Alpha blockers work by blocking alpha-1 and alpha-2 adrenergic receptors. They can be classified as non-selective or selective. Non-selective alpha blockers like phentolamine cause vasodilation and reduce blood pressure but can also cause side effects like nasal congestion and hypotension. Selective alpha-1 blockers like prazosin, terazosin, and doxazosin are used to treat hypertension and benign prostatic hyperplasia as they cause less side effects. Newer drugs like tamsulosin and alfuzosin are more uroselective and effective for treating BPH with minimal effects on blood pressure. Alpha blockers have various clinical uses including treatment of phae
This document discusses alpha blockers, which are drugs that inhibit the interaction of hormones like norepinephrine with alpha receptors. It describes their classification as selective or non-selective, their functions in relaxing smooth muscle and reducing vasoconstriction, and individual drugs like prazosin, terazosin, and doxazosin. These drugs are important in managing conditions like pheochromocytoma, benign prostatic hyperplasia, hypertension, and peripheral vascular disease, but can cause adverse effects like postural hypotension and reflex tachycardia.
This document summarizes the classification, mechanisms of action, pharmacokinetics, and clinical uses of α-adrenergic receptor antagonists (α-blockers). It discusses non-selective α-blockers that block both α1 and α2 receptors like phentolamine and phenoxybenzamine, as well as selective α1-blockers like prazosin, doxazosin, tamsulosin, and selective α2-blockers like yohimbine. The major uses of α-blockers include treatment of pheochromocytoma, hypertension, peripheral vascular disease, benign prostatic hyperplasia, migraine, and congestive heart failure. Common side effects include hypotension
This document summarizes beta blockers, including their mechanism of action, classification, properties, uses, adverse effects and drug interactions. Beta blockers work by blocking beta receptors and inhibiting the adrenergic response. They are classified as first, second or third generation, and can be selective for beta 1 receptors or non-selective. Common uses include hypertension, angina, arrhythmias, migraine prophylaxis and anxiety. Side effects include bradycardia, bronchospasm and hypoglycemia. Drug interactions can occur pharmacokinetically or pharmacodynamically with drugs like digoxin. Overdose treatment involves atropine, pacing and glucagon administration.
Sympathomimetic drugs mimic the actions of norepinephrine and epinephrine by binding to adrenergic receptors. They can be classified as direct-acting agonists like epinephrine, indirect-acting agonists like amphetamines, or mixed-action agonists like ephedrine. Common uses include pressor agents, cardiac stimulants, bronchodilators, nasal decongestants, CNS stimulants, and anorectics. Examples discussed in more detail include epinephrine, norepinephrine, dopamine, dobutamine, ephedrine, amphetamines, phenylephrine, and pseudophedrine.
Antiarrhythmic drugs are used to treat and prevent cardiac arrhythmias by blocking ion channels involved in cardiac impulse generation and conduction. Class I drugs like quinidine and procainamide block sodium channels to prolong the action potential duration, while Class IB drugs like lignocaine shorten repolarization. Class III drugs like amiodarone block potassium channels to prolong the action potential. Calcium channel blockers like verapamil inhibit calcium influx. Other drugs include adenosine for paroxysmal supraventricular tachycardia, beta blockers for supraventricular arrhythmias, and atropine for bradycardias. Adverse effects vary between drugs but include arrhythmias, heart block and QT prolong
This document discusses adrenergic drugs and their mechanisms and uses. It describes the endogenous catecholamines adrenaline, noradrenaline, and dopamine and their synthesis pathways. It explains the two types of adrenergic receptors - alpha and beta - and their subtypes and functions. The document classifies different adrenergic drugs like epinephrine, norepinephrine, isoproterenol, phenylephrine based on their receptor actions and clinical uses. It provides details on indications, mechanisms, effects and adverse reactions of various adrenergic drugs used for cardiovascular, respiratory, metabolic and central nervous system conditions.
