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Drugs Affecting the ANS
ANS drugs
40
Health Care
Graduate
01/28/2017

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Cards

Term
What is the adrenergic effect of Alpha 1 receptors of the radial muscle of the eye?
Definition
Contraction (Mydriasis)
Term
What is the adrenergic effect of Beta 2 receptors of the ciliary muscle of the eye?
Definition
Relaxation for far vision.
Term
What is the Alpha 1 receptor effect on salivary glands?
Definition
Secretion of potassium and water
Term
What is the Adrenergic effect of Beta 1 stimulation of the SA node of the heart?
Definition
Increases heart rate
Term
Drugs in which class are associated with rebound hypertensions associated with SNS activity after sudden withdrawal of the drugs?
Definition
Alpha2 Adrenergic agonists.
Term
Clonidine and methyldopa are more likely to cause rebound hypertension if stopped suddenly while given concurrently with which class of drugs?
Definition
Beta-adrenergic blockers
Term
What is the oral duration of clonidine?
Definition
8h
Term
What is the oral onset of clonidine?
Definition
30-60min
Term
What is the onset of transdermal clonidine?
Definition
2-3 days.
Term
What is the duration of transdermal clonidine?
Definition
7 days (8 hours of effect after patch is removed)
Term
What is the half life of PO clonidine?
Definition
12-16 hours; up to 41 hours if impaired renal function
Term
What is the time of onset of anti htn action for oral Guanabenz?
Definition
60min
Term
When is the peak of Guanabenz?
Definition
2-5h
Term
What is the duration of Guanabenz?
Definition
12h
Term
What is the protein binding percentage of Guanabenz?
Definition
90%
Term
What is the half life of Guanabenz?
Definition
6h
Term
What is the onset of Guanfacine PO?
Definition
1 h
Term
When does Guanfacine peak?
Definition
1-4h
Term
What is the duration of Guanfacine?
Definition
24h
Term
What is the protein binding percentage of Guanfacine?
Definition
70%
Term
What is the bioavailability of Guanfacine?
Definition
80%
Term
What is the half-life of Guanfacine?
Definition
Adults: 17h; Young adults: 13-14h; older adults: 17-18h.
Term
What is the onset of Methyldopa?
Definition
2-3h
Term
When is the peak of methyldopa?
Definition
2-6h
Term
What is the duration of action of methyldopa?
Definition
12-24h
Term
What is the protein binding percentage of methyldopa?
Definition
>20%
Term
What is the bioavailability of methyldopa?
Definition
50%
Term
What is the half life of Methyldopa?
Definition
1-8h. Blood pressure reduction is pronounced and prolonged in renal failure.
Term
What percentage of methyldopa is secreted in urine as metabolites?? Where is it extensively metabolized?
Definition
70%; the liver
Term
Which drugs block antihypertensive effects of clonidine and may result in life-threatening HTN?
Definition
Tricyclic Antidepressants
Term
If given with clonidine, this drug has possible Synergistic pharmacological and toxic effects; may result in atrioventricular block and severe hypotension
Definition
Verapamil
Term
If given with clonidine, this drug can lead to decreased antihypertensive effect of clonidine
Definition
Prazosin
Term
Avoid concurrent use of these drugs with clonidine; if patient is taking both drugs and withdrawal is required, withdraw ___________ first to prevent excessive unopposed ______ stimulation that may lead to malignant HTN within 12 h
Definition
Beta adrenergic; Alpha
Term
Avoid concurrent use of these drugs with clonidine to help prevent additive sedation: (5 drugs)
Definition
Alcohol, antihistamines, phenothiazines, barbiturates, and benzodiazepines
Term
An alternative drug should be used to this drug when prescribing methyldopa due to possible potentiation of antipsychotic effects or possible psychosis:
Definition
Haldol (Haloperidol)
Term
Concurrent prescribing of this drug with methyldopa can increase the risk of toxicity related to the drug.
Definition
Lithium-choose alternative antiHTN.
Term
Prescribing these drugs concurrently with methyldopa can lead to release of endogenous catecholamines and result in excessive SNS stimulation.
Definition
MAOIs.
Term
Prescribing this drug with methyldopa can result in enhanced hypoglycemic effects.
Definition
Tolbutamide
Term
These herbal substances may affect electrolyte levels and may decrease efficacy of methyldopa
Definition
Licorice, yohimbe, ginseng; monitor blood pressure and inform patient.
Term
This drug has been associated with the development of a positive Coombs’ test. Rarely, this is associated with hemolytic anemia
Definition
Methyldopa
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