| Term 
 | Definition 
 
        | Direct-Acting Muscarinic Agonist |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Direct-Acting Muscarinic Agonist 
 -Glaucoma
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Direct- Acting Muscarinic Agonist 
 -pulmonary function testing for asthma
 |  | 
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        | Term 
 | Definition 
 
        | Direct-Acting Muscarinic Agonist 
 -GI motility, Urinary Retention
 |  | 
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        | Term 
 | Definition 
 
        | Direct-Acting Muscarinic Agonist 
 -glaucoma, xerostomia
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Direct-Acting Muscarinic Agonist 
 -salivary gland dysfunction
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Cholinesterase Inhibitor 
 -Tensilon Test, diagnose myasthenia gravis
 
 -short acting
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cholinesterase Inhibitor 
 -treat atropine or anti-muscarinic poisoning
 |  | 
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        | Term 
 
        | Neostigmine + Pyridostigmine |  | Definition 
 
        | Cholinesterase Inhibitor 
 -myasthenia gravis, anti-nerve gas
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cholinesterase Inhibitor 
 -Alzheimer's
 |  | 
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        | Term 
 | Definition 
 
        | Cholinesterase Inhibitor 
 -glaucoma
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cholinesterase Inhibitor 
 -Alzheimer's
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cholinesterase Inhibitor 
 -Irreversible, Treat only with Atropine
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cholinesterase Inhibitors 
 -Irreversible, use atropine/pralidoxime
 |  | 
        |  | 
        
        | Term 
 
        | Organophosphate (Parathion, Malathion) |  | Definition 
 
        | Cholinesterase Inhibitors 
 -irreversible,use atropine/pralidoxime
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cholinesterase Inhibitor 
 -irreversible nerve gas
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cholinesterase Reactivator 
 -only for organophosphates
 |  | 
        |  | 
        
        | Term 
 
        | Sildenafil, Vardenafil, Tadalafil |  | Definition 
 
        | Cyclic GMP 5 Inhibitors 
 -ADR: hypotension, increased heart rate
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | prevents release of Acetylcholine |  | 
        |  | 
        
        | Term 
 
        | Anticholinergic/Anti-muscarinic Drugs |  | Definition 
 
        | competitive antagonist at muscarinic receptors 
 -poisoning treat with physostigmine
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Antimuscarinic -prototype -CNS: low dose sedative, high dose stimulate |  | 
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        | Term 
 | Definition 
 
        | Anti-muscarinic 
 -CNS depressant, treats vertigo/motion sickness
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Anti-msucarinic 
 -intestinal anti-spasmodic
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Anti-muscarinic 
 -intestinal anti-spamodic
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Anti-muscarinic 
 -no CNS effect, dry respiratory secretions
 
 -inhibit vagal reflexes
 |  | 
        |  | 
        
        | Term 
 
        | Ipratropium and Tiatropium |  | Definition 
 
        | Anti-muscarinics 
 -asthma and COPD
 |  | 
        |  | 
        
        | Term 
 
        | Benztropine and Trihexyphenidyl |  | Definition 
 
        | Anti-muscarinic 
 -Parkinson's
 |  | 
        |  | 
        
        | Term 
 
        | Tolterodine, Oxybutynin, and Solifenacin |  | Definition 
 
        | Anti-muscarinic 
 -Urinary incontinence
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Anti-muscarinic 
 -dilates pupils
 |  | 
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        | Term 
 | Definition 
 
        | work on junction to cause relaxation of paralysis of skeletal muscle |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Neuromuscular Blocker 
 -non-depolarizing blocker
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Neuromuscular Blocker 
 -depolarizing, cannot be overcome by cholinesterase inhibitors
 |  | 
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        | Term 
 
        | Peripherally-Acting Adrenergic Neuronal Inhibitors |  | Definition 
 
        | decrease availability of NE to receptors |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Peripherally-acting Adreneric Neuronal Inhibitor 
 -decreases uptake of DA and NE
 
 -treat hypertension
 
 -irreversible, long-acting
 |  | 
        |  | 
        
        | Term 
 
        | Centrally-Acting Adrenergic Neuronal Inhibitors |  | Definition 
 
        | Stimulate A2 sites in the brain and reduce sympathetic traffic |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Centrally-Acting Adrenergic Neuronal Inhibitor 
 -prodrug
 
 -treat hypertension in pregnancy
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Centrally-Acting Adrenergic Neuronal Inhibitor 
 -small, absorbed thru skin
 
 -must be tapered or rebound hypertension
 
 -migraine, ADHD, PTSD, drug withdrawal
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Centrally-Acting Adrenergic Neuronal Inhibitor 
 -lowers cholesterol, less sedation
 
 -treats ADHD
 |  | 
        |  | 
        
        | Term 
 
        | Ganglionic Stimulants and Blockers |  | Definition 
 
        | Act on neuronal NICOTINIC receptors 
 Low dose stimulant, high dose depressant
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Ganglionic Nicotinic Stimulant/Blocker 
 -low dose stimulant, high dose depressant
 
 -adrenergic agonists can help treat high dose blockade
 |  | 
        |  | 
        
        | Term 
 
        | Direct Acting Sypathomimetics (Adrenergic Receptor Agonists) |  | Definition 
 
        | Alphas Constrict, Betas Dilate 
 -tolerance, rebound common
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-selective Adrenergic Agonist 
 -stimulates A and B receptors
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-selective Adrenergic Agonist 
 -stimulates A and B1, not B2
 
 -reflex bradycardia
 
 -Neurogenic shock: stimulates both heart and blood vessels
 
 -Sepsis: early "warm" phase can reverse vasodilation
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-selective Adrenergic Agonist 
 -stimulates betas, not used in asthma anymore
 
