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16 Cards in this Set

  • Front
  • Back
Which would kill you...no para or no symp?
No para
What ratio of epi to norepi is released by the adrenal medulla?
2/3 epi to 1/3 NE
Tyrosine hydroxylase does what?
Converts tyrosine to L-Dopa--if you inhibit this then you block dopamine synthesis
How do you terminate Norepi release?
Stimulate Postganglionic Alpha 2 receptors causing a negative feedback shutdown of Norepi release
A-methyl tyrosine
Inhibits tyrosine hydroxylase
Uses: Pheocromocytoma
ASE: Hypotension and sedation
What does cocaine do to NE?
Blocks its reuptake
Where are alpha 1 receptors found?
Vascular smooth muscle cells and pupil dilatory muscles
Where are alpha 2 receptors found?
Postganglionic presynaptic receptors that inhibit NE release--also in platelets to cause aggregation
Where are beta 1 receptors found?
Heart, fat cells
Action is to activate adenylate cyclase
Where are B2 receptors found?
Respiratory and vascular smooth muscle
Cause vasodilation
Where are the cells with dopamine receptors?
D1--smooth muscle, renal blood vessels--cause renal VASODILATION
D2--CNS
How is epi made?
Dopamine is hydroxylated at the beta carbon to make Norepi and Norepi is methylated in the adrenal glands into epi
What are some drugs affected by chirality?
Propanolol and Sotalol
What are the two main enzyme systems that break down sympathetic transmitters?
COMT and MAO
Which drugs are susceptible to being broken down by COMT and which are vulnerable to MAO?
Catecholamines are broken down by COMT
Vulnerable amino terminal drugs are broken down by MAO
What drugs all cause NE release from nerve terminals?
Amphetamines