CR2 KCP 2 - Response to xenobiotics Flashcards
Alpha 1 receptors location & function
- Vascular smooth muscles, smooth muscles around neck of bladder & prostate, GI sphincters, radial iris muscle
- Contraction
Alpha 2 receptors location & function
- Presynaptic neuron, pancreas
- Inhibition of neurotransmitter release, decrease insulin
Beta 1 receptors location & function
- Heart & kidney
- Myocardial stimulation, renin release
Beta 2 receptors location & function
- Respiratory, uterine & vascular smooth muscle, liver, pancreas, muscle spindles
- Smooth muscle relaxation, glycogenolysis, increase glucagon, tremors
Beta 3 receptors location & function
- Adipose tissue
- Lipolysis
D 1 receptors location & function
- Renal vascular smooth muscles
- Dilation
D 2 receptors location & function
Nerve endings in the CNS & GIT
- Modulation of transmitter release, CNS stimulation
Sympathomimetic classes
- Direct acting (selective & non-selective)
- Mixed acting
- Indirect acting (releasing agent, uptake inhibitor & MAO/COMT inhibitor)
Non-selective alpha blocker
Reversible: Phentolamine
Irreversible: Phenoxybenzamine
Selective alpha blockers
Alpha 1: Prazosin
Alpha 2: Yohimbin
Non-selective beta blocker with no ISA
Propranolol
Selective beta 1 blockers
with ISA: Pindolol (non-selective)
without ISA: Metoprolol
Alpha + Beta blocker
Labetolol
Direct acting cholinergic agonists
M&N: Acetylcholine
M: Pilocarpine, Methacholine
N: Nicotine, Succinyl choline (Suxamethonium chloride)
Reversible indirect acting Cholinesterase inhibitors
Short-acting: edrophonium
Medium-duration: neostigmine (proserine), physostigmine (eserine)
irreversible indirect acting Cholinesterase inhibitors
Organophosphates:
- Soman & Sarin (nerve gas)
- Malathion (insecticide)
Muscarinic blockers
- Atropine
- Scopolamine
- Ipratropium
Nicotinic blockers
- D-tubocurarine
- Succinylcholine
- Mecamylamine
Narrow therapeutic index drugs
- Barbiturates
- Theophylline
- Cardiac glycosides
- Warfarin
Wide therapeutic index drugs
- Benzodiazepines (e.g. Diazepam)
- Penicillin
- Cephalosporines (e.g. Cefadoxil)
- Acetaminophen (e.g. Paracetamol)
Adverse drug reaction (ADR) types
A - augmented
B - bizarre
C - chronic
D - delayed
E - withdrawal or end of use
F - failure
Drug-drug interaction drawbacks
- increased toxicity
- reduced efficacy
- inconvenience
- increased cost
Drug-drug interactions benefits
- reduced toxicity
- increased efficacy
- increased convenience
Ca, Mg, iron containing foods effect on tetracycline
Inhibits oral absorption