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13 Cards in this Set

  • Front
  • Back
What are Adrenergic neuron blockers?
Drugs that disrupt the synthesis, storage, or release of NE
What are the 2 adrenergic neuron blockers?
-Guanethidine
-Reserpine
What is the main use of Guanethidine?
Treatment of Essential hypertension
How does Guanethidine get into adrenergic nerves?
By NET (norepi transporter)
What are 2 NET blockers? What would they do to Guanethidine?
Cocaine and TCAs
-Block uptake of Guanethidine - so it wouldn't be able to work
What happens when Guanethidine is taken up into the adrenergic nerve?
It depletes NE from granules
Where are effects of Guanethidine seen and not seen?
-Seen in peripheral nervous system only
-Not seen in the CNS
What are 3 major side effects of Guanethidine?
-Diarrhea
-Orthostatic hypotension
-Sexal dysfunction
How does Reserpine get into adrenergic nerves?
By diffusion
How does Reserpine deplete NE in nerves?
By inhibiting VMAT2 so that dopamine can't get into storage vesicles
Where are the effects of Reserpine seen? How?
In the CNS and peripheral NS
-It is highly lipophilic
What has Reserpine been historically used to treat? Why isn't it anymore?
-Hypertension
-It has depressive effects on the CNS so suicidal tendencies
So what are the 2 major side effects of Reserpine?
-Suicide
-Diarrhea