Alpha blockers work by blocking alpha-1 and alpha-2 adrenergic receptors. They can be classified as non-selective or selective. Non-selective alpha blockers like phentolamine cause vasodilation and reduce blood pressure but can also cause side effects like nasal congestion and hypotension. Selective alpha-1 blockers like prazosin, terazosin, and doxazosin are used to treat hypertension and benign prostatic hyperplasia as they cause less side effects. Newer drugs like tamsulosin and alfuzosin are more uroselective and effective for treating BPH with minimal effects on blood pressure. Alpha blockers have various clinical uses including treatment of phae
This document discusses alpha blockers, which are drugs that inhibit the interaction of hormones like norepinephrine with alpha receptors. It describes their classification as selective or non-selective, their functions in relaxing smooth muscle and reducing vasoconstriction, and individual drugs like prazosin, terazosin, and doxazosin. These drugs are important in managing conditions like pheochromocytoma, benign prostatic hyperplasia, hypertension, and peripheral vascular disease, but can cause adverse effects like postural hypotension and reflex tachycardia.
This document summarizes the classification, mechanisms of action, pharmacokinetics, and clinical uses of α-adrenergic receptor antagonists (α-blockers). It discusses non-selective α-blockers that block both α1 and α2 receptors like phentolamine and phenoxybenzamine, as well as selective α1-blockers like prazosin, doxazosin, tamsulosin, and selective α2-blockers like yohimbine. The major uses of α-blockers include treatment of pheochromocytoma, hypertension, peripheral vascular disease, benign prostatic hyperplasia, migraine, and congestive heart failure. Common side effects include hypotension
This document summarizes beta blockers, including their mechanism of action, classification, properties, uses, adverse effects and drug interactions. Beta blockers work by blocking beta receptors and inhibiting the adrenergic response. They are classified as first, second or third generation, and can be selective for beta 1 receptors or non-selective. Common uses include hypertension, angina, arrhythmias, migraine prophylaxis and anxiety. Side effects include bradycardia, bronchospasm and hypoglycemia. Drug interactions can occur pharmacokinetically or pharmacodynamically with drugs like digoxin. Overdose treatment involves atropine, pacing and glucagon administration.
Sympathomimetic drugs mimic the actions of norepinephrine and epinephrine by binding to adrenergic receptors. They can be classified as direct-acting agonists like epinephrine, indirect-acting agonists like amphetamines, or mixed-action agonists like ephedrine. Common uses include pressor agents, cardiac stimulants, bronchodilators, nasal decongestants, CNS stimulants, and anorectics. Examples discussed in more detail include epinephrine, norepinephrine, dopamine, dobutamine, ephedrine, amphetamines, phenylephrine, and pseudophedrine.
Antiarrhythmic drugs are used to treat and prevent cardiac arrhythmias by blocking ion channels involved in cardiac impulse generation and conduction. Class I drugs like quinidine and procainamide block sodium channels to prolong the action potential duration, while Class IB drugs like lignocaine shorten repolarization. Class III drugs like amiodarone block potassium channels to prolong the action potential. Calcium channel blockers like verapamil inhibit calcium influx. Other drugs include adenosine for paroxysmal supraventricular tachycardia, beta blockers for supraventricular arrhythmias, and atropine for bradycardias. Adverse effects vary between drugs but include arrhythmias, heart block and QT prolong
This document discusses adrenergic drugs and their mechanisms and uses. It describes the endogenous catecholamines adrenaline, noradrenaline, and dopamine and their synthesis pathways. It explains the two types of adrenergic receptors - alpha and beta - and their subtypes and functions. The document classifies different adrenergic drugs like epinephrine, norepinephrine, isoproterenol, phenylephrine based on their receptor actions and clinical uses. It provides details on indications, mechanisms, effects and adverse reactions of various adrenergic drugs used for cardiovascular, respiratory, metabolic and central nervous system conditions.
This presentation contains drugs which blocks the adrenergic system e.g receptor blockers like alpha and beta receptor antagonists, adrenergic neuron blocking agents in details.various animated pictures are also included to make the presentation interesting as well as i have used various diagrams and tables to have better understanding of the topic. Thank you.
1. ACE inhibitors work by inhibiting the angiotensin converting enzyme and reducing angiotensin II levels, leading to vasodilation and sodium excretion.
2. Common ACE inhibitors include lisinopril, enalapril, ramipril, and benazepril. They are used to treat hypertension, heart failure, myocardial infarction, and diabetic nephropathy.
3. Potential side effects include dry cough, hypotension, hyperkalemia, angioedema, and renal dysfunction. ACE inhibitors can also cause fetal harm during pregnancy.
Seretonin (5HT) and Its Antagonists PharmacologyPranatiChavan
Serotonin is a chemical that has a wide variety of functions in the human body. It is sometimes called the happy chemical, because it contributes to wellbeing and happiness.
