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18 Cards in this Set
- Front
- Back
Reserpine
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Antihypertensive
-Loss NE stores ANS/CNS -Blocks NE carrier of synaptic vessicles permitting NE to accum in cytosol where MAO metablizes it -Impairs transport of DA by synaptic vesicles imparing synth of NE -Depleting DA/Serotonin/Histamine(plateles) -Parasymp not impaired (miosis,excessive salivation, gastric hypersec,peptic ulceration,bradycardia) -depression/tremors |
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Guanethidine
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Antihypertensive
1. Enters symp nuerons via NET nad blocks transmission (acute) 2. Blocks NET (acute) 3. Reduces NE stores (chronic) |
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Methyldopa
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Antihypertensive
metabolized to amethylNE. Much higher affinity for a than b receptors. - In JG and CNS reduce symp nerve act originating in CNS adn reduce renin secretion cause fall in BP. |
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Desipramine
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Antidepressant
potent inhibitor of NET enhances actions of NE. tremor,insomnia,blurred vision |
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cocaine
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Reversibly binds NET blcoks uptake of NE and EPI potentiation of NE adn EPI
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Amphetimines
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Control Narcolepsy and ADD
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Antiasthmatics
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EPI and ISO potent B2 rec agonist causer relax of bronchial SM. Epi used in sever cases. Ephedrine also used for asthma and chronic bronchitis. ISO not used due to cardiac stimulation.
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Urticaria
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Epinephrine
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Nasal Decongestant
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Phenyephrine, Naphazoline
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Mydriatic Agent
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Phenylephrine, ephedrine
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tyramine,amphetamine,ephedrine action
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Release NE from sympathetic nuerons. Indirectly acting adrenergic drugs. DBH and other vesicle contents not released along w/ NE.
Tyramine- metabolized by MAO does not penetrate CNS Amphetamine/Ephedrine-high affinity for MAO poor substrates accumulate in nerves and prevent NE from being oxidized. Penetrated CNS |
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Phenoxybenzamine (haloalkyamine)
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noncompetitive irreversible a-adrenergic antagonist.
Nonspecific blocks 5-HT,ACh, and histamine rec as well. Used in mamagement of pheochromocytoma-sever hypertension. |
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Phentolamine (Imidazolins)
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competitive reversible antagonist. Used to control hypertension in pts w/ pheochromocytoma. Useful in treatment of hypertensive crisis that follow the abrupt withdrawl of clonidine or tyramine containg foods during the use of MAO inhibitors
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Prazosin(qunazolin)
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a1 receptor antag. lowers BP and therefore used for hypertension. reduces preload and afterload also good for conjestive heartfailure.
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Tamsulosin
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a agonist treat benign prostate hyperplasia.
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B-blockerse treat
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High BP, angina, irreg heart beat, migrane, prevent second heart attack, MI, tremors, Alcohol withdrwal, anxiety, glaucoma.
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Propranolol
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b receptor antagonist. little effect on CVS exert effects when sympathetic control is elevated as in exercise and stress.
results in decreased heart rate and CO. exercise induced changes in cardiac parameters are blcoked i.s. exercise incread demands are reduced by bblockers useful in CAD. peripheral resistance is increased and BP may increase until comp. decrease discharge to heart. Blocks renin release. |
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Labetolol
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1/3 as potent as propranolol. Ratio of b to a act is 3:1 orally and 7:1 iv. partial agonist good membrane stablizing. can blcok NET. lowers PVR w/ out major change in HR or CO.
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