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22 Cards in this Set
- Front
- Back
Name the 2 non-selective adrenoceptor antagonists.
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Labetolol
Carvedilol |
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Name the 2 Alpha selective antagonists.
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Phentolamine
Phenoxybenzamine |
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Name the 4 Alpha 1 selective antagonists.
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Prazosin
Doxazosin Terazosin Indoramine |
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Name the 3 Alpha 2 selective antagonists.
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Yohimbine
Rauwolscine Tolazoline |
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Name the 7 Beta selective antagonists.
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Propanolol
Carteolol Nadolol Penbutolol Pindolol Sotalol Timolol |
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Name the 6 Beta 1 selective antagonists.
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Acebutolol
Atenolol Betaxolol Celiprolol Esmolol Metoprolol |
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Name the Beta 2 selective antagonist
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Butoxamine
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Name 5 cardiovascular effects of Alpha-antagonists.
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Decreased TPR and BP
Epinephrine reversal Postural Hypotension Increase NE release (alpha 2 block) Compensatory increase in blood volume |
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What are the genitourinary effects of alpha antagonists?
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Relaxed prostate
Relaxed bladder sphincter/trigone |
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Name two other effects of alpha antagonists.
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Miosis (block of alpha 1 receptors to radial muscle)
Nasal stuffiness (increase blood flow to nose) |
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Name 5 adverse effects of Alpha Antagonists.
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Postural Hypotension
Tachycardia (reflex) Nasal stuffiness Impairment of ejaculation Sodium/Water retention (alpha 1 receptors increase renin release) |
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Name the 7 adverse effects of Beta Antagonists.
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CNS: Sedation, sleep disturbance, depression
Fatigue Asthma Depression of myocardial contractility Sexual dysfunction Rebound hypertension |
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Name the 7 disease states that should avoid taking Beta antagonists.
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Diabetes (unless Beta 1 selective)
Asthma PVD Bradyarrythmias/AV block Cardiac Disease Depression Impotence |
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What are Beta antagonists used for clinically?
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Hypertension (Beta 1 and 2)
Angina Pectoris (Decreased O2 demand) Cardiac Tachyarrythmias Glaucoma Hyperthyroidism (Cardiac effects of thyroid hormones blocked, decreased conversion of T4-T3) Migraine, anxiety, tremor, alcohol withdrawl |
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What are alpha antagonists used for clinically?
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Pheochromocytoma - lower BP
Hypertensive emergencies Chronic hypertension (alpha 1 preferred) PVD BPH ED |
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Name the 5 Beta antagonists that have intrinsic sympathomimetic activity.
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Pindolol
Acebutolol Carteolol Celiprolol Penbutolol |
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What is the advantage of these drugs?
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They block Beta 1 receptors and are useful against angina and hypertension. They are also partial agonists to Beta 2 receptors. They are less likely to cause bradycardia. Beta 2 agonism decreases BP and results in slight reflex stimulation?
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This beta antagonist is noteworthy for its long duration.
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Nadolol
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This beta antagonist is ultra short acting and is used for controlling supraventricular arrhythmias, perioperative hypertension and myocardial ischemia
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Esmolol
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This beta non-selective drug has excellent ocular hypotensive effects.
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Timolol
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This antagonist is beta 1 selective, used in glaucoma and is less likely to cause broncho-constriction than non-selective agents.
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Betaxolol
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Antagonists of peripheral dopamine receptors have no clinical importance, but their CNS actions are important in these diseases.
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Schizophrenia and other neuropsychiatric disorders.
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