The scientific name for serotonin is 5-hydroxytryptamine, or 5-HT. It is mainly found in the brain, bowels, and blood platelets.
Serotonin is used to transmit messages between nerve cells, it is thought to be active in constricting smooth muscles, and it contributes to wellbeing and happiness, among other things. As the precursor for melatonin, it helps regulate the body’s sleep-wake cycles and the internal clock.
It is thought to play a role in appetite, the emotions, and motor, cognitive, and autonomic functions. However, it is not known exactly if serotonin affects these directly, or if it has an overall role in co-ordinating the nervous system.
The document discusses opioids, specifically morphine. It classifies opioids based on their receptor activity and source. Morphine is the most important alkaloid from opium and acts on mu, kappa, and delta opioid receptors in the central nervous system. It has analgesic, sedative and respiratory depressive effects. Tolerance and dependence develop with prolonged use. Adverse effects include nausea, vomiting, respiratory depression, and hypotension. Naloxone is used as an antidote for morphine overdose. Nursing implications include close monitoring of respiration and for signs of tolerance with prolonged use.
This document discusses drugs used for treating shock. It describes different types of shock including hypovolemic, septic, cardiogenic, and anaphylactic shock. It then discusses three categories of drugs used to treat shock: vasoconstrictors like epinephrine and norepinephrine which increase blood pressure, cardio tonic drugs like digoxin, dobutamine, and dopamine which increase heart function, and fluid replacement agents like blood, colloids, and crystalloids which replace lost fluids. Epinephrine causes vasoconstriction, increases heart rate and output, and dilates airways. Norepinephrine also causes vasoconstriction. Digoxin increases heart contraction force while
The document discusses calcium channel blockers (CCBs), which are a class of antihypertensive drugs. CCBs work by blocking calcium channels, thereby relaxing blood vessels and reducing blood pressure. They are classified into phenylalkylamines, dihydropyridines, and benzothiazepines. CCBs are effective antihypertensives and are also used to treat angina by dilating coronary arteries and reducing oxygen demand of the heart. Their adverse effects include headaches, dizziness, and hypotension. CCBs are contraindicated in conditions like heart failure and bradycardia.
This document summarizes fibrinolytics and antiplatelet drugs. It describes the fibrinolytic system and how fibrinolytics like streptokinase, urokinase, alteplase work to activate plasminogen and lyse clots. Newer fibrinolytics like reteplase and tenecteplase are discussed. Antiplatelet drugs discussed include aspirin, dipyridamole, clopidogrel, abciximab and how they inhibit platelet aggregation by blocking TXA2 synthesis, increasing cAMP, or blocking ADP/GP-IIb-IIIa receptors. Their uses for coronary artery disease and procedures are highlighted.
This document discusses autonomic neurotransmission and cholinergic drugs. It begins by describing the anatomy and components of the autonomic nervous system, including the sympathetic, parasympathetic, and enteric divisions. It then focuses on cholinergic neurotransmission, outlining the steps of impulse conduction, transmitter release, transmitter action on post-junctional membranes, post-junctional activity, and termination of transmitter action. Finally, it discusses cholinergic drugs that act as direct parasympathomimetics like choline esters or alkaloids, as well as indirect anticholinesterases that inhibit the termination of cholinergic transmission.
1. Shock is defined as inadequate tissue perfusion resulting in cellular dysfunction. It can occur with normal or low blood pressure and results from various causes like sepsis, hemorrhage, cardiac failure, etc.
2. Early goal-directed therapy for septic shock involves rapid fluid resuscitation, antibiotics, and vasopressors to maintain adequate perfusion. Dopamine, norepinephrine, and epinephrine are commonly used vasopressors.
3. Cardiogenic shock results from inadequate cardiac output, usually from acute myocardial infarction or myocarditis. It requires fluids, inotropes like dobutamine, and revascularization when possible.
5-Hydroxytryptamine & it’s Antagonist is a Topic in Pharmacology which will defiantly Help You in pharmacy field All information is related to pharmacology drug acting and it's effect on body. it is collage project given by our department i would like to share with you.
This document summarizes different types of adrenergic receptor antagonists or β-blockers. It describes:
1) Nonselective β-blockers that block both β1 and β2 receptors like propranolol, and cardioselective β1 blockers like metoprolol.
