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CENTRAL ALPHA
CENTRAL ALPHA AGONIST AND OTHER CENTRALLY ACTING DRUGS
| Question | Answer |
|---|---|
| CENTRAL ALPHA2-AGONISTS AND OTHER CENTRALLY ACTING DRUGS | RESERPINE (SERPASIL)<BR>METHYLDOPA(ALDOMET)<BR>CLONIDINE(CATAPRES)CLONIDINE PATCH(CATAPRES-TTs)<BR>GUANFACINE (TENEX) |
| MA OF RESERPINE (SERPASIL0 | IMPAIRS SYNTHESIS AND RE-UPTAKE OF NOREPINEPHRINE |
| METHYLDOPA (ALDOMET) MA | DOPA-DECARBOXYLASE INHIBITOR<BR>DISPLACES NOREPI FROM STORAGE SITES |
| CLONIDINE (CATAPRES) MA | EXACT MODE OF ACTION NOT UNDERSTOOD, BUT ACTS THROUGH THE CENTRAL NERVOUS SYSTEM, APPARENTLY THROUGH CENTRALLY MEDICATED ALPHA-ADRENERGIC STIMULATION IN THE BRAIN, PRODUCING BLOOD PRESSURE REDUCTION |
| GUANFACINE (TENEX) MA | STIMULATES CENTRAL ALPHA-2ADRENERGIC RECEPTORS |
| ADVANTAGE OF RESERPINE | SLOWS PULSE WHICH COUTNERACTS TACHYCARDIA OF HYDRALAZINE |
| CONTRAINDICATIONS OF RESERPINE | HISTORY OR DEPRESSION, PSYCHOSIS, OBESITY, CHRONIC SINUSITIS, PEPTIC ULCER |
| RESERPINE EFFECTS AND CONSIDERATIONS | MAY CAUSE SEVERE DEPRESSION<BR> MANNIFESTATIONS,<BR>NASAL CONGESTION<BR> USE WITH CAUTION WITH IF HISTORY OF GALLBLADDER RENAL OR CARDIAC DISEASE OR SEZURE DISORDER |
| GERONTOLOGIC CONSIDERATIONS OR RESERPINE | DEPRESSION AND POSTURAL HYPOTENSION |
| ADVANTAGE OF METHYLDOPA | DRUG OF CHOICE FOR PREGNAN WOMEN WITH HYPERTENSION<BR>USEFUL IN PATIENTS WITH RENAL FAILURE OR PROSTATE DISEASE<BR>DOES NOT DECREASE CARDIAC OUTPUT<BR>DOES NOT INDUCE OLIGURIA |
| EFFECTS OF METHYLDOPA | DROWSINESS, <BR>DIZZINESS<BR>DRY MOUTH<BR> NASAL CONGESTION<BR> USE WITH CAUTION WITH RENAL DISEASE |
| CONTRAINDICATION OF METHYLDOPA | MAY PRODUCE MENTAL AND BEHAVIORAL CHANGES IN THE ELDERLY |
| CLONIDINE ADVANTAGE | LITTLE OR NO ORTHOSTAIC EFFFECT<BR>MODERATELY POTENT AND SOMETIMESI S EFFECTIVE WHEN OTHER MEDICATIONS FAIL TO LOWER BLOOD PRESSURE |
| CONTRAINDICATIONS OF CLONIDINE | SEVERE CORONARY ARTERY DISEASE,<BR>PREGNANCY<BR>CONTRAINDICATED IN CHILDREN |
| GUANFACINE ADVANTAGES | REDUCES HEART RATE AND CAUSE VASODILATION .<BR>ADVERSE REACTIONS ARE UNCOMMON<BR> |
| GUANFACINE USE WITH CAUTION IN PT.S WITH... | DIMINNISHED LIVER FUNCTION, <BR> MYOCARDIALINFARCTION OR UNKNOWN CARDIOVASCULAR DISEASE |