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22 Cards in this Set

  • Front
  • Back
Irreversible, (long acting) non selective A blocker used for presurgical mgmt of pheocromocytoma, or mgmt of hypertension.
Phenoxybenzamine, slight A1 selectivity.Has Serotonin blocking effects, can be used for carcinoid tumor, and has H1 blocking effects and can be used for mastocytosis
Reversible, shorter acting non selective A blocker. Reduces vascular tone of arteries and veins
Phentolamine
Side effects and toxicities associated with non selective A blockers
compensatory tachycardia, due to baroreceptor reflex
Drug used prevent tissue ischemia and necrosis due to epinephrine.
Phentolamine
Drug used to treat rebound hypertension caused by abrupt clonidine termination
Phentolamine
Side effects associated with A1 selective antagonists
orthostatic hypotension associated with first few doses
A1 selective blockers, used to treat hypertension:
Prazosin, Doxazosin, and terazosin. Cause less compensatory tachcardia than non selectives
A1 selective antagonists commonly used for urinary hesitancy in men with BPH
Tamsulosin and silodosin
To minimize orthostatic hypotensive effects of the A1 selective antagonists, what should the patient do?
Take a smaller first dose, and do it right before going to bed
What are the B1 selective antagonists, used for Hypertension, that have an advantage in patients with asthma?
Metoprolol, Acebutolol, Atenolol, Esmolol
Which B blockers have a partial agonist activity, and are also used in patients with asthma due to a lessened bronchospasm effect
Pindolol, Acebutolol
Which antagonists have a combined effect, due to optical activity, the diferent isomers acting on either A or B receptors
Labetelol and carvedilol
A beta blocker without a local anesthetic reflex that can be used topically in patients with glaucoma
Timolol
What is the shortest acting ester B blocker, and is used only parenternally?
Esmolol
What is the longest acting B blocker?
Nadolol
Which B blockers are less lipid soluble and probably enter the CNS to a lesser extent
Acebutolol, Nadolol, and Atenolol
Which B blockers can reduce morbidity and mortality when used properly in heart failure?
Labetalol, carvedilol, and metoprolol
Which combined A and B blocker is sometimes used to treat Pheocromocytomas secreting large amounts of epinephrine and norepinephrine?
Labetalol
Blockage of symptoms of hypoglycemia in cases of insuilin overdose is a major problem with these drugs.
B Blockers
Toxic effects of B Blockers
can cause bronchospasm in asthmatics, atrioventricular blockade, bradycardia, as well as sexual dysfunction
B blocker with a high lipid solubility that can enter the CNS readily. is prototype B blocker
Propanolol
B Blocker with a high lipid solubility that easily enters the CNS. Is used to treat angina, arrythmias, hypertension, tremor, stagefright, and migraine
Propanolol