Sympathomimetics (cardiovascular) Flashcards
Suffix
Sympathomimetics (cardiovascular)
“ine”
“ine” Drug class
Sympathomimetics (cardiovascular)
Generic drug names
Sympathomimetics (cardiovascular)
Adrenaline (epinephrine) (cardiovascular)
Dobutamine
Dopamine
Isoprenaline
Noradrenaline (norepinephrine)
MOA
Sympathomimetics
Sympathomimetics partially or completely mimic the agonistic actions of noradrenaline or adrenaline on the alpha and/or beta adrenoreceptors. The effect of a specific agent is determined by receptor specificity, compensatory reflexes evoked and dose.
Sympathomimetics have a range of therapeutic uses, eg treating hypotension, arrhythmias, heart failure, anaphylactic reactions and bronchospasm.
Indication
Sympathomimetics
Heart Failure
Practice Points
Sympathomimetics
- treatment with sympathomimetics is guided by haemodynamic monitoring; individualise treatment depending on clinical response
- **use is restricted **to settings where close monitoring of arterial and venous pressure, and continuous ECG can be performed
- prolonged use of sympathomimetics may result in diminution of therapeutic effect (down-regulation of receptors)
- combinations of sympathomimetics may be used
Drug class and indication
Adrenaline (epinephrine) (cardiovascular)
Sympathomimetic
* Cardiac arrest
* Inotropic support in acute heart failure and cardiogenic shock, septic shock, seek specialist advice
Drug class and indications
Dobutamine
Sympathomimetic
* Inotropic support in acute heart failure, cardiogenic and septic shock
* Pharmacological stress testing of myocardial function
Drug class and indication
Dopamine
Sympathomimetic
Inotropic support in acute heart failure and cardiogenic shock due to MI, acute exacerbation of chronic heart failure
Drug class and indication
Noradrenaline (norepinephrine)
Sympathomimetic
Acute hypotension