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PANCE
Pharm review
18
Medical
Graduate
02/18/2008

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Term
Parasympathetic Action
Definition
Discrete Response
Cranial/ Sacral origination
Presynaptic neurons release Ach
Postsynaptic neurons release Ach
Conserves Fuel, maintains GI
Term
Sympathetic
Definition
thoraco-lumbar origination
Presynaptic neurons – Ach
Postsynaptic neurons –NE
Fight or Flight Response
Term
Muscarinic Agonists
Definition
A. Bethanecol (URECHOLINE) – increase GI motility
B. Carbachol (ISOPTO, MIOSTAT, CARBACHOL) – various types of glaucoma
C. Methacholine (PROVOCHOLINE) – test hyperactivity of airways
D. Pilocarpine – used for glaucoma
Term
Anticholinesterases
Definition
A. Pysostigmine (ANTILIRIUM) – treat glaucoma, crosses BBB, reverse
anticholinergic toxicity.
B. Neostigmine (PROSTIGMIN) – synthetic form of Pysostigmine
Term
(Anticholinesterases)
Definition
used for Myasthenia gravis, glaucoma, and to increase tone in
bladder

Symptoms of Anticholinesterase toxicity:
1. Miosis
2. Rhinitis
3. Bradycardia
4. GI spasms
5. brochoconstriction
6. involuntary voiding of urine
Term
Muscarinic Antagonists
anticholinergic
Definition
A. Atropine - anticholinergic effects
B. Scopolamine – causes cycloplegic, impotence and used primarily in motion
sickness preparations

(Muscarinic Antagonists) – used treat spastic GI, Parkinson’s Disease, Asthma,
Treatment of Peptic Ulcers

2. Ganglionic Blockers – Hexamethonium – blocks nicotinic receptors

Anticholinergics (Parasympatholytics) – used in the treatment of renal colic, allergic
rhinitis, and peptic ulcers.
Term
Adrenegic Agonists

1. Alpha-1
Definition
Phenylephrine (NEO-SYNEPHRINE) – used to treat
hypotension, tachycardia and nasal congestion.
Term
Adrenergic
\Alpha 2
Definition
Clonidine (CATAPRESS) – used as an antianxiety and
analgesic drug. Also used to treat mild to moderate hypertension
Term
Adrenergic
Beta=1
Definition
A. Dobutamine (DOBUTREX) – short term management of cardiac
decompensation following surgery
B. Dopamine (DOPASTAT) – similar to Dobutamine
Term
Adrenergic
Beta-2
Definition
Salbutamol (ALBUTEROL)- relaxes bronchial smooth
muscle oral inhalant
Term
Adrenergic
nonselective Beta agonist
Definition
Isoproterenol- increases heart rate, vasodilation,
bronchodilation, increased renin release
Term
Adrenergic
mixed alpha-beta agonists
Definition
A. NE – (alpha 1 = alpha 2 > beta 1) – increased TPR, constriction of GI
sphincters, elevates blood sugar
B. Epinephrine – increased systolic BP, decreased diastolic BP,
bronchodilation, and relaxation of GI smooth muscles, also elevates blood
sugar
C. Amphetamines- Methylphenidate (RITALIN)- used to treat hyperactive
disorders
D. Ephedrine (EFEDRON NASAL)- used to treat shock, nasal congestion,
asthma, narcolepsy
Term
Alpha-1 Antagonists
Definition
used to decrease vascular tone and treatment of
pheochromocytoma
A. Phenoxybenzamine (DIBENZALINE) used to treat Raynaud’s disease
B. Prazosin (MINIPRESS) used to treat hypertension
C. Terazosin (HYTRIN) used to vasodilate and reduce serum lipid levels.
Term
Non selective alpha antagonists
Definition
A. Phentolamine (REGINTINE) control BP during pheochromocytoma
B. Ergot Alkaloids (Ergotamine) used to treat migranes and relax constricted
vessels.
Term
Beta-1 blockers
Definition
A. Metoprolol (LOPRESSOR) used in the treatment of hypertension and blocks
cardiac beta receptors
B. Atenolol (TENORMIN) used in the treatment of hypertension, chronic stable
angina, and myocardial infarct
Term
Nonselective Beta blockers
Definition
Propranolol (INDERAL) prototype beta blocker used for the treatment of
hypertension, angina, migranes, and to prevent MI
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