Adrenergic Modulators Flashcards

(21 cards)

1
Q

What neurotransmitter is released at sympathetic neuro-effector junctions?

A

Noradrenaline (NA)

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2
Q

What are the two main types of adrenergic receptors?

A

Alpha (α) and Beta (β)

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3
Q

What is the main difference between alpha and beta receptors?

A

Alpha = Adrenaline-loving, causes constriction (tightening).
• Beta = Isoprenaline-loving, causes relaxation/stimulation (faster heartbeat, open lungs).

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4
Q

What happens when the sympathetic nervous system (SNS) is activated?

A

Your heart rate and blood pressure increase, airways and pupils widen, and blood is redirected away from the digestive organs toward the muscles for action.

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5
Q

What are adrenergic agonists also called?

A

Sympathomimetic drugs.

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6
Q

How do sympathomimetic drugs work?

A

They mimic the effects of the SNS by stimulating adrenergic receptors.

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7
Q

What are α/β agonists (e.g. adrenaline) used for?

A

Emergency asthma, anaphylactic shock, cardiac arrest.

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8
Q

What are α/β agonists (such as adrenaline) used for?

A

They are used in emergencies such as asthma attacks, anaphylactic shock, and cardiac arrest.

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9
Q

What is the mechanism of action of α/β agonists?

A

They act as direct sympathomimetics, stimulating post-synaptic adrenergic receptors.

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10
Q

What is an α1 selective agonist, and what is it used for?

A

Phenylephrine is an α1 selective agonist used as a nasal decongestant by directly stimulating post-synaptic α1 receptors.

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11
Q

What is an α2 selective agonist, and what is it used for?

A

Clonidine is an α2 selective agonist used to treat hypertension by indirectly reducing sympathetic activity through pre-synaptic inhibitory α2 receptors.

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12
Q

What are β1 selective agonists used for?

A

Drugs like dobutamine and prenalterol increase heart rate and contractility and are used in heart failure and cardiogenic shock.

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13
Q

What are β2 selective agonists used for?

A

Drugs like salbutamol and terbutaline cause bronchodilation and are used to treat asthma.

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14
Q

What are adrenergic blocking agents also called?

A

sympatholytic drugs

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15
Q

How do adrenergic blocking agents work?

A

They prevent noradrenaline from activating adrenergic receptors.

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16
Q

What are α-blockers used for, and what are their side effects?

A

Drugs like prazosin and phenoxybenzamine are used for hypertension, phaeochromocytoma, and benign prostatic hyperplasia. Side effects include postural hypotension and drowsiness

17
Q

What are β-blockers used for, and what are their side effects?

A

Drugs like propranolol and timolol are used for hypertension, arrhythmias, myocardial infarction, angina, and glaucoma. Side effects include bronchoconstriction, heart failure, hypoglycemia, fatigue, depression, and cold extremities.

18
Q

What are β1-selective blockers, and why are they preferred for some patients?

A

Acebutolol and atenolol are β1-selective blockers used for hypertension, angina, and arrhythmias.
They are preferred for asthmatic or allergic patients because they do not affect the lungs.

19
Q

Why are β1-selective blockers safer for people with asthma?

A

They do not block β2 receptors, so they do not cause bronchoconstriction.

20
Q

Which receptor is targeted in the treatment of heart failure?

A

The β1 adrenergic receptor is the main target in heart failure treatment.

21
Q

What is a potential side effect of non-selective β-blockers?

A

Non-selective β-blockers can cause increased bronchial constriction.