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29 Cards in this Set

  • Front
  • Back
norepinephrin
alfa/beta, shock, heart fail, rarely used.
bad- HT, VasoCon, TachyCar, dys arrit.
poorly abs. oraly, plasma T1\2 2min
Epinephrin
alfa\beta
good- asthma, anaphylactic shock, carrdiac arrest, add to local anaesth.
bad- HT, vasoCon, tachiCard, dysArrit.
admin.-IV or SC
Isoprenaline
beta
good- asthma (obsolete)
bad-tachiCard, dysAritt.
plasma t 1\2- 2h.
Dobutamine
beta1
good- cardiogenic shock
bad- dysrhytmia
P t1\2- 2min
admin. IV
Salbutamol
beta2
good- asthma, premature labour.
bad- tachiCard. dysrhytm, tremor, peripheral vasoDilation
Admin- IV\aerosol
Salmeterol
beta2
good-asthma
bad- tachiCard, dysrytm, tremor, periphreal vasodilation.
admin- aerosol, long acting
similar to Formoterol
Terbutaline
beta2
good- astham
bad- tachiCard, dysrytm, tremor, peripheral vasodilation.
admin- aerosol, t1\2 4h
Clenbuterol
beta2
good- increase muscle strength.
bad- tachiCard, dysrytm, tremor, peripheral vasodilation.
admin- orally, long acting
Phenylephrine
alfa1
good- nasal decongestion
bad-HT, reflex bradyCard
admin- intranasal, short t 1\2
Methoxamine
alfa
good- nasal decongestion
bad- HT, reflex bradiCard
admin- intranasal, t1\2 1h
Clonidine
alfa2 partial agonist
good- HT, migraine
bad- drowsiness, orthostatic & rebound HypoTens, edema.
admin- oral, t1\2 12h
Tyramine
indirect ago- NA release
same as norepinephrin
normally destroyed in gut by MAO.
doesn't enter brain.
Amphetamine
indirect agon- NA release, MAO inhibt.
good- CNS stimulant in ADD, narcolepsy & appetite suppress.
bad- HT, TachiCard, insomnia.
admin- oral, pass to brain, t1\2 12h.
Ephedrine
indirect agon- NA release, beta agonist, weak CNS stimulant.
good- nasal decongestion.
bad- HT, tachiCard, insomnia (less then amphitamine).
admin- oral, pass to brain, t1\2 12h.
contraindicated to MAO inhibitors
Phenoxybenzamine
alfa antagonist (irreversible)
good- phaeochromoctoma
bad- HypoT, flushing, tachiCard, nasal congestion, impotence.
admin.- oral, t1\2 12h.
action outlast presence in plasma.
Phentolamine
alfa antagonist
vasodilator, rare use
bad- HypoT, flushing, tachiCard, nasal cogestion, impotence.
admin- IV, metabol- liver, t1\2 2h.
Tolazoline is similar
Prazosin
alfa1 antagonist
good-HT
bad- HypoT, flushing, nasal congestion, impotence.
admin- oraly, met. by liver, t1\2 4h.
similar but longer acting- Doxazolin , Terazosin.
Tamsulosin
alfa1 antagonist "uroselective"
good- prostatic hyperplasia.
bad- fail to ejaculate.
oral, t1\2 5h.
Propranolol
beta antagonist
good- angina, HT, dysrhytmias, anxiety, tremor, glaucoma.
bad- bronchoconstriction, heart fail, cold extremities, fatigue & depression, hypoglycemia.
oral, first pass met, 90% bound to protein, t1\2 4h
Timolol similar (for glaucoma)
Alprenolol
beta antagonist (partial agonist)
good- angina, HT, dysrrhytmia, anxiety, tremor, glaucoma.
bad- bronchoCon, heart fail, cold extremities, fatigue & depression, hypoglycemia.
oral, met by liver, t1\2 4h.
similar- Oxprenolol, Pindolol.
Metoprolol
beta1 antagonist
good- angina, HT, dysrhytmias.
bad- heart fail, cold extremities, fatigue & depression, hypoglycemia.
oral, met by liver, t1\2 3h.
Atenolol is similar with longer t1\2.
Labetalol
alfa\beta antagonist
good- HT in pregnancy.
bad- postural hypoTens, bronchoconstriction.
oral, conjugated in liver, t1\2 4h
Carvedilol
alfa\beta antagonist
good- heart fail.
bad- exacerbate heart fail, renal fail.
oral, t1\2 10h
Carbidopa
inhibit DOPA decarboxylase.
good- in adjunct to L-DOPA to prevent peripheral effects.
oral, doesn't enter brain.
Methyldopa
false transmitter precursor.
good- HT in pregnancy.
bad- hypoTens, drowsiness, diarrhea, impotence, hypersensitivity reaction.
slow oral.
Reserpine
deplete NA stores by inhibit uptake.
good- HT (obsolete).
bad- hypoTens, drowsiness, diarrhea, impotence, hypersensitivity reaction, depression, parkinson, gyneacomastia.
t1\2 6h, poor oral abs.
Guanethidine
inhibit NA release.
can damage NA neuron irreversibly.
good- HT (obsolete).
bad- hypoTens, drowsiness, diarrhea, impotence, hypersensitivity reaction.
t1\2 100h
Imipramine
block uptake (also atropine like effect)
good- depression.
bad- atropine like, heart dysrhytmea in overdose.
oral,bount to protein, t1\2 4h.
similar- Desipramine, Amitriptyline.
Cocaine
block uptake
good- local anesthetic, CNS stimuli.
bad- HT, convulsions, dependence.
oral