autonomic drugs Flashcards

(52 cards)

1
Q

Direct acting cholinergi agonists, muscarinic

A

muscarine, piocarpine, bethanechol

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2
Q

Direct acting chol agonists. nicotinic

A

nicotine, succinylcholine

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3
Q

direct acting chol agonists. partial nicotinic agonists

A

varenicline

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4
Q

indirect acting chol. agonists

A

physostigmine, neostigmine, demecarium, edrophonium, echothipophate, donepezil, tacrine

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5
Q

how do indirect acting chol agonists work

A

all of them inhibit AChE to prolong the effect of ACH

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6
Q

which indirect chol agonists have lon lasting effects

A

physostigmine, neostigmine, demecarium

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7
Q

which indirect chol agonist has a short effect

A

edrophonium

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8
Q

what is echothiophate used for

A

glycoma, myasthenia gravis, sgogren’s syndrome, is phosphorylates AChE and can inhibit hundreds of hours. also affects choleno receptors of muscles

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9
Q

which indirect chol antagonists treat alzheumer’s

A

donepezil, tacrine

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10
Q

what does pralidoxime do

A

if given early, can revearse any permanent damage caused by organophosphate AChE inhibitors

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11
Q

what are irreversibel AChE inhibitors

A

Malathion (insecticide) Sarin (nerve gas)

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12
Q

Antimuscarinic agents

A

atropine, scopolamine, ipratropium

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13
Q

atropine

A

antimuscarinic agent, it blocks a lot of DUMBBELS effect if given soon after exposer, lasts 7-10 days

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14
Q

scopolamine

A

antimuscarinic agent, blocks dumbbels lasts 3-7 days. used to treat motion sickness

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15
Q

ipratropium

A

antimuscarinic agent. used in asthma

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16
Q

derifenicin

A

used to treat urinary incontinece

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17
Q

tiotropium

A

asthma

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18
Q

antinicotinic agents

A

succinycholine, pancuronium, atracurium, rocuronium, sugammadex

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19
Q

succinylcholine

A

depolarizing antinicotinic agent. long duration, intially activates receptor, eventually there is muscle hyperpolarization lead to paralysis (used in surgery)

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20
Q

non depolarizing antinicotinic agents

A

pancuronium, atracurium, rocuronium, skeletal muscle ACh receptor blockers, all derived from curare

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21
Q

sugammadex

A

non depolarizing antinicotinic agent, reverses blockade by rocuronium by binding it directly

22
Q

botulinum toxin type A

A

antinicotinic agent, inhibitor of ACh release, muscle paralytic agent. used cosmetically, treats muscle spasms…tics, strabismus, nystagmus

23
Q

epinephrine

A

adrenergic agonist, acts on all adregergic receptors (alpha and beta)

24
Q

agents that activate alpha 1 receptor

A

phenylephrine, tetrahydrozoline, naphazoline

25
pheylephrine
adrenergic agonist, activates alpha 1 receptor, decreases intranasal congestion
26
tetrahydrozoline
adrenergic agonist, activatesalpha 1 receptor, decreases intranasal congestion
27
naphazoline
adrenergic agonist, activates alpha 1 receptor, decreases intranasal congestion
28
agents that activate alpha 2 receptors
clonidine, alpha methyl norepinephrine
29
clonidine
adrenergic agonist, alpha 2, decrease symp. outflow from CNS. used to treat hypertension
30
alpha methyl norepinephrine
adrenergic agonist, alpha 2. decrease symp. outflow from CNS, used to treat hypertension.
31
agents that activate beta 1 receptor
norepinephrine, dobutamine
32
agents that activate beta 2 receptors
metaproterenol, terbutaline, fenoterol, aluterol. bronchodilation for treating asthma
33
indirect acting amines, which induce the release of NE from nerve terminals
amphetamine, methamphetamine, tyramine, pheylpropanolamine, pseudo-ephedrine
34
amphetamine/methamphetamine
indirect acting amines, which induce the release of NE from nerve terminals
35
tyramine
indirecting acting amines, which inuce the release of NE from nerve terminals
36
phenylpropanolamine
indirect acting amines, which induce the release of NE from nerve terminals
37
pseudoephedrine
indirect acting amines, which induce the release of NE from nerve terminals
38
adrenergic antagonists - alpha 1 blocker
prazosin, pheoxybenzyamine
39
prazosin
adrenergic antagonist, alpha 1 blocker, antihypertensive
40
phenoxybenzyamine
adrenergic antagonist alpha 1 blocker
41
phetolamine
adrenergive antagonist, alpha 1 and 2 receptor blocker
42
tolazoline
adrenergic antagonist, alpha 2 blocker
43
metoprolol
specific beta 1 blocke, decrease HR
44
acebutolol
specific beta 1 blocker, decrease HR
45
alprenolol
specific beta 1 blocker, decrease HR
46
atenolol
specific beta 1 blocker, decrease HR
47
esmolol
specific beta 1 blocker, decrease HR
48
propranolol
non specific beta 1 and 2 blocker
49
timolol
non specific beta 1 and 2 blocker
50
levobuolol
non specific beta 1 and 2 blocker
51
carteolol
non specific beta 1 and 2 blocker
52
metipranolol
non specific beta 1 and 2 blocker