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62 Cards in this Set

  • Front
  • Back
Alpha-1 Receptors
Post-Synaptic constriction of vascular smooth and dilation of pupil GTP activates PLC causing IP3 and DAG
Beta-1 Receptors
Myocardium of heart excites
Beta-2 Receptors
Vascular and Bronchial relaxation smooth muscle also some heart
Beta-3 Receptors
Adipose tissue breaks down
Phenoxbenzamine
-Mechanism
Irreversible Non-Selective Alpha Blockers
Phenoxybenzamine
-Application
Pheochromocytoma (use it before removing tumor because high levels of released catecholamines will not be able to overcome blockage)
Non-selective Alpha Blockers
Phenoxbenzamine
-Toxcity
Alpha blocker so causes hypotension and reflex tachycardia
Phentolamine
-Mechanism
Reversible Alpha Blockers
Prazosin, doxasin
-Mechanism
Alpha-1 Selective Blockers
Terazosin
-Application
Hypertension, urinary retention in BPH
alpha 1 antagonist
Mirtazapine
-Mechanism
Alpha-2 blockers
Mirtazapine
-Application
Depression
Carvedilol
-Mechanism
Nonselective Alpha and Beta antagonist
Labetalol
-Mechanism
Nonselective Alpha and Beta antagonist
Acebutolol
-Mechanism
Beta-1 selective antagonist (b1>b2)
Metoprolol
-Mechanism
Beta-1 selective antagonist (b1>b2)
Atenolol
-Mechanism
Beta-1 selective antagonist (b1>b2)
Esmolol
-Mechanism
Beta-1 selective antagonist (b1>b2) (short acting)
Betaxolol
-Mechanism
Beta-1 selective antagonist (b1>b2)
Propranolol
-Mechanism
Nonselective Beta antagonists (b1=b2)
Mirtazapine
-Mechanism
Alpha-2 blockers
Mirtazapine
-Application
Depression
Carvedilol
-Mechanism
Nonselective Alpha and Beta antagonist
Labetalol
-Mechanism
Nonselective Alpha and Beta antagonist
Acebutolol
-Mechanism
Beta-1 selective antagonist (b1>b2)
Metoprolol
-Mechanism
Beta-1 selective antagonist (b1>b2)
Atenolol
-Mechanism
Beta-1 selective antagonist (b1>b2)
Esmolol
-Mechanism
Beta-1 selective antagonist (b1>b2) (short acting)
Betaxolol
-Mechanism
Beta-1 selective antagonist (b1>b2)
Propranolol
-Mechanism
Beta non selective antagonist (b1=b2)
Timolol
-Mechanism
Nonselective Beta antagonists (b1=b2)
Nadolol
-Mechanism
Nonselective Beta antagonists (b1=b2)
Labetalol
-Mechanism
Nonselective Beta antagonists (b1=b2)
Pindolol
-Mechanism
Nonselective Beta antagonists (b1=b2)
Beta Blockers
-toxicity (5)
Watch out in diabetics, impotence, exacerbates Asthma, Cardiovascular effects (bradycardia, CHF, AV block), CNS adverse effects (sedation, sleep alterations)
Beta-Blockers used in Hypertension because
Hypertension--> decrease CO and renin secretion
Beta-blockers used in Angina because...
Decrease R and contractility resulting in less oxygen consumption
Beta-blockers used in MI...
Beta-blockers decrease mortality
Beta-blockers used in SVT
Decrease av conduction velocity class II antiarrhythmiac)
Beta-blockers used in CHF
slow progression of chronic failure
Which beta-blocker used in Glaucoma and why?
Timolol decreases secretion of aqueous humor
Terbutaline
-Mechanism
Selective B2 agonists
Salmeterol
-Mechanism
Selective b2 agonists
Albuterol
-Mechanism
Selective b2 agonists
Metaproterenol
-Mechanism
Selective b2 agonists
Epinephrine
-Mechanism
Alpha and Beta agonist at low doses selective for Beta-1
Epinephrine
-Application
Anaphylaxis, glaucoma (open angle), asthma, hypotension
Norepinephrine
-Mechanism
alpha-1, alpha-2>beta-1
Norepinephrine
-Application
Hypotension (but decrease renal perfusion)
Isoproterenol
Beta1=beta2 agonists
Dopamine
-Mechanism
D1=D2>b>alpha inotropic and chronotropic
Dobutamine
-Mechanism
B1>b2 Inotropic (weakens force of muscular contraction) but not chronotropic (doesn't change heart rate)
Phenylepinephrine
-Mechanism
Alpha-1>alpha-2
Phenylepinephrine
-Application
Pupil Dilation, vasoconstriction, nasal congestion
Terbutaline
-Application
reduces uterine contraction beta-2 agonist
Ritodrine
-Application
Reduces uterine contractions (Beta-2 agonists)
Clonidine
-Mechanism
Alpha-2 agonists, decreases central adrenergic outflow
Clonidine
-Applications
Hypertension especially with renal disease (no decrease in blood flow to kidney) Alpha-2 Agonist
Alpha-Methyldopa
-Mechanism
Alpha-2 agonists, decreases central adrenergic outflow
Cocaine
-Mechanism
Indirect general agonists, uptake inhibitor
Amphetamine
-mechanism
Indirect general agonist, release stored catecholamines
Ephedrine
-Mechanism
Indirect general agonist, release stored catecholamines