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Sympathomimetics
Agonist/Antagonist/Mixed
| Question | Answer |
|---|---|
| List of Direct sympathomimetics: | 1. Albuterol, Salmeterol, Terbutaline 2. Dobutamine 3. Dopamine 4. Epinephrine 5. Fenoldopam 6. Isoproterenol 7. Midodrine 8. Mirabegron 9. Norepinephrine 10. Phenylephrine |
| Which direct sympathomimetic have a stronger α- affinity? | Norepinephrine, Phenylephrine, Midodrine, and |
| Which direct sympathomimetics have a stronger ß-affinity? | -Albuterol, Salmeterol, Terbutaline - Dobutamine - Epinephrine - Mirabegron |
| Which direct sympathomimetic has ß1=ß2 affinity? | Isoproterenol |
| What is the order of affinity of Norepinephrine? | α1>α2>ß1 |
| What is the order of affinity of Dobutamine? | ß1>ß2, α |
| Which direct sympathomimetic is used for Cardiac Stress test in people unable to get on the treadmill? | Dobutamine |
| What is the DOC for anaphylaxis? | Epinephrine |
| Does epinephrine have greater affinity for beta-1 or beta-2 receptors? | ß2 |
| What is the half-life of Epinephrine? | 2 hours |
| Which is the problem with Epinephrine? | Blood pressure reversal |
| Epinephrine is often used in treating fatal arrhythmia? | VFIB |
| DOC for Septic shock | Norepinephrine |
| Which has no methyl group, NE, or Epi? | Norepinephrine |
| What is the most common decongestant? | Ephedrine |
| Which indirect sympathomimetic is used to make crystal meth? | Pseudo-ephedrine |
| List of common Indirect sympathomimetics: | Amphetamines Cocaine Ephedrine, Pseudo-ephedrine |
| What is the drug of choice for Neurogenic shock? | Phenylephrine |
| What are the two most common nonselective α blockers? | Phenoxybenzamine and Phentolamine |
| What are the main adverse effects of non-selective α-blockers? | Orthostatic hypotension and reflex tachycardia |
| Which drug treats Pheochromocytoma in preparation for surgery? | Phenoxybenzamine |
| Which drug is often used to diagnose Pheochromocytoma? | Phentolamine |
| What are the main α1-blockers? | Prazosin, Terazosin, Doxazosin, and Tamsulosin |
| What is the only relevant α2-blocker? | Mirtazapine |
| What is the main adverse effect of Prazosin? | First dose syncope |
| What are the DOC for BPH? | Terazosin and Doxazosin |
| Which alpha-1 blocker is used for PTSD? | Prazosin |
| Which α1-blocker has the fewest adverse effects? | Tamsulosin |
| What is the main application of Mirtazapine? | Depression in an anorexic patient |