Alpha and Beta (+/-)

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Questions and Answers

Flashcards

Direct and indirect action

Ephendrine

Phenylephrine

Alpha Agonist

Decongestant

Phenylephrine

Primarily Indirect action

Pseudoephedrine

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Treatment for Hypotension / surgery shock

Metaraminol

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Metaraminol

Alpha Agonist

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Phenylpropanolamine

Alpha Agonist

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Cerebral hemorrhage

Phenylpropanolamine

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Methamphetamine, Amphetamine, Methylphenidate

Stimulants

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Phenmetrazine

Stimulant

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withdrawn for liver-tox

pemoline

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Cardiac Toxicity

Phenmetrazine

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Pemoline

stimulant

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Prodrug for Lisdexamfetamine

VYVANSE

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Which stimulant preferred in children

Methylphenidate

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Tranylcypramine

MAO A

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Bupropion

NE/DA re uptake inhibitor

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Phenelzine

MAO A

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Isocarboxazid

MAO A

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Atomextine

NE re uptake inhibitor

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What are MAOI used for

depression

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Hypersensitive crisis caused

cheese effect

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Entacapone

COMT

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Selegiline

MAO B

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Safinamide

MAO B

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inability to perform voluntary movements

dyskinesia

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Explain MPTP “Designer Drug”

oxidation created MPDP + and MPP+

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L Dopa to DA inhibitor in blood

Carpidopa

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Increases BP and vasoconstriction

Alpha 1 agonist

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Most effective combo for PD

L DOPA and Carpidopa

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Amantadine

can be used as mono-therapy for early PD

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Used for Glaucoma, HTN, ADHD

Alpha 2 agonist

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L dopa to DA inhibitor in brain

Selegiline

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Naphazoline, Tetrahydrazoline, Oxymetazoline

Alpha 1 agonist

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Anticholingeric drugs in PD

help control drooling and tremor symptoms

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Clonidine

Alpha 2 agonist

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Guanfacine, Guanabenz

ALpha 2 agonists

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apraclonidine, brimonidine

Alpha 2 Agonists

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BP and BPH indications

Alpha 1 Antagonists

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A-1a

for prostate tissue

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A-1b

Vascular muscle

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Prazosin

Alpha 1 Antagonist

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Which two Alpha 1 Antagonists are for BPH only

Tamsulosin and Sildosin

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Prazosin Selective or non selective

non selective for BPH/BP

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Sildosin Selective or non selective

selective for BPH

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Terazosin Selective or non selective

non selective for BPH and BP

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Tamsulosin Selective or non selective

selective for BPH

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Finasteride

5a reductase

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Tadalafil

PDE 5 inhibitor

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Non selective for B1 and B2

Isoproterenol

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Isoproterenol Agonist or antagonist

agonist

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Isoproterenol Transforms to …

Nadolol and propanolol

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Which three have ISA

Pinodolol, caretolol, penbutolol

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What B blockers lack ISA

Propanolol and Nadolol

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What is Tomolol used in

migraines and glaucoma

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Pindolol

Non selective B blockers

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Cartelol

Non selective B blockers

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Penbutolol

Non selective B blockers

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Metoprolol

B 1 Selective Blocker

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Esmolol

B 1 Selective Blocker

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Atenolol

B1 selective Blocker

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Not a prodrug, designed to metabolize quickly Short half life, to control HR on short time

Esmolol

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Nonselective B, A antags (2)

Carvedilol and Labetolol

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Nonselective B antag and K-channel blocker

Sotalol

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NO mediated effects (No ISA) No dilation B1 selective

Nebivolol

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Which Nebivolol has >1000 folds higher

D-nebivolol > than l-nebivolol

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How is Nebivlol metabolized

Glucuroniadation and hydroxylation

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Which drugs used for HF

Carvedilol and metoprolol

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What drugs used for Arrhythmias

Sotolol and Esmolol

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