
asthma anaphylactic shock ADHD (not Epi, but other related drugs) Cardiac arrest Ocular surgery Adjunct with local anesthesia nasal decongestant
Not epi, but related drugs are used for ADHD. They stimulate areas in the brain to retain focus. They’re related to
amphetamines
Epi is good for eye surgery b/c (1) it dilates the pupil and (2) it constricts the eye __ to reduce blood loss
artery
Sympathomimetics can be used as nasal decongestant by
decreasing blood flow that had accumulated from inflammation
examples of sympathomemitics used as nasal decongestants are
pseudoephedrine and ephedrine (which are used to make crystal meth)
Toxic effects of sympathomemitics
tachycardia, arrhythmias, CV hemorrhage hypertension
phenylephrine is which class of drug
sympathomimetic
unlike epinephrine which is nonspecific, phenylephrine is _ specific
alpha specific
phenylephrine, agonist or antagonist?
agonist
all alpha specific sympathomimetic drugs do what to blood vessels
constrict
phenylephrine does what to blood vessels
constricts
is used to treat cold/allergy symptoms (like nasal congestion)
phenylephrine
2 contraindications for phenylephrine
hypertension and narrow angle glaucoma
phenylephrine interaction with MAO inhibitors causes
hypertension
phenylephrine interaction with TCA causes increased ___ effect
sympathomimetic effect
Example of a sympathomimetic Beta agonist
Albuterol
albuterol side effects include tremor, dizzy, nervous, excited, insomnia, and
tachycardia
Albuterol is contraindicated in CV disorder, __ and __
diabetes and hyperthyroidism
phenylephrine has drug interactions with __ inhibitors and __
MAO inhibitors and TCA
example of sympathetic alpha blockers
Prazosin
sympathetic alpha blockers (Prazosin) effect on BP
decrease
used to treat BP in pheochromocytoma
sympathetic alpha blockers (Prazosin)
benign tumor of the adrenal gland resulting in increase secretion of NE and EPI
pheochromocytoma
Used to reverse the vasoconstrictive effects of DA and NE
sympathetic alpha blockers (Prazosin)
Used for benign prostatic hyperplasia
sympathetic alpha blockers (Prazosin)
side effects include orthostatic hypotension, miosis (constricting pupil), tachycardia, nasal congestion, confusion, headache, dry mouth, cant ejaculate
sympathetic alpha blockers (Prazosin)
the tachycardia side effect of sympathetic alpha blockers (Prazosin) is in response to the dropping
BP
Do not take sympathetic alpha blockers (Prazosin) with ___ drugs because you will get hypertension and tachycardia
sympathomimetic
Example of a sympathetic beta blocker
Propranolol
the suffix “olol” means its what class of drug
sympathetic beta blocker
Propranolol causes decrease in renin released from kidneys. This causes BP to
decrease
parasympathetic system has _ receptors
m receptors
_ receptor is found in the skeletal muscle and ganglion
N receptor
Sweat glands are activated by the SNS, but instead of NE, __ is involved (even though it’s the SNS)
ACH
drug that you need to withdraw slowly to avoid tremors and headaches
propranolol
class of drug derived from fungus
Ergot alkaloids
ergot alkaloid prototype
ergotamine
Ergot amine interacts with DA and ___ receptors
adrenergic
ergotamine pregnancy category
X
used for treatment of acute migraine
ergotamine
ergotamine treats migraines by preventing ____
vasodilation
parasympathomimetic drugs, you have direct acting and indirect acting. Indirect acting drug work by inhibiting
acetycholinesterase
Prototype, sympathomimetic non specific
epinephrine
Prototype, sympathomimetic a-adrenergic agonist
phenylephrine
Prototype, sympathomimetic b-agonist
albuterol
Prototype, sympathetic a blocker
prazosin
Prototype, sympathetic b blocker
propranolol
Prototype, cholinergic/parasympathomimetic, direct acting
bethanechol
Prototype, cholinergic/parasympathomimetic, indirect acting, crosses BBB
Tacrine
Prototype, cholinergic/parasympathomimetic, indirect acting, does not cross BBB
pyridostigmine
Prototype, parasympathomimetic blockers (3 of them)
atropine
Ipratropium bromide
oxybutyrin