Sympathomimetic Drugs Quiz

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Questions and Answers

Which type of receptor is activated by one of the catecholamine transmitters?

  • Ligand-gated ion channels
  • G protein-coupled receptors (correct)
  • Intracellular receptors
  • Receptor tyrosine kinases

Which drug classification is based on the chemical structure and potency in activating adrenergic receptors?

  • Catecholamine vs. Non-Catecholamine (correct)
  • Alpha vs. Beta receptors
  • Direct-acting vs. Indirect-acting agonists
  • Sympathomimetic agonist vs. Sympatholytic antagonist

Which enzyme inactivates catecholamines like epinephrine and norepinephrine?

  • Acetylcholinesterase
  • Catechol-O-methyltransferase (COMT) (correct)
  • Aldose reductase
  • Monoamine oxidase (MAO)

Why do catecholamines have a brief period of action if given parenterally?

<p>Rapid inactivation by COMT &amp; MAO (C)</p> Signup and view all the answers

What is a characteristic of non-catecholamines compared to catecholamines?

<p>$Non-Catecholamines$ are not inactivated by COMT (B)</p> Signup and view all the answers

Which type of adrenergic receptor blocker is responsible for venular vasodilation and pooling of blood?

<p>α-blockers (A)</p> Signup and view all the answers

Which drug classification includes drugs that deplete the storage of norepinephrine?

<p>Adrenergic neurons blockers (B)</p> Signup and view all the answers

Which class of α-blockers is further classified as reversible competitive (Short acting)?

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

What is the pharmacological effect of α-blockers on arterioles?

<p>Arteriolar vasodilation and decreased total peripheral resistance (TPR) (C)</p> Signup and view all the answers

Which drug is an example of a centrally acting α2 agonist?

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

Flashcards

G protein-coupled receptors

A type of receptor activated by catecholamine transmitters like epinephrine and norepinephrine. They are involved in various physiological processes, including heart rate, blood pressure, and energy metabolism.

Catecholamine vs. Non-Catecholamine

This classification groups drugs based on their chemical structure and how effectively they activate adrenergic receptors. Catecholamines are naturally occurring, while non-catecholamines are synthesized.

Catechol-O-methyltransferase (COMT)

An enzyme that breaks down catecholamines like epinephrine and norepinephrine, limiting their duration of action in the body.

Why do catecholamines have a brief action parenterally?

Catecholamines are quickly inactivated by enzymes like COMT and MAO, making their effects short-lived when injected.

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Non-catecholamine characteristics

Non-catecholamines are not broken down by COMT, giving them a longer duration of action compared to catecholamines.

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α-blockers

A type of adrenergic receptor blocker that causes blood to pool in veins by relaxing vein walls, leading to reduced venous return to the heart.

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Adrenergic neurons blockers

A group of drugs that reduce the storage of norepinephrine, the neurotransmitter responsible for sympathetic nervous system activity.

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Phentolamine

A class of rapidly acting α-blockers that reversibly compete with agonists (like norepinephrine) at α-receptors.

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α-blockers on arterioles

α-blockers dilate arterioles, decreasing the resistance blood encounters as it flows through blood vessels.

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Clonidine (Centrally acting α2 agonist)

A drug that acts on the central nervous system (brain) to stimulate α2 receptors, reducing sympathetic nervous system activity.

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Study Notes

Adrenergic Receptors

  • Adrenergic receptors are activated by catecholamine transmitters.
  • Drug classification is based on the chemical structure and potency in activating adrenergic receptors.

Catecholamine Inactivation

  • Catecholamines like epinephrine and norepinephrine are inactivated by the enzyme catechol-O-methyltransferase (COMT).

Catecholamine Action

  • Catecholamines have a brief period of action if given parenterally due to rapid inactivation by COMT.

Catecholamines vs. Non-Catecholamines

  • A characteristic of non-catecholamines compared to catecholamines is that they are not inactivated by COMT.

Adrenergic Receptor Blockers

  • Alpha-2 adrenergic receptor blockers are responsible for venular vasodilation and pooling of blood.

Drug Classification

  • The drug classification that includes drugs that deplete the storage of norepinephrine is known as Vesicular Monoamine Transporter 2 (VMAT2) inhibitors.

Alpha-Blockers

  • The class of α-blockers that is further classified as reversible competitive is the short-acting type.

Pharmacological Effect of Alpha-Blockers

  • The pharmacological effect of α-blockers on arterioles is vasodilation.

Centrally Acting Alpha-2 Agonists

  • Clonidine is an example of a centrally acting α2 agonist.

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