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Chapter 21 & 22
Sympathetic & Parasympathetic Drugs
| Generic Name | Trade Name | Uses | Side Effects |
|---|---|---|---|
| Bethanechol chloride | Urecholine | Stimulation of Parasympathetic Nervous system. Helps to empty GI system. | Abdominal pain, increased salivation, sweating, n/v/d, flushed skin, blurred vision, headache |
| Atropine sulfate | Atropine | parasympatholytic. Depress salivary, bronchial secretions, sweating. Dilate pupils. Increase heart rate. Inhibit micturition. Inhibit gastric secretion. | Inhibits sweating. Dry mouth, throat, & skin. Constipation. Intraocular pressure. n/v. Euphoria |
| Scopolamine | Transderm-Scop | parasympatholytic. Treats IBS. Depresses CNS & causes drowsiness, euphoria, memory loss sleep, relief of fear. | N/V. Dry mouth, skin, throat. Headache. Photophobia; drowsiness; weakness; constipation; euphoria; amnesia; insomnia; dilated and fixed pupils. |
| clidinium | Quarzan | parasympatholytic. Reduces GI motility and secretion. Few CNS side effects. Adjunctive treatment for peptic ulcers. | Blurred vision. Same as atropine. |
| Nicotine | (blank) | Temporarily stimulates all sympathetic and parasympathetic ganglia in Autonomic Nervous System. Stimulates CNS. Stimulation is followed by depression. | Belching, fast heartbeat, headache, increased appetite, sore mouth or throat, constipation, coughing, irritability, indigestion, difficulty sleeping. |
| Epinephrine | Adrenalin | Symptomatic treatment of bronchial asthma & other diseases that cause bronchospasm. Symptomatic relief of acute hypersensitivity reactions. Adjunct c local anesthetics. Treat cardiac arrest or cardiac standstill. | increased nervousness, restlessness, insomnia, tachycardia, tremors, sweating, increased blood pressure, nausea, vomiting, pallor |
| norepinephrine bitartrate | Levophed | vasoconstriction & reduced blood flow through kidneys & other visceral organs. Increase cardiac output. Treat Hypotension. | anxiety, dizziness, pallor, tremors, insomnia, headache, pounding heart rate. |
| dobutamine hydrochloride | Dobutrex | Increases force of myocardial contraction. Short-term management of clients requiring inotropic support | nausea, headache, angina, respiratory distress, palpitation, increased heart rate and BP |
| dopamine hydrochloride | Inotropin | Acts directly and indirectly by releasing norepinephrine. Causes vasodilation of renal and mesenteric arteries. Increase cardiac output. high dose increases BP | headache, n/v, angina, decreased blood pressure, hypertension. |
| ephedrine | (blank) | Raises blood pressure. produces bronchodilation & treats mild asthma | mood changes, hallucinations, n/v, pallor, sweating, tremors, tachycardia |
| sumatripan | Imitrex | cerebral blood vessel constriction. treats vascular headaches | n/v, weakness, tingling |