Pharmacology Quiz: Adrenoceptor and Sympathomimetics
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Questions and Answers

What is the main indication for non-selective beta agonists like isoproterenol?

  • Management of acute heart failure (correct)
  • Control of bronchial asthma
  • Increasing blood glucose levels
  • Treatment of hypertension
  • Which adverse effect is commonly associated with selective alpha-2 agonists (CNS)?

  • Peripheral edema
  • Sedation (correct)
  • Hypertension
  • Bradycardia
  • What is the primary indication for short-acting beta-2 agonists like salbutamol and terbutaline?

  • Facilitating opioid dependence
  • Preventing asthma exacerbations (correct)
  • Management of hypertensive urgency
  • Increasing blood pressure
  • What is the primary indication for selective alpha-2 agonists (CNS)?

    <p>Management of hypertensive urgency</p> Signup and view all the answers

    Which condition is NOT an indication for selective beta-1 agonist dobutamine?

    <p>Prevention of asthma exacerbations</p> Signup and view all the answers

    Which of the following is NOT a long-acting beta-2 agonist for bronchial asthma?

    <p>Salbutamol</p> Signup and view all the answers

    What is the primary indication for the use of dopamine-1 agonists?

    <p>Management of hypertension</p> Signup and view all the answers

    Which drug acts by increasing the release of catecholamines from neurons?

    <p>Ephedrine</p> Signup and view all the answers

    What is the mechanism of action of Norepinephrine Reuptake Inhibitors?

    <p>Inhibition of catecholamine reuptake</p> Signup and view all the answers

    Which drug inhibits dopamine reuptake in the brain's pleasure centers?

    <p>Cocaine</p> Signup and view all the answers

    What is the primary indication for the use of monoamine oxidase inhibitors (MAOIs)?

    <p>Depression</p> Signup and view all the answers

    Which receptor do selective alpha-1 antagonists primarily target?

    <p>Alpha-1</p> Signup and view all the answers

    What is a common adverse effect associated with the first dose of alpha-1 antagonists?

    <p>Hypotension</p> Signup and view all the answers

    Which condition is primarily managed with uroselective alpha-1 antagonists?

    <p>BPH</p> Signup and view all the answers

    What is a common effect of non-selective beta antagonists like propranolol on heart function?

    <p>Bradycardia</p> Signup and view all the answers

    Which type of activity is exhibited by beta antagonists that block β-1 only?

    <p>Cardioprotective effect</p> Signup and view all the answers

    Besides hypertension and angina pectoris, which condition is timolol specifically indicated for?

    <p>Glaucoma</p> Signup and view all the answers

    Study Notes

    Adrenoceptor Agonists (Direct-Acting)

    • Selective Alpha-2 Agonists (CNS) are clinically used to normalize blood pressure in patients with hypertension by reducing sympathetic tone in the CNS
    • Common side effect of Selective Alpha-2 Agonists is sedation
    • Clonidine is used to treat hypertensive urgency, ADHD, and facilitate abstinence from opioid dependence
    • Methyldopa is an FDA-approved agent in the management of hypertension in pregnant women
    • Guanfacine, Guanabenz, and Moxonidine are other Selective Alpha-2 Agonists

    Adrenoceptor Agonists (Direct-Acting)

    • Non-Selective Beta Agonists: Isoprenaline is used as an alternative for shock states and acute heart failure, and previously used to treat bronchial asthma
    • Selective Beta-1 Agonists: Dobutamine is the first-line agent in the management of cardiogenic shock and acute heart failure
    • Selective Beta-2 Agonists: Short-acting agents (Salbutamol, Terbutaline, Isoxsuprine, and Ritodrine) are used to treat bronchial asthma and prevent premature labor
    • Long-acting agents (Formoterol, Salmeterol, Indacaterol, and Pibruterol) are used to treat bronchial asthma

    Adrenoceptor Agonists (Direct-Acting)

    • Dopamine-1 Agonists: Fenoldopam is an alternative in the management of hypertension
    • Dopamine-2 Agonists: Levodopa is used to treat Parkinson's disease and hyperprolactinemia
    • Cabergoline and Bromocriptine are also Dopamine-2 Agonists

    Sympathomimetics (Indirect-Acting)

    • Amphetamine-like Agents: Amphetamine, Phentermine, Phenmetrazine, and Phenylpropanolamine are used to treat anorexia
    • Methylphenidate is used to treat ADHD, and Modafinil is used to treat narcolepsy
    • Tyramine is found in protein-rich foods and stimulates the release of catecholamines from neurons

    Sympathomimetics (Indirect-Acting)

    • Catecholamines Reuptake Inhibition: Norepinephrine Reuptake Inhibitors (Reboxetine and Atomoxetine) increase concentrations of neurotransmitters
    • Cocaine inhibits dopamine reuptake in the pleasure centers of the brain
    • Inhibition of Catecholamine Metabolism: Monoamine Oxidase Inhibitors (MAOIs) are used to treat depression

    Sympathomimetics (Mixed-Acting)

    • Ephedrine and Pseudoephedrine are mechanisms of agonistic effects on adrenoceptors and inhibition of catecholamine reuptake

    Adrenoceptor Antagonists

    • Alpha-1 Antagonists: Prazosin, Terazosin, and Doxazosin are used to treat hypertension and BPH
    • Uroselective Alpha-1 Antagonists: Tamsulocin, Silodosin, and Alfuzosin are used to treat BPH

    Adrenoceptor Antagonists

    • Beta Antagonists: Celiprolol, Bisoprolol, Betaxolol, and others are used to treat hypertension, angina pectoris, arrhythmia, and heart failure

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    Description

    Test your knowledge on adrenoceptor agonists and sympathomimetics in pharmacology. Identify indications for medications like fenoldopam, levodopa, cabergoline, and bromocriptine. Explore the uses of these drugs in managing conditions such as premature labor, hypertension, Parkinson's disease, and hyperprolactinemia.

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