Alpha-1 Selective Adrenergic Antagonists

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Questions and Answers

Alpha-1 selective adrenergic antagonists primarily work by blocking which receptor sites?

  • Beta1-receptor sites
  • Beta2-receptor sites
  • Presynaptic alpha2-receptor sites
  • Postsynaptic alpha1-receptor sites (correct)

What is a primary effect of alpha-1 selective adrenergic antagonists on vascular tone?

  • Decreased vascular tone (vasodilation) (correct)
  • Increased vascular tone (vasoconstriction)
  • Variable effect on vascular tone
  • No effect on vascular tone

Which of the following is a common suffix found in the generic names of alpha-1 selective adrenergic antagonists?

  • -pril
  • -olol
  • -osin (correct)
  • -statin

Which of the following conditions is listed as a caution when prescribing alpha-1 selective adrenergic antagonists?

<p>Heart failure (A)</p> Signup and view all the answers

Dizziness is a common adverse effect associated with alpha-1 selective adrenergic antagonists. What is the cause of the dizziness?

<p>Decreased blood pressure (A)</p> Signup and view all the answers

Which of the following is a potential adverse effect of alpha-1 selective adrenergic antagonists related to vision?

<p>Blurry vision (D)</p> Signup and view all the answers

What effect do alpha-1 selective adrenergic antagonists have on smooth muscle of the bladder and prostate?

<p>Relaxation (B)</p> Signup and view all the answers

Which of the following is the brand name for tamsulosin, an alpha-1 selective adrenergic antagonist?

<p>Flomax (B)</p> Signup and view all the answers

Which of the following is a potential adverse effect of alpha-1 selective adrenergic antagonists in males?

<p>Erectile dysfunction (D)</p> Signup and view all the answers

What is a common gastrointestinal adverse effect associated with alpha-1 selective adrenergic antagonists?

<p>Nausea and vomiting (N/V) (C)</p> Signup and view all the answers

Flashcards

Alpha-1 Selective Adrenergic Antagonists

Block postsynaptic alpha1-receptor sites, leading to vasodilation and smooth muscle relaxation in the bladder and prostate.

Effects of Alpha-1 Blockade

Reduced vascular tone (vasodilation) and relaxation of smooth muscle in the bladder and prostate.

Common Adverse Effects of Alpha-1 Blockers

Dizziness, drowsiness, headache, blurry vision, hypotension, erectile dysfunction, nausea/vomiting.

Cautions for Alpha-1 Blockers

Heart failure and pregnancy.

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Study Notes

  • Alpha-1 selective adrenergic antagonists work by blocking postsynaptic alpha1-receptor sites.
  • These antagonists lead to decreased vascular tone, causing vasodilation.
  • They also relax smooth muscle in the bladder and prostate.
  • Generic names of these medications end in "OSIN".
  • Specific examples include: Alfuzosin, doxazosin, prazosin, silodosin, tamsulosin (Flomax), and terazosin.
  • Use with caution in patients with heart failure or who are pregnant.
  • Adverse effects include: dizziness, drowsiness, headache, blurry vision, hypotension, erectile dysfunction, impotency, nausea, and vomiting.

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