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21 Cards in this Set

  • Front
  • Back
What is an adrenergic agent?
A compound with adrenergic effect (agonists, antagonists etc.)
What is an adrenomimetic?
A compound that doesn't involve a receptor, but mimics adrenergic effect.
What is a sympathomimetic?
Produces adrenergic effect. A type of adrenergic
Describe the mechanism by which an Sympathetic Nerve Terminal Releases neurotransmitter.
- Tyr is taken into the nerve terminal
- Tyr is converted to Dopa and Dopamine
- Dopamine is taken up into a pre-synaptic vesicle
- Dopamine is converted to Norepi
- Norepi is stored with 4 ATP
- An AP reaches the terminal
- Vesicle fuses with membrane, releases contents
What is COMT? Where is it located?
Catechol - O - methyl transferase
Degrades catecholamines like Dopamine, Epinephrine and Norepinephrine
Located in Synaptic space and Post synaptic terminal
What are OCT-1 and OCT-2?
OCT-1 takes neurotransmitters into the presynaptic terminal
OCT-2 takes neurotransmitters into the post synaptic terminal
Describe OCT-1 and OCT-2 function under normal and high activity circumstances.
OCT- 2 has a higher Km. This means that a higher concentration of neurotransmitter is needed for OCT- 2 function.
Normal circumstances - OCT - 1 is functional
High activity - OCT - 1 saturates and OCT - 2 kicks in
What are the 4 mechanisms by which the Norepinephrine release can be inhibited?
- Ganglionic blockade
- Inhibition of Transmitter synthesis
- Blocks Dopmine into vesicle
- Block fusion of vesicle
Name the prototypic drugs involved in these mechanisms.
- Hexamethonium
- Metyrosine (Tyr -> Dopa), Carbidopa (Dopa -> Dopamine)
- Reserpine
- Guanethidine, Bretylium
What are the 4 mechanisms that can facilitate Norepinephrine release?
- Facilitation of Transmitter release
- Blockade of Transmitter re-uptake
- Inhibition of transmitter metabolism
- Interaction with adrenoceptors
Name the prototypic drugs associated with these mechanisms.
- Amphetamine, Tyramine
- Cocaine, Desipramine
- Pargyline, Selegiline
- Norepinephrine
What is a typical adrenoceptor agonist? Antagonist?
Norepinephrine
Labetalol
What is a typical Alpha selective agonist? Antagonist?
Oxymetazoline
Phentolamine
What is a typical Alpha 1 selective agonist? Antagonist?
Phenylephrine
Prazosin
What is a typical Alpha 2 selective agonist? Antagonist?
Clonidine
Yohimbine
What is a typical Beta selective agonist? Antagonist?
Isoproterenol
Propanolol
What is a typical Beta 1 selective agonist? Antagonist?
Dobutamine
Practolol
What is a typical Beta 2 selective agonist? Antagonist?
Albuterol
Butoxamine
What is a typical Beta 3 selective agonist?
BRL 373344
No consistently used Beta 3 selective antagonists
Know Chemical structures of Sympathomimetics
Catechol
Phenylephrine
Norepi
Epi
Isoproterenol
Dopamine
Phenylephrine
Methylamine
Ephedrine
Amphetamine
Describe Epinephrine and Norepinephrines receptor selectivity?
Epi = Equal among both alpha and beta receptors

Norepi = Alpha 1 = Alpha 2, Beta 1 >>Beta 2