Pharmacology Flashcards
Adrenergic recetors bind to? (1) and in which system (2)
Muscarinic receptorcs bind to? (3) and in which system (4)
Nicotinic receptora are in (5)
(1) acetylcholine. Receptors Receiving signal from sympathetic system is called adrenergic neuron.
(3) . Receptors receiving signal from parasympathetic system is called muscarinic.
(5) nicotinic receptors are post ganglionic
Metabotropic receptors are linked to G protein.
Norepinephrine is removed from systemic space via:
- Binding to presynaptic receptor to induce negative feedback
- Diffusion out
- Inactivated by enzyme COMT
- Sodium chloride dependent transporter to reuptake NE.
Once reuptaken - MAO can break down or NE can be stored to be recycled.
Alpha receptors - alpha 1 and alpha 2.
Alpha 1 - Gq receptors. Mainly causing vasoconstriction, mydriasis, contraction and urinary retention, glycogenolysis
Alpha 2 - Gi receptors: found on presynaptic nerve endings, leads to decrease CAMP and reduce Norepi and also found on pancreatic islet cells leading to reduce insulin.
Beta receptors, B1, B2, B3.
Beta receptors are Gs.
B1 - increase HR, increase contractility, increase AV conduction, incrrase renin and BP.
B2 - bronchodilation, vasodilation, decrease GI motilityc inhibit labour. Increase insulin secretion.
B3 - increased lipolysis. Relaxes bladder.
Epinephrine va norepinephrine
Norepinephrine mainly is alpha 1 agonist and has no beta 2 action whilst epinephrine has widespread use.
Dopmaine use and dose dependent uses
Low dose - dopamine dose
Middle dose - beta 1
High dose - alpha 1 dose