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Adrenergic Antagonists
A Antogonists
23
Pharmacology
Professional
07/21/2012

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Cards

Term
Phentolamine
Definition
potent, reversible, competitive
non-selective a antagonist
Term
Phentolamine
Definition
short duration
hypertensive crisis
phaeochromocytoma surgery
Term
Phentolamine
Definition
block A1= decrease peripheral vasc R, causes reflex tachycardia
block A2= increased NE and exacerbates reflex tachycardia

increases CO and HR with no effect on BP
Term
Phentolamine
Definition
can inhibit serotonin receptors
activate muscarinic and histaminergic receptors
Term
Phentolamine
Definition
adverse effects: severe tachycardia, arrhythmia, myocardial ischemia, nasal congestion, headache
Term
Phenoxybenzamine
Definition
irreversible
a1 > a2 slightly
Term
Phenoxybenzamine
Definition
increases blood flow to skin, mucosa, and abdominal organs
lowers supine and erect blood pressure
Term
Phenoxybenzamine
Definition
useful in tx HTN from pheochromocytoma (symptoms such as HTN and sweating, or pre-op for removal with large amount of catecholamine release)
Term
PRAzosin
TERAzosin
DOXAzosin
Definition
reversible
highly selective a1
Term
PRAzosin
TERAzosin
DOXAzosin
Definition
tx HTN in Raynaud's syndrome and urinary obstruction BPH
(less reflex HTN)
Term
PRAzosin
TERAzosin
DOXAzosin
Definition
can reduce preload and afterload to improve CO in patients with heart failure
Term
PRAzosin
TERAzosin
DOXAzosin
Definition
intiial tx can cause dramatic postural hypotension
alleviated by slow administration
Term
PRAzosin
TERAzosin
DOXAzosin
Definition
more common adverse effects include dizziness, drowsiness, headache, lack of energy, nausea, and palpitations
Term
Tamsulosin
Definition
a1 selective
metabolized in liver
higher potency for helping BPH (inhibiting prostate smooth muscle contration), but produces less hypotension
Term
Tamsulosin
Definition
preferred for treating BPH in patients with hypotension
Term
Yohimbine
Definition
a2 selective antagonist
alkaloid
no clinical use, but can technically increase transmitter release
antidiuretic
might improve male sexual performance
Term
a1 selective anatgonists
Definition
pirmary HTN and benign prostatic hyperplasia
Term
non-selective a antagonists
Definition
tx pheochromocytomas
Term
tamsulosin, prazosin, terazosin, doxazosin
Definition
a1 >>> a2 antagonist
Term
Phenoxybenzamine
Definition
a1 > a2 antagonist
Term
Phentolamine
Definition
a1=a2 antagonist
Term
rauwolscine, yohimbine, tolazoline
Definition
a2 > > a1 antagonist
Term
Phenoxybenzamine
Definition
adverse effects: postural hypotension, tachycardia, nasal stuffiness, sexual dysfunction, fatique, sedation, nausea
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