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ANS drugs
Drugs and definitions
40
Veterinary Medicine
Undergraduate 3
05/09/2012

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Term
β2 agonists (lung context)
Definition
Stimulate beta-2-R in smooth muscle of lungs, causing bronchodilation e.g. terbutaline, salbutamol, clenbuterol, adrenaline
Term
Terbutaline
Definition
β2 agonist i.e. bronchodilator Cats, 6-8hrs
Term
Salbutamol
Definition
β2 agonist i.e. bronchodilator -short acting, via inhaltion. -dogs and horses
Term
Clenbuterol
Definition
β2 agonist i.e. sm. muscle relaxator -used as bronchodilator and uterus relaxant NB: banned in livestock due to incr. musc: fat ratio
Term
Adrenaline
Definition
Used acutely to treat -stimulates β2-R in lungs (bronchodilation), β1-R in heart (incr. rate and contractility) and alpha1-R in vasc. sm. musc. (vasoconstriction)
Term
Muscarinic-R antaogonists (lung context)
Definition
Inhibit parasympathetic tone in lung smooth muscle and so act as bronchodilators
e.g. ipratropium, glycopyrrolate, atropine
Term
Ipratropium
Definition
A muscarinic-R antaogonist, used as a bronchidilator (inhibits parasymp. sm. musc. tone in lungs)
-charged so must be inhaled
Term
Atropine
Definition
A muscarinic-R antaogonist, used as a bronchidilator (inhibits parasymp. sm. musc. tone in lungs)
- inhibits ALL muscarinic-R so lots of s. effects
Term
Methylxanthines
Definition
Class of drug which act as bronchodilators, unclear meachanism
e.g. theophylline, aminophylline
Term
Theophylline
Definition
A methylxanthine - drug which act as bronchodilators, unclear meachanism
Term
Mucolytic drugs
Definition
Enhance mucus removal from the lungs by making mucous less viscous
e.g. Bromhexine
Term
Bromhexine
Definition
A mucolytic drug - enhances mucus removal from the lungs by making mucous less viscous
Term
Expectorants
Definition
enhance mucus removal from lungs by increasing vol. of secretions and facilitating removal by ciliary action and coughing e.g. guaifenesin
Term
Guaifenesin
Definition
An expectorant - enhances mucus removal from lungs by increasing vol. of secretions and facilitating removal by ciliary action and coughing
Term
Uterus relaxants
Definition
To aid obstetrical manoeuvers, facilitate uterus handling, dlay labour onset if necessary
e.g. clenbuterol, vetrabutine
Term
Embolic agents
Definition
To hasten labour, limit post-partum bleeding, eject retained placenta e.g. oxytocin, carbotocin (an oxytocin synthetic analogue), PGF analogues
Term
Stilboestrol
Definition
An oestrogen supplement used to treat urinary incontinence in females - expression of alpha-1-R on bladder sphincter is oestrogen dependent
Term
alpha-1 agonists (in context of bladder)
Definition
-stimulate alpha-1-R on bladder sphicter muscle, stimulating contraction and urine storage
e.g. phenylephrine
Term
Phenylephrine
Definition
-alpha-1-agonist - stimulate alpha-1-R on bladder sphicter muscle, stimulating contraction and urine storage
Term
Ephedrine
Definition
A NA displacing agent - to enable actiavation of any remaining alpha-1-R and cause contraction of the bladder sphincter and so urinary retention
Term
Muscarinic antagonist (bladder context)
Definition
Block muscuarinic-R in bladder detrusor muscle and so prevent urine expulsion
e.g. propantheline
Term
Propantheline
Definition
A muscarinic antagonist - Blocks muscuarinic-R in bladder detrusor muscle and so prevent urine expulsion
Term
Bethanechol
Definition
Muscarinic agonist used to treat urinary retention - stimulates M3R on detrusor muscle, causing bladder contraction and urination
Term
Phenoxybenzamine
Definition
alpha-1-antagonist - blocks alpha-1-R on sphincter muscles of bladder and so prevents contraction - used to treat urinary retention
Term
Mydriatics
Definition
Muscarinic antagonists - used to induce mydriasis (widening of pupil) by inhibiting M3R on circular musc
e.g. tropicamide
Term
Tropicamide
Definition
Muscarinic antagonist - used to induce mydriasis (widening of pupil) by inhibiting M3R on circular musc
-1-2hr duration and only minor cycloplegic effect
Term
Diagnosis of horners syndrome
Definition
phenylephrine (alpha-1 agonist)
-pronounced dilation - post-ganglionic
-little/no effect - pre-ganglionic
hyfroxyampfentamine (NA displacer)
pronouced dilation - pre-gangionic
little/no effect - post gangionic
Term
Drugs to treat keratoconjunctivitis sicca
Definition
Increase tear production
-ciclosporin (inhibits immune-mediated destruction of tear gland)
-pilocarpine (M3 agonist)
Term
Ciclosporin
Definition
Treat keratoconjunctivitis sicca- immunosupp. drug which decr. autoimmune-mediated destruction of the tear duct and so incr. tear production
Term
Pilocarpine
Definition
M3-agonists - stimulates tear production from lacrimal gland (if function left) ie. incr. tear production to tx. keratoconjuncitivis sicca
Term
Drugs to treat glaucoma
Definition
-mitotics e.g. pilocarpine, carbachol
-carbonic anhydrase inhibitors e.g. acetazolamide, dichlorphenamide
-beta-blockers - timolol, betaxolol, cartolol
-hyperosmotic agents (emergency tx) e.g. glycerol, mannitol
Term
Mitotics
Definition
Direct parasympathetomimetics e.g. pilocarpine, carbachol
Term
Pilocarpine
Definition
Direct parasympathetomimetics used to induct miosis in glaucoma tx - incr. drainage
-effective in 15 mins, lasts 6-9hours
Term
Carbachol
Definition
Direct parasympathetomimetics used to induct miosis in glaucoma tx - incr. drainage
-longer lasting c.f. pilocarpine i.e. >6-9hours
Term
Carbonic anhydrase inhibitors
Definition
-used in glaucoma tx by decreasing aqueous humour production by decreasing HCO3- production
e.g. acetazolamide
Term
Acetazolamide
Definition
a carbonic anhydrase inhibitor
-used in glaucoma tx by decreasing aqueous humour production by decreasing HCO3- production
Term
beta-blockers in tx. of glaucoma
Definition
inhibit beta-1-R in ciliary body and so decr. aqueous humour production
e.g. timolol, betaxolol, carteolol
Term
Timolol
Definition
tx. of glaucoma - inhibit beta-1-R in ciliary body and so decr. aqueous humour production
Not selective - also inhibits beta-2-R
Term
Betaxolol
Definition
tx. of glaucoma - inhibit beta-1-R in ciliary body and so decr. aqueous humour production
Roughly selective beta-1 > beta-2
Term
Emergency glaucoma tx
Definition
Hyperosmotic agents
e.g. glycerol (mouth)
mannitol (IV)
Used w. acetazolamide (CA inhibitor)
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