4.4 pharm Flashcards
(17 cards)
How is normetanephrine made
Norepinephrine metabolized by COMT
How is metanephrine made
Epinephrine metabolized by COMT
Pathology of pheochromocytoma
Increased epinephrine (which increases BP and VMA in urine)
Homovanillic acid is made from
Dopamine
Can treat pheochromocytoma
α methyltyrosine
Is a more potent α2 agonist than NE
Methyl dopa (which gets converted to methyl-NE)
Makes a false NE
Methyl-dopa
Blocks NET
Cocaine
TCAs
Blocks VMAT
Reserpine
Strong CNS depressant
Reserpine
Causes a tachyphylactic response
MAOI
Indirect acting sympathomimetic
MAOI
Can’t eat food high in tyramine (veer, wine, cheese)
MAOI
NE local anesthetic effect
Bretylium
Guanethidine
Example of COMT inhibitor
Talcapone
Inhibits extra neuronal uptake
Glucocorticoids
Treats Parkinson’s
COMT inhibitors (talcapone)