Med Chem of Adrenergics

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Created by:

cycron  on February 23, 2012

Subjects:

pharmacy

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Med Chem of Adrenergics

α₁-agonist & α₂-partial agonist

contains imidazoline ring

tetrahydrozoline, oxymetazoline
1/11

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Terms

Definitions

α₁-agonist & α₂-partial agonist
contains imidazoline ring

tetrahydrozoline, oxymetazoline
selective α₁-agonist
1. missing 4-OH = no COMT
2. alpha methyl slows metab

phenylephrine, metaraminol
selective α₂-agonist
1. phenethylamine-like
2. imidazoline ring/mimic
3. ortho EWG (chlorine)

"guano is alpha's number 2"
clonidine, guanabenz, guanfacine
selective α₁-antagonist
1. phenethylamine-like
2. dimethoxy-phenyl-piperazine core
3. furan/tetrahydrofuran ring for solubility

Ix: BPH
"let my blocked A1 pipe flow w/ piperazine ring"
terazosin, tamsulosin, doxazosin, prazosin
nonselective α-antagonist
1. imidazoline ring w/o substitutions
2. bulk + chain + charge

*tolazoline = only antagonist smaller than the agonist
phentolamine, tolazoline, phenoxybenzamine
mixed/indirect adrenergic agonist
1. MIXED = no hydroxyls on benzene
2. INDIRECT = no hydroxyls on benzene & no β-OH

amphetamine, methamphetamine, lisdexamfetamine, phenylpropanolamine, ephedrine, pseudoephedrine, methylphenidate, dexmethylphenidate
nonselective β-antagonist
1. aryloxypropanolamine (may have fused ring core)
2. β-OH
3. no p-H-bonding acceptor

"selective BB start with vowels, except meto & biso"
"cart ace pin pen have ISA"
propranolol, pindolol, cartelol, nadolol, sotalol, timolol
selective β₁-antagonist
1. aryloxypropanolamine
2. β-OH
3. p-H-bonding acceptor distant from ring

*nebivolol = symmetrical, F on each ring, vasodilation
acebutolol, bisoprolol, metoprolol, atenolol, esmolol
nonselective β-antagonist w/ α-blocking activity
1. arylalkyl group as N-substitution = α-affinity
2. aryl substitutions do not stim ISA

S,R isomer = α₁-blocker
R,R = β₁/β₂/α₁-blocker
labetolol, carvedilol
peripherial D₁-agonist w/ α₂-agonism
two phenethylamine-like groups

fenoldopam
Ix: emergency HTN crisis, no renal dosing
selective β₂-agonist
1. phenethylamine
2. β-OH
3. larger N-substitution = greater β affinity
4. more lipophilic & bulky the substitution = greater β₂ affinity

terbutaline, albuterol, pirbuterol, metaproterenol, salmeterol

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