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Autonomic NS Drugs

Generic name, uses/indications, and main site/mode of action

Name (generic)Uses/IndicationsSite or Mode of Action
Phenylephrine severe hypotension, decongestant, mydriasis α-1 agonist
oxymetazoline decongestant α-1 agonist
Clonidine hypertension, migraine, ADHD, glaucoma α-2 agonist
Dobutamine heart failure -pressor and ionotrophic support β-1 agonist
Salbutamol asthma, premature labor β-2 agonist
terbutaline asthma β-2 agonist
salmeterol asthma, not for acute bronchspasm β-2 agonist
Adrenaline (Epinephrine) anaphylaxis, cardiac resuscitation, given with local anesthetics α/β agonist
Isoprenaline asthma, cardiac resuscitation β agonist
Prazosin hypertension α-1 antagonist
doxazocin hypertension, benign prostatic hypertrophy α-1 antagonist
Yohimbine No clinical use, supposedly an aphrodisiac α-2 antagonist
Atenolol hypertension β-1 antagonist
metoprolol hypertension, compensated heart failure β-1 antagonist
Labetalol hypertension in pregnancy α/β antagonist
propranolol hypertension, angina, dysrhythmias, migraine β antagonist
Amphetamine Appetite suppressant, ADHD, narcolepsy ↑NA, ↓uptake 1. MAOI, CNS stimulant
Ephedrine Decongestant ↑NA
α-Methyl-p-tyrosine Occasionally in pheochromocytoma Inhibits tyrosine hydroxylase
Carbidopa Parkinsons – in conjunction with leva-DOPA to ↓peripheral effects Inhibits DOPA-decarboxylase
Methyldopa Hypertension in pregnancy False transmitter precursor
Reserpine Essential hypertension, schizophrenia Depletes NA stores by inhibiting vesicular uptake of NA
Imipramine Depression Blocks uptake 1
Cocaine Local anesthetic (rarely) Blocks uptake 1, local anesthetic, CNS stimulant
Atropine Reduces gastrointestinal motility, Adjunct for anaesthesia (reduced secretions, bronchodilatation), Anticholinesterase poisoning, Bradycardia, inhibition of SLUD non-selective muscarinic antagonist
Hyoscine Motion sickness non-selective muscarinic antagonist
Ipratropium Bronchodilator non-selective muscarinic antagonist
Cyclopentolate Ophthalmic use to produce mydriasis and cycloplegia (as eye drops) (Long acting) M4 antagonist
Tropicamide Ophthalmic use to produce mydriasis and cycloplegia (as eye drops)(Short acting) M4 antagonist
Pirenzipine Reduces gastric acid secretion by action on ganglion cells, Peptic ulcer M1 antagonist
Benzhexol Parkinsonism, esp to counteract movement disorders caused by antipsychotics. M1 antagonist
Pilocarpine Glaucoma, angle-closure, Glaucoma, open-angle, xerostomia Muscarinic agonist
Timolol Hypertension, essential, Glaucoma, open-angle, myocardial infarction, migraine, headache prophylaxis β-Adrenoceptor antagonist
Acetazolamide Glaucoma, edema, mountain sickness, unlocalized and absence seizures Carbonic anhydrase inhibitor
Pancuronium Muscle relaxant in anesthesia Nicotinic antagonist - block transmission at NMJ
Trimetaphan Blood pressure lowering in surgery (rarely used) Nicotinic antagonist that blocks trasmission at autonomic ganglia
Botulinum Toxin Blepharospasm, Dystonia, cervical, Glabellar lines, Strabismus Blocks ACh release
Created by: golfspy
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