Respiratory Disorders: Ipratropium and Tiotropium

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18 Questions

Which adrenergic receptor subtype is responsible for inhibiting norepinephrine release?

Alpha-2

Which beta-adrenergic receptor subtype is primarily responsible for bronchodilation?

Beta-2

In terms of receptor specificity, which drug has a higher affinity for alpha-2 adrenergic receptors compared to alpha-1 receptors?

Clonidine

Which of the following drugs has mixed alpha and beta agonistic activity?

Dobutamine

Which adrenergic receptor subtype is primarily responsible for increasing glycogenolysis?

Beta-1

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

Terbutaline

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

Long-acting beta 2-selective agonist

Which characteristic is true about formoterol?

Highly lipophilic

Which condition are formoterol and salmeterol agents of choice for?

Nocturnal asthma

What is the primary therapeutic use of ritodrine?

Uterine relaxation during premature labor

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

Tremor

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

Tyramine

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

Relaxation of bronchial smooth muscle

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

Beta-1 selective antagonist

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

Asthma

Which metabolic effect is associated with beta blockers?

Block glycogenolysis

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

Glaucoma

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

Thyrotoxicosis

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.

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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