Sympathetic Nervous System Drugs

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Created by:

Ry_Lo  on March 29, 2012

Subjects:

Pharmocology

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Sympathetic Nervous System Drugs

Adrenergic Agents
AKA: Sympathomimetic agents

Catecholamines: Increase force and rate of muscular contraction of the heart, constrict peripheral blood vessels, and elevate blood glucose levels mainly by stimulating beta-1 receptors
SERIOUS DRUGS

Noncatecholamines: Not as serious

Uses: Stimulate heart to beat, reverse the hypotension and bronchoconstriction of anaphylactic shock, strengthen the heart during CHF, correct hypotension thru vasoconstriction, treat urinary incontinence, reduce mucous membranes congestion in allergic conditions, prolong the effects of local anesthetic agents by causing vasoconstriction of blood vessels at the injection site, thereby prolonging their absorption, and treat glaucoma

Side fx: Tachycardia, hypertension, nervousness, cardiac arrhythmias, pulmonary edema (with OD)
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English

Adrenergic AgentsAKA: Sympathomimetic agents

Catecholamines: Increase force and rate of muscular contraction of the heart, constrict peripheral blood vessels, and elevate blood glucose levels mainly by stimulating beta-1 receptors
SERIOUS DRUGS

Noncatecholamines: Not as serious

Uses: Stimulate heart to beat, reverse the hypotension and bronchoconstriction of anaphylactic shock, strengthen the heart during CHF, correct hypotension thru vasoconstriction, treat urinary incontinence, reduce mucous membranes congestion in allergic conditions, prolong the effects of local anesthetic agents by causing vasoconstriction of blood vessels at the injection site, thereby prolonging their absorption, and treat glaucoma

Side fx: Tachycardia, hypertension, nervousness, cardiac arrhythmias, pulmonary edema (with OD)
Adrenergic ReceptorsAlpha-1: Increases force of heart contraction, increases blood pressure, and causes mydriasis

Alpha-2: Inhibits release of norephinephrine, dilates blood vessels (producing hypotension), and excitatory response (except in GI tract)

Beta-1: Increases heart rate and force of heart contraction

Beta-2: Dilates bronchioles and relaxes GI tract, inhibitory response (except in heart)
Epinephrine Trade name: Adrenalin

Category: Adrenergic (injection)

Receptor affected: Alpha-1, beta-1, beta-2

Use: Emergencies (cardiac resuscitation and anaphylaxis) to increase heart rate, cardiac output, constriction of blood vessels to skin, dilation of blood vessels to muscles

Side fx: Same as category
Norepinephrine Trade name: Noradrenalin

Category: Adrenergic (injectable)

Receptor affected: Alpha-1, beta-1

Use: increase blood pressure

Side fx: Same as category
Isoproterenol Trade name: Isuprel

Category: Adrenergic

Receptor affected: Beta-1, beta-2

Use: Cause bronchodilation

Side fx: Same as category
Dopamine Trade name: Intropin

Category: Adrenergic

Receptor affected: Beta-1

Use: Treats heart failure

Side fx: Same as category
Phenylpropanolamine Trade name: Prolamine

Category: Adrenergic

Receptor affected: Alpha-1, Beta-1

Use: Treats urinary incontinence in dogs

Side fx: Same as category
Albuterol Trade name: Proventril

Category: Adrenergic

Receptor affected: Beta-2

Uses: Treats bronchospasm (bronchitis) by producing bronchodilation

Side fx: Same as category
Terbutaline Trade name: Brethine

Category: Adrenergic

Receptor affected: Beta-2

Uses: Treats bronchospam by producing bronchodilation

Side fx: Same as category
Ephedrine Trade name: Vatronol

Category: Adrenergic

Receptor affected: Alpha-1, beta-1, beta-2

Uses: Produces bronchodilation

Side fx: Same as category
Xylazine Trade name: Rompun, AnaSed

Category: Adrenergic

Receptor affected: Alpha-2 (only one which affects alpha-2)

Uses: Tranquilizer/Sedative (horses)

Side fx: Same as category

Reversal: Yohimbine
Adrenergic Blocking Agents AKA: SympathoLYTICS

Classifications: Alpha Adrenergic Blockers
Beta Adrenergic Blockers
Alpha Blockers Part of adrenergic blocking group

Works by: Block receptor sites preventing binding of drugs or natural epinephrine

Uses: Vasodilator, hypotensive, antidote, reversal agent

Side fx: Hypotension, tachycardia, muscle tremors, seizures
Phenoxybenzamine Trade name: Dibenzyline

Category: Alpha Adrenergic Blocker

Uses: Decreases urethral sphincter tone in small animals, treat laminitis in horses

Side fx: Same as category

Contraindication: Don't use on horses with colic
Prazosin Trade name: Minipress

Category: Alpha Adrenergic Blocker

Uses: Treat animals with heart failure and hypertension

Side effects: Same as category
Yohimbine Trade name: Yobine

Category: Alpha Adrenergic Blocker

Uses: REVERSAL for Xylazine

Side effects: Same as category
Atipamezole Trade name: Antisedan

Category: Alpha Adrenergic Blocker

Uses: REVERSAL for Medetomidine

Side fx: Same as category
Beta Adrenergic Blockers Part of adrenergic blocking group

Works: Block epinephrine from reacting with beta-1 (heart) and beta-2 (lungs) receptors

Uses: Treat glaucoma, arrhythmias, hypertrophic cardiomyopathy

Side fx: Bradycardia, hypotension
Propranolol Trade name: Inderal

Category: Beta blocker

Receptors affected: Beta-1, beta-2

Uses: Treat cardiac arrhythmias and cardiac disease

Side effects: Same as category
Metoprolol Trade name: Lopressor

Category: Beta blocker

Receptor affected: Beta-2

Use: Treat hypertension

Side fx: Same as category
Timolol Trade name: Timoptic

Category: Beta blocker

Receptor affected: Beta-1, beta-2

Use: Ophthalmic prep to treat glaucoma

Side effects: Same as category

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