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autonomic drugs UCI
| Question | Answer |
|---|---|
| epinephrine | a1, a2, b2, b3, low doses selective for b1; anaphylaxis, glaucoma, asthma, hypotension |
| NE | a1, a2>b1; hypotenstion with decreased renal perusion |
| Isoproterenol | b1=b2; AV block |
| Dopamine | D1=D2>b>a, inotropic and chronotropic; shock, heart failure |
| Dobutamine | b1>b2, inotropic not chronotropic; shock, heart failure, cardiac stress testing |
| Phenylephrine | =methoxamine, a1>a2; pupillary dilation, vasoconstriction, nasal congestion |
| Methoxamin | =phenylephrine; a1>a2; pupillary dilation, vasoconstriction, nasal congestion |
| Albuterol | b2>b1; acute asthma |
| terbutaline | b2>b1; reduces premature uterine contractions |
| ritodrine | =metaproterenol; b2 reduces premature uterine contractions |
| metaproterenol | =ritodrine; b2 reduces premature uterine contractions |
| amphetamine | releases stored catecholamines; narcolepsy, obesity, ADD |
| ephedrine | =tyramine; releases stored catecholamines; nasal decongestion, urinary incontinence, hypotension |
| tyramine | =ephedrine; releases stored catecholamines; nasal decongestion, urinary incontinence, hypotension |
| cocaine | uptake inhibitor; causes vasoconstriction and local anesthesia |
| clonadine | =a-methyldopa; a2 agonist; hypertension with renal disease (no decrease in renal blood flow), glaucoma, sedation |
| a-methyldopa | =clonadine; a2 agonist; hypertension with renal disease (no decrease in renal blood flow) |
| guanfacine | =clonidine, brimonidine, dexmadetomidine; a2 agonist; hypertension with renal disease (no decrease in renal blood flow), glaucoma, sedation |
| brimonidine | =clonidine, guanficine, dexmedetomidine; a2 agonist; hypertension with renal disease (no decrease in renal blood flow), glaucoma, sedation |
| dexmedetomidine | =clonidine, guanfacine, brimonidine; a2 agonist; hypertension with renal disease (no decrease in renal blood flow), glaucoma, sedation |
| b2 agonists | MAST; metaproterenol, albuterol, salmeterol, terbutaline |
| phenoxybenzamine | irreversible a-blocker; for pheochromocytoma tumor removal; toxic-orthostatic hypotenstion, reflex tachycardia |
| phentolamine | reversible a-blocker; for pheochromocytoma tumor removal; toxic-orthostatic hypotenstion, reflex tachycardia |
| prazosin | =terazosin, doxazosin;a1-blocker; for htn, urinary retention in BPH; toxic-orthostatic hypotenstion, dizziness, headache, cardiac problems |
| terazosin | =prazosin, doxazosin; a1-blocker; for htn, urinary retention in BPH; toxic-orthostatic hypotenstion, dizziness, headache, cardiac problems |
| doxazosin | =prazosin, terazosin; a1-blocker; for htn, urinary retention in BPH; toxic-orthostatic hypotenstion, dizziness, headache, cardiac problems |
| mirtazapine | a2 blocker; for depression; toxic- sedation, increased serum cholesterol and appetite |
| nonselective b-blockers | propranolol, timolol, nadolol, pindolol, labetalol |
| b1 blockers | A BEAM; acebutolol, betaxolol, esmolol, atenolol, metoprolol |
| b blocker application | HTN (lower CO ad renin), angina pectoris, thyroid storm, migraine, anxiety, MI, SVT, CHF, glaucoma (decreased secretion |
| b blocker toxicity | impotence, worse asthma, CV problems, hypoglycemia, b-receptor hypersensitivity, sedation, sleep alterations |
| a-methyl-para-tyrosine | inhibits tyrosine hydroxylase |
| reserpine | binds VMAT 1+2 depleting catecholamine stores (obsolete) |
| tetrabenzine | binds VMAT 2 (for Huntington’s chorea) |
| guanethidine | displaces NE in storage granules; no BBB; receptor hypersensitivity; for HTN |
| imipramine | =amitryptiline; potentiate direct acting, inhibit indirect acting sympatomimetics |
| amitryptiline | =imipramine; potentiate direct acting, inhibit indirect acting sympatomimetics |
| isocarboxiazide | ==tranylcypromine; MAO inhibitor, for depression and parkinson's |
| tranylcypromine | =isocarboxiazide; MAO inhibitor, for depression and parkinson's |
| cevimeline | =pilocarpine; cholinomimetic; stimulates sweat, tears, saliva; used for glaucoma among others |
| methacholine | asthma challenge test; cholinomimetic |
| neostigmine | anticholinesterase; postoperative and neurogenic ileus and urinary retention, myesthenia gravis, reversal of neuromuscular junction blockade |
| pyridostigmine | =ambenonium; myasthenia gravis |
| ambenonium | =pyridostigmine; myasthenia gravis |
| edrophonium | diagnose myasthenia gravis |
| physostigmine | glaucoma and atropine overdose and to increase bowel/bladder motility |
| echothiophate | irreversible anticholinesterase; glaucoma |
| galantamine | =rivastigmine, donepazil, tacrine; anticholinesterase; alzheimer 1st line |
| rivastigmine | =galantamine, donepazil, tacrine; anticholinesterase; alzheimer 1st line |
| donepazil | =galantamine, rivastigmine, tacrine; anticholinesterase; alzheimer 1st line |
| tacrine | =galantamine, rivastigmine, donepazil; anticholinesterase; alzheimer 1st line |
| cholinesterase inhibitor poisoning | DUMBBELSS: diarrhea, urination, miosis, bronchospas, bradycardia, excitation of skeletal muscle and CNS, lacrimation, sweating, salivation |
| antidote to anticholinesterase poisoning | atropine plus pralidoxime (ZPAM) |
| parathion | =malathione; insectiside and anticholinesterase |
| malathione | =parathione; insectiside and anticholinesterase |
| isofluorophate (DFP) | anticholinesterase; inactivates AchE for days to weeks by phosphorylation |
| atropine | =homatropine, tropicamide; produce mydriasis and cycloplegia; blocks DUMBBELSS |
| homatropine | =atropine, tropicamine; produce mydriasis and cycloplegia |
| tropicamine | = atroopine, homatropine; produce mydriasis and cycloplegia |
| benztropine | muscarinic antogonist; parkinson's |
| scopalamine | muscarinic antagonist; motion sickness and short term memory loss |
| ipratropium | =tiotropium; asthma, COPD; muscarinic antagonist |
| triotropium | =ipratropium; asthma, COPD; muscarinic antagonist |
| oxybutynin | =glycopyrrolate, clidum; muscarinic antagonist; reduce urgency in cystitis and reduce bladder spasms |
| glycopyrrolate | =oxybutynin, clidium; muscarinic antagonist; reduce urgency in cystits and reduce bladder spasms |
| clidium | =oxybutynin, glycopyrrolate; muscarinic antagonist; reduce urgency in cystitis and reduce bladder spasms |
| tolterodine | urinary incontinence in elderly; enuresis in kids; muscarinic antagonist |
| methscopalamine | =pirenzepine, propantheline; muscarinic antagonist; peptic ulcer treatment |
| pirenzepine | =methscopalamine, propantheline; muscarinic antagonist; peptic ulcer treatments |
| propantheline | =methscopalamine, pirenzepine; muscarinic antagonist; peptic ulcer treatments |
| hexamethonium | nicotinic antagonist |