 -diagnoses unexplained syncopes
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-selective Adrenergic Agonist 
 -low dose (dopamine receptors), medium dose (beta1), high (Alpha1)
 
 -Neurogenic shock (stimulates both heart and blood vessels)
 
 -Sepsis: "warm"=vasoconstrictor (A1), "cold"=reverse low CO (B1 stimulated)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Selective B1 Agonist 
 -increases cardiac contractility, stimulates heart during surgery
 
 Cardiac Shock: stimulates Beta1
 
 Sepsis: "cold"=reverse low CO
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Selective B2 agonist 
 -Treat bronchoconstriction in asthma and COPD, exercise induced bronchospasms
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Selective B2 agonist 
 -Treat bronchoconstriction in asthma and COPD, exercise induced bronchospasms
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Selective B2 agonist 
 -Treat bronchoconstriction in asthma and COPD, exercise induced bronchospasms
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Selective B2 agonist 
 -Treat bronchoconstriction in asthma and COPD, exercise induced bronchospasms
 
 -longest acting
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Selective B2 agonist 
 -prevent premature labor by causing uterine relaxation
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Selective A1 agonist 
 -more reflex bradycardia, increased BP
 
 -maintains diastolic and mean BP in neurogenic shock (blood vessels only)
 
 -nasal decongestant, mydriatic agent, hemorrhoids
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Selective A1 agonist 
 -orthostatic hypotension
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Indirect Acting Sympathomimetic 
 -inhibits reuptake of NE (constricts BV at local site)
 
 -not effective orally
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Indirect-Acting Sympathomimetic 
 -stimulates release of NE independent of action potentials
 
 -treats nasal congestion and promotes sinus drainage
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | cleared by liver 
 -may aggravate Raynaud's or cause exercise intolerance
 
 -may have severe hypoglycemic reaction to insulin
 
 -sudden withdrawal causes rebound hypertension and angina
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | decrease HR and contractility, treat hypertension 
 -decrease conduction velocity of AV node
 
 -prevent "thyroid storm" in hyperthyroidism
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
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        | Term 
 | Definition 
 | 
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        | Term 
 | Definition 
 
        | Selective B1 Blocker 
 -metabolized by ESTERASES
 
 -short duration
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-selective B1 and B2 blocker 
 -long acting
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-Selective B1 and B2 Blocker 
 -partial agonist
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-selective B1 and B2 Blocker |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-selective B1 and B2 Blocker |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-selective B and Selective A1 Blocker 
 -treats SEVERE hypertension
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inhibitions of peripheral A-receptors 
 -ADR: too much loss of A-receptors (congestion, reflex tachycardia, fluid retention, hypotension)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-selective A-Blocker 
 -noncompetitive, irreversible (long-acting)
 
 -prevent hypertension in pheochromocytoma PRIOR to surgery
 
 -toxic, bad ADRs
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-selective Alpha Blocker 
 -diagnose pheochromocytoma, short acting, given DURING surgery
 
 -treat vasoconstriction, prevent dermal tissue necrosis
 
 -reverse oral soft tissue anesthesia
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Selective A1 Blocker 
 -mild to moderate hypertension with diuretic
 
 -treat BPH, Raynaud's, nightmares with PTSD
 
 -ADR: first dose phenomenon of hypotension
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Selective A1 Blocker 
 -long half-life, not for PTSD
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Selective A1 Blocker 
 -subgroup A1A found on bladder, less systenic ADRs
 
 -treat BPH
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Selective A1 Blocker 
 -treat BPH, not sub-type selective
 
 -"uroselectivity" accumulates in prostatic tissue
 |  | 
        |  | 
        
        | Term 
 
        | Parkinson's and Other movement disorders |  | Definition 
 
        | -blocking dopamine in the striatum of the brain by anti-psychotics can cause Parkinson's (reserpine and metoclopramide) 
 -Clozapine: treatment of psychotic effects of Dopa Drugs
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Dopaminergic Agent 
 -dopamine precursor, not given alone
 
 -does not halt progression,
 
 -"end of dose phenomenon"
 
 -ADR:nausea, hypotension, tachycardia
 |  | 
        |  | 
        
        | Term 
 
        | L DOPA/ Carbidopa (Sinemet) |  | Definition 
 
        | Dopaminergic Agent 
 -inhibits DOPA decarboxylase in periphery
 |  | 
        |  | 
        
        | Term 
 
        | L DOPA/Carbidopa/Entacapone |  | Definition 
 
        | Dopaminergic Agent 
 -inhibits metabolism of dopamine by COMT
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Dopaminergic Agent -not as effective as DOPA -not approved to inhibit prolactin secretion anymore -used with L DOPA but with additive side-effects |  | 
        |  | 
        
        | Term 
 
        | Pramipexole and Ropinirole |  | Definition 
 
        | Dopaminergic Agent 
 -D2 and D3 receptors
 
 -may have antioxidant and neuroprotective effects which may slow progression
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Dopaminergic Agent 
 -stimulate release of dopamine
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | MAO-B Inhibitor 
 -inhibit metabolism of dopamine by MAO-B in CNS
 
 -studies do not confirm that it slows progression
 
 -ADR: "cheese toxicity"
 |  | 
        |  | 
        
        | Term 
 
        | Benztropine and Trihexyphenidyl |  | Definition 
 
        | COMT inhibitor 
 -more effective against tremors
 
 -treatment of iatrogenic Parkinson's due from DA antagonists
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Antihistamine 
 -due to anti-cholinergic effect
 |  | 
        |  |