2) β-blockers with intrinsic sympathomimetic activity like pindolol that can minimize metabolic side effects.
3) Dual α and β-blockers like labetalol and carvedilol that are used to treat hypertension and heart failure.
This document discusses the adrenergic system. It describes the origins and divisions of the autonomic nervous system, including the sympathetic and parasympathetic systems. It then focuses on the adrenergic system, summarizing the neurotransmitters involved, including norepinephrine, epinephrine, and dopamine. It outlines the steps in catecholamine synthesis, storage, release, reuptake, and metabolism. It also describes the different types of adrenergic receptors, including alpha and beta receptors, and provides examples of agonists and antagonists for each. Finally, it categorizes different types of adrenergic drugs.
Anti-adrenergic drugs antagonize the action of adrenaline and related drugs by competitively blocking alpha and/or beta receptors. Alpha blockers such as prazosin are used to treat hypertension and benign prostatic hyperplasia by dilating arteries and reducing prostate tone. Beta blockers like propranolol non-selectively block both beta 1 and 2 receptors and are used for hypertension, angina, arrhythmias and migraine. Drugs for glaucoma work by reducing intraocular pressure through various mechanisms such as decreasing aqueous humor production or increasing outflow.
This document discusses antianginal drugs used to treat angina pectoris, or chest pain caused by reduced blood flow to the heart. There are three main classes of drugs used: organic nitrates, beta-blockers, and calcium channel blockers. Organic nitrates like nitroglycerin work by dilating blood vessels to increase blood flow to the heart and reduce its workload. Beta-blockers lower the heart rate and force of contraction to decrease oxygen demand. Calcium channel blockers inhibit calcium entry into heart and blood vessel cells to relax vessels and reduce workload. Each drug class is described in more detail regarding mechanisms, effects, pharmacokinetics, uses, and side effects.
Adrenergic agonists and antagonists act on adrenergic receptors. Agonists like epinephrine and norepinephrine directly stimulate receptors, whereas antagonists like prazosin competitively block receptor activation. These drugs have widespread effects throughout the body due to the sympathetic nervous system's role in functions like heart rate, blood pressure, bronchodilation and uterine contraction. Care must be taken with certain drugs that can cause severe side effects like hypotension or bronchospasm.
Autonomic Nervous System Pharmacology and Cholinergics (updated 2016) - drdhr...http://neigrihms.gov.in/
The document discusses autonomic drugs and the autonomic nervous system. It notes that autonomic drugs are clinically relevant and used to treat conditions like angina, heart failure, and high blood pressure. The autonomic nervous system maintains homeostasis through the sympathetic and parasympathetic nervous systems. Cholinergic transmission occurs through the release and binding of acetylcholine to nicotinic and muscarinic receptors.
This document discusses cardiac electrophysiology and arrhythmias. It begins by describing the cardiac pacemaker and sinus rhythm, then details the phases of the cardiac action potential. Various types of arrhythmias are described caused by abnormalities in automaticity, ectopic foci, reentry pathways and conduction blocks. Classes of antiarrhythmic drugs are introduced and specific examples are explained regarding their mechanisms and effects on the action potential and use in treating arrhythmias. Side effects and considerations for various drugs are also mentioned.
The document discusses adrenal receptor antagonists, classifying them as alpha or beta antagonists and describing their selectivity, mechanisms of action, pharmacokinetics, clinical uses, and adverse effects. Alpha antagonists are used to treat hypertension and benign prostatic hyperplasia, while beta blockers are commonly used for cardiovascular conditions like hypertension, angina, and arrhythmias. The document provides details on specific drugs in each class, their properties, and factors like receptor selectivity and half-life that determine clinical applications.
This document discusses adrenal receptor antagonists or adrenergic receptor blockers. It describes their classification based on receptor selectivity, including alpha and beta receptor subtypes. It covers topics like mechanisms of action, pharmacokinetics, effects, uses and adverse effects of various alpha and beta blocking drugs. Key drugs discussed include prazosin, doxazosin, propranolol, metoprolol, atenolol and others. It provides a detailed overview of these important cardiovascular drug classes.
This presentation contains drugs which blocks the adrenergic system e.g receptor blockers like alpha and beta receptor antagonists, adrenergic neuron blocking agents in details.various animated pictures are also included to make the presentation interesting as well as i have used various diagrams and tables to have better understanding of the topic. Thank you.
1. ACE inhibitors