Adrenergic Antagonists Flashcards

(67 cards)

1
Q

what are the non-selective alpha-receptor antagonistic drugs

A

phenoxybenzamine
phentolamine
tolazoline

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2
Q

what are the selective alpha1-receptor antagonistic drugs

A

prazosin
terazosin
doxazosin
tamsulosin

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3
Q

what are the selective alpha 2 receptor antagonistic drugs

A

yohimbine
atipamezole

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4
Q

what are the non-selective B receptor antagonistic drugs

A

propranolol
timolol
carvedilol
sotalol

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5
Q

what are the selective B receptor antagonistic drugs

A

metoprolol
atenolol
esmolol
acebutolol

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6
Q

which B receptor antagonist drug can also be a alpha-1 receptor antagonist

A

carvedilol

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7
Q

what are ways indirect adrenergic antagonists can impact the CNS

A

-synthesis of catecholamines
-storage and release of norepinephrine
-decreasing the central sympathetic outflow

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8
Q

what indirectly acting adrenergic antagonist interferes with the synthesis of catecholamines

A

methyl dopa

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9
Q

what indirectly acting adrenergic antagonist interferes with the storage of norepinephrine

A

resperpine

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10
Q

what are the affects of resperine

A

long-acting tranquilizer

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11
Q

what species is reserpine used in

A

horses

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12
Q

how is reserpine administered

A

IM

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13
Q

what indirectly acting adrenergic antagonist prevents the release of norepinephrine

A

guanethidine

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14
Q

what indirectly acting adrenergic antagonist decreases the central sympathetic outflow

A

clonidine

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15
Q

what type of drug is phenoxybenzamine

A

non-selective alpha-receptors antagonist

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16
Q

what is the effect phenoxybenzamine has on the receptor

A

irreversible inhibition of alpha-receptors

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17
Q

where does phenoxybenzamine act on receptors

A

presynaptic

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18
Q

what is the mode of action phenoxybenzamine have on a nerve synapse

A

inhibits reuptake of released nor-epinephrine

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19
Q

what are the pharmacological effects of phenoxybenzamine

A

prevents peripheral vasoconstriction (reflex tachycardia)
increased cardiac output

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20
Q

how does phenoxybenzamine increase cardiac output

A

blocks a2 presynaptic receptors in the heart

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21
Q

what drug can be used as a reversal drug from phenoxybenzamine

A

epinephrine

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22
Q

how does an epinephrine reversal work against phenoxybenzamine effects

A

decrease HR because all alpha receptors are blocked
- there will be vasodilation of skeletal blood vessels (B2 mediated)

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23
Q

why does the HR decrease when epinephrine is administered as a reversal drug for phenoxybenzamine

A

vasodilation of skeletal blood vessels lessens the pressure throughout the system as a whole

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24
Q

what can phenoxybenzamine be used to treat

A

pheochromocytoma
benign prostatic obstruction management
detrusor areflexia

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25
why is phenoxybenzamine used in cases of pheochromocytoma
prevent hypertensive crisis
26
if a cat or dog is straining to pee, what drug can be used to treat its condition
phenoxybenzamine
27
what are the adverse effects of phenoxybenzamine
postural hypotension w/ reflex tachycardia & arrhythmias nasal congestion, nausea & vomiting inhibit ejaculation & aspermia
28
True or False: phenoxybenzamine can have a toxic nature
true mutagenic nature can cause toxicity
29
what type of drug is phentolamine
non-selective alpha antagonist
30
what are the pharmacological actions of phentolamine
prevents peripheral vasoconstriction (reflex tachycardia) increased cardiac output poor GI absorption
31
what is phentolamine used to treat
hypertension associated with pheochromocytoma relieve pseudo-obstruction of bowel prevent dermal necrosis on extravastion of a-agonist
32
how does phentolamine act as a relief for pseudo-obstruction of bowel
decreased vasoconstriction / increased vasodilation = increased blood flow --> bowel movement
33
what is the brand name of phentolamine used as an intraoral submucosal injection to reverse oral local anaesthetics
oraverse
34
what are the adverse effects of phentolamine
postural hypotension reflex tachycardia arrhythmias, anginal pain diarrhea
35
what type of drug is tolazoline
alpha antagonist
36
what is tolazoline used for
reverse the effects of xylazine in large animals
37
for what diagnostic test can you use tolazoline
arteriography -visualizing distal periphery vessels
38
how can tolazoline be used in newborns
treat persistent pulmonary hypertension
39
what are the adverse effects of tolazoline
cardia arrhythmias GI stimulation
40
what type of drug is prazosin
alpha-1 antagonist
41
what are the related prazosin drugs
terzosin doxazosin tamsulosin
42
what does prazosin cause pharmacologically
vasodilation
43
what are the effects of prazosin
decrease peripheral resistance (vasodilation) lowers blood pressure
44
which prazosin related drug is more specific for urinary tract infections
tamsulosin
45
what is occurs significantly less when using prazosin over other alpha antagonistic drugs to treat hypertension
reflex tachycardia
46
what can prazosin be used to treat
hypertension benign prostate hypertrophy
47
what type of drug is yohimbine
selective alpha-2 antagonist
48
what is the function of yohimbine
blocks alpha-2 receptors impacting the release of norepinephrine at the synaptic cleft
49
how should yohimbine be administered
IV injection
50
what species should be administered yohimbine
large animals
51
what is yohimbine used for
reversal of xylazine and detomidine
52
what drug is the "same" as yohimbine but used in small animals
atipamezole
53
what type of drug is atipamezole
alpha-2 antagonist
54
what is the use of atipamezole
reversal agent for dexmedetomidine & medetomidine
55
what species is atipamezole used in
small animals
56
how should atipamezole be administered
IM
57
what is the brand name for atipamezole
antisedan
58
what are the therapeutic uses of alpha-1 blockers
pheochromocytoma hypertension benign prostate hypertrophy
59
what are the therapeutic used of alpha-2 blockers
reversal agent for anaesthetic premedications
60
what are the non-selective Beta blockers
propranolol timolol sotalol
61
what are the adverse effects of propranolol
bronchoconstriction cardiac arrhythmias hypoglycemia
62
what non-selective Beta blocker can be used to treat glaucoma
timolol
63
what non-selective beta blocker can be used as an anti-arrhythmic drug
sotalol
64
what is sotalol used to treat
ventricular tachycardia
65
in what species is sotalol normally used
dogs
66
what drugs are selective Beta-1 blockers
atenolol acebutolol metoprolol esmolol
67
what are the uses of Beta-1 blockers
hypertension ischemic heart disease thyrotoxicosis pheochromocytoma