Respiratory Disorders: Ipratropium and Tiotropium
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Questions and Answers

Which adrenergic receptor subtype is responsible for inhibiting norepinephrine release?

  • Beta-2
  • Beta-1
  • Alpha-1
  • Alpha-2 (correct)
  • Which beta-adrenergic receptor subtype is primarily responsible for bronchodilation?

  • Alpha-1
  • Beta-2 (correct)
  • Beta-3
  • Beta-1
  • In terms of receptor specificity, which drug has a higher affinity for alpha-2 adrenergic receptors compared to alpha-1 receptors?

  • Phenylephrine
  • Clonidine (correct)
  • Methoxamine
  • Norepinephrine
  • Which of the following drugs has mixed alpha and beta agonistic activity?

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

    Which adrenergic receptor subtype is primarily responsible for increasing glycogenolysis?

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

    Which drug is selective for beta-2 adrenergic receptors and is used to treat asthma?

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

    Which type of agonist has a high affinity for beta 2 receptors and a duration of action of more than 12 hours?

    <p>Long-acting beta 2-selective agonist</p> Signup and view all the answers

    Which characteristic is true about formoterol?

    <p>Highly lipophilic</p> Signup and view all the answers

    Which condition are formoterol and salmeterol agents of choice for?

    <p>Nocturnal asthma</p> Signup and view all the answers

    What is the primary therapeutic use of ritodrine?

    <p>Uterine relaxation during premature labor</p> Signup and view all the answers

    Which adverse effect is commonly associated with beta 2-selective agonists?

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

    Which substance is found in cheese, beef, wine, and can be transported into nerve terminals due to its resemblance to norepinephrine (NE)?

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

    Beta blockers like propranolol inhibit which of the following in the pulmonary system?

    <p>Relaxation of bronchial smooth muscle</p> Signup and view all the answers

    What is the preferred type of beta blocker to avoid delays in recovery from hypoglycemia?

    <p>Beta-1 selective antagonist</p> Signup and view all the answers

    Which therapeutic use is NOT associated with beta blockers as mentioned in the text?

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

    Which metabolic effect is associated with beta blockers?

    <p>Block glycogenolysis</p> Signup and view all the answers

    In addition to cardiac diseases, what other therapeutic use is mentioned for beta blockers in the text?

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

    Which effect on the cardiovascular system is not listed as a therapeutic use of beta blockers?

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

    Study Notes

    • Ipratropium and Tiotropium are used as inhalational drugs in the treatment of asthma and COPD.
    • Adverse effects of these drugs include constipation, dry mouth, decreased sweating, dilated pupils, urinary retention, precipitation of glaucoma, decreased lacrimation, and tachycardia.
    • Cooling agents and seizure control medications (diazepam) are used in the treatment of toxicity from these drugs.
    • Contraindications to the use of anticholinergics include BPH, myasthenia gravis, glaucoma, and tachydysrhythmias.
    • Reading assignment topics include ganglionic blockers, neuromuscular blockers, and the pharmacology of the adrenergic nervous system.
    • Adrenergic receptors include α1, α2, β1, β2, and β3, with different locations and effects on smooth muscles, heart, and lipocytes.
    • Adrenergic agonists exhibit different degrees of selectivity for specific receptor subtypes.
    • Long-acting β2-selective agonists, such as formoterol and salmeterol, are used in the treatment of asthma and COPD.
    • β2-Selective agonists, such as ritodrine, have adverse effects including tremor, restlessness, anxiety, tachycardia, and increased bronchial hypersensitivity.
    • Indirect-acting sympathomimetic drugs, such as ephedrine and amphetamine, are taken up into nerve terminals and displace norepinephrine, leading to various pharmacological effects.
    • Non-selective β-receptor antagonists inhibit bronchial smooth muscle relaxation, while decreasing aqueous humor production in the eye and interfering with counter-regulatory metabolic effects.
    • β1-selective antagonists are preferred in the treatment of hypoglycemia, as they are less likely to delay recovery.
    • Cardiovascular diseases, including angina pectoris, myocardial infarction, dysrhythmias, heart failure, and hypertension, are treated with β-blockers.
    • β-blockers are also used in the treatment of chronic open-angle glaucoma and as an adjunct to definitive treatment for thyrotoxicosis.

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    Description

    Learn about the use of Ipratropium and Tiotropium as inhalational drugs in asthma and COPD, along with their adverse effects and toxicity treatment. Understand contraindications to anticholinergic medications.

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