Podcast
Questions and Answers
What is the main indication for non-selective beta agonists like isoproterenol?
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)?
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?
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)?
What is the primary indication for selective alpha-2 agonists (CNS)?
Which condition is NOT an indication for selective beta-1 agonist dobutamine?
Which condition is NOT an indication for selective beta-1 agonist dobutamine?
Which of the following is NOT a long-acting beta-2 agonist for bronchial asthma?
Which of the following is NOT a long-acting beta-2 agonist for bronchial asthma?
What is the primary indication for the use of dopamine-1 agonists?
What is the primary indication for the use of dopamine-1 agonists?
Which drug acts by increasing the release of catecholamines from neurons?
Which drug acts by increasing the release of catecholamines from neurons?
What is the mechanism of action of Norepinephrine Reuptake Inhibitors?
What is the mechanism of action of Norepinephrine Reuptake Inhibitors?
Which drug inhibits dopamine reuptake in the brain's pleasure centers?
Which drug inhibits dopamine reuptake in the brain's pleasure centers?
What is the primary indication for the use of monoamine oxidase inhibitors (MAOIs)?
What is the primary indication for the use of monoamine oxidase inhibitors (MAOIs)?
Which receptor do selective alpha-1 antagonists primarily target?
Which receptor do selective alpha-1 antagonists primarily target?
What is a common adverse effect associated with the first dose of alpha-1 antagonists?
What is a common adverse effect associated with the first dose of alpha-1 antagonists?
Which condition is primarily managed with uroselective alpha-1 antagonists?
Which condition is primarily managed with uroselective alpha-1 antagonists?
What is a common effect of non-selective beta antagonists like propranolol on heart function?
What is a common effect of non-selective beta antagonists like propranolol on heart function?
Which type of activity is exhibited by beta antagonists that block β-1 only?
Which type of activity is exhibited by beta antagonists that block β-1 only?
Besides hypertension and angina pectoris, which condition is timolol specifically indicated for?
Besides hypertension and angina pectoris, which condition is timolol specifically indicated for?
Flashcards
How do Selective Alpha-2 Agonists lower blood pressure?
How do Selective Alpha-2 Agonists lower blood pressure?
Selective Alpha-2 Agonists like Clonidine, Guanfacine, and Methyldopa act on the central nervous system (CNS) to decrease sympathetic nerve activity, helping to lower blood pressure.
What is Clonidine used for?
What is Clonidine used for?
Clonidine is a Selective Alpha-2 Agonist used to treat hypertensive urgency, ADHD, and help with opioid withdrawal symptoms.
What is Methyldopa used for?
What is Methyldopa used for?
Methyldopa is a Selective Alpha-2 Agonist approved by the FDA for managing hypertension in pregnant women.
What is Isoprenaline used for?
What is Isoprenaline used for?
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What is Dobutamine used for?
What is Dobutamine used for?
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What are Short-acting Selective Beta-2 Agonists used for?
What are Short-acting Selective Beta-2 Agonists used for?
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What are Long-acting Selective Beta-2 Agonists used for?
What are Long-acting Selective Beta-2 Agonists used for?
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What is Fenoldopam used for?
What is Fenoldopam used for?
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What is Levodopa used for?
What is Levodopa used for?
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What are Amphetamine-like Agents used for?
What are Amphetamine-like Agents used for?
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What is Tyramine and how does it work?
What is Tyramine and how does it work?
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How do Norepinephrine Reuptake Inhibitors work?
How do Norepinephrine Reuptake Inhibitors work?
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How does Cocaine work?
How does Cocaine work?
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What are MAOIs and how do they work?
What are MAOIs and how do they work?
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What are the mechanisms of Ephedrine and Pseudoephedrine?
What are the mechanisms of Ephedrine and Pseudoephedrine?
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What are Alpha-1 Antagonists used for?
What are Alpha-1 Antagonists used for?
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What are Beta Antagonists used for?
What are Beta Antagonists used for?
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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.
