Pharmacology: Sympathomimetic Drugs
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Questions and Answers

What is the primary mechanism of action of sympathomimetic drugs?

  • Blocking the release of norepinephrine
  • Stimulating the release of acetylcholine
  • Inhibiting the parasympathetic nervous system
  • Binding to alpha and beta adrenergic receptors (correct)
  • What is the effect of sympathomimetic drugs on heart rate?

  • Increase heart rate (correct)
  • Decrease heart rate
  • Irregularly change heart rate
  • Have no effect on heart rate
  • Which type of sympathomimetic drug is used to treat bronchospasm and asthma?

  • Beta-2 agonists (correct)
  • Mixed agonists
  • Alpha-1 agonists
  • Beta-1 agonists
  • What is a common clinical use of sympathomimetic drugs?

    <p>Treating heart failure</p> Signup and view all the answers

    What is a potential adverse effect of sympathomimetic drugs on the cardiovascular system?

    <p>Increased cardiac workload</p> Signup and view all the answers

    What is a contraindication for the use of sympathomimetic drugs?

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

    Which of the following is NOT a type of sympathomimetic drug?

    <p>Beta-3 agonists</p> Signup and view all the answers

    What is the effect of sympathomimetic drugs on blood vessels?

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

    What is the effect of sympathomimetic drugs on glucose release?

    <p>Increase glucose release</p> Signup and view all the answers

    What is the primary neurotransmitter involved in the 'fight or flight' response that is affected by sympathomimetic drugs?

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

    Study Notes

    Sympathomimetic Drugs

    Sympathomimetic drugs, also known as adrenergic drugs, are a class of medications that mimic the effects of the sympathetic nervous system.

    Mechanism of Action

    • Bind to alpha and beta adrenergic receptors, stimulating the sympathetic nervous system
    • Increase the levels of norepinephrine, a neurotransmitter involved in the "fight or flight" response

    Effects

    • Increase heart rate and blood pressure
    • Increase cardiac output and contractility
    • Vasoconstriction (narrowing of blood vessels)
    • Increase glucose release from energy stores
    • Increase energy and alertness
    • Bronchodilation (relaxation of airway muscles)

    Types of Sympathomimetic Drugs

    • Alpha-1 agonists: Increase blood pressure, vasoconstriction, and pupil dilation
      • Examples: phenylephrine, midodrine
    • Alpha-2 agonists: Decrease blood pressure, decrease sympathetic outflow
      • Examples: clonidine, methyldopa
    • Beta-1 agonists: Increase heart rate and contractility
      • Examples: dobutamine, isoproterenol
    • Beta-2 agonists: Bronchodilation, relaxation of airway muscles
      • Examples: salmeterol, formoterol
    • Mixed agonists: Combination of alpha and beta effects
      • Examples: epinephrine, norepinephrine

    Clinical Uses

    • Cardiovascular: Increase blood pressure in hypotensive patients, treat heart failure
    • Respiratory: Treat bronchospasm and asthma
    • Anesthesia: Increase blood pressure during anesthesia
    • Ophthalmic: Treat glaucoma and pupil dilation

    Adverse Effects

    • Cardiovascular: Increased heart rate, blood pressure, and cardiac workload
    • Central nervous system: Anxiety, tremors, and insomnia
    • Respiratory: Tachypnea (rapid breathing) and bronchospasm

    Contraindications

    • Hypertension: Avoid using sympathomimetic drugs in patients with uncontrolled hypertension
    • Cardiac disease: Avoid using sympathomimetic drugs in patients with cardiac disease or arrhythmias
    • Pregnancy: Use with caution in pregnant patients due to potential effects on fetal heart rate and blood pressure

    Sympathomimetic Drugs

    Mechanism of Action

    • Bind to alpha and beta adrenergic receptors, stimulating the sympathetic nervous system
    • Increase levels of norepinephrine, a neurotransmitter involved in the "fight or flight" response

    Effects

    • Increase heart rate and blood pressure
    • Increase cardiac output and contractility
    • Cause vasoconstriction (narrowing of blood vessels)
    • Increase glucose release from energy stores
    • Increase energy and alertness
    • Cause bronchodilation (relaxation of airway muscles)

    Types of Sympathomimetic Drugs

    Alpha-1 Agonists

    • Increase blood pressure, vasoconstriction, and pupil dilation
    • Examples: phenylephrine, midodrine

    Alpha-2 Agonists

    • Decrease blood pressure, decrease sympathetic outflow
    • Examples: clonidine, methyldopa

    Beta-1 Agonists

    • Increase heart rate and contractility
    • Examples: dobutamine, isoproterenol

    Beta-2 Agonists

    • Cause bronchodilation, relaxation of airway muscles
    • Examples: salmeterol, formoterol

    Mixed Agonists

    • Combination of alpha and beta effects
    • Examples: epinephrine, norepinephrine

    Clinical Uses

    • Cardiovascular: increase blood pressure in hypotensive patients, treat heart failure
    • Respiratory: treat bronchospasm and asthma
    • Anesthesia: increase blood pressure during anesthesia
    • Ophthalmic: treat glaucoma and pupil dilation

    Adverse Effects

    • Cardiovascular: increased heart rate, blood pressure, and cardiac workload
    • Central nervous system: anxiety, tremors, and insomnia
    • Respiratory: tachypnea (rapid breathing) and bronchospasm

    Contraindications

    • Hypertension: avoid using sympathomimetic drugs in patients with uncontrolled hypertension
    • Cardiac disease: avoid using sympathomimetic drugs in patients with cardiac disease or arrhythmias
    • Pregnancy: use with caution in pregnant patients due to potential effects on fetal heart rate and blood pressure

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    Description

    Learn about sympathomimetic drugs, also known as adrenergic drugs, that mimic the effects of the sympathetic nervous system. Understand their mechanism of action and effects on the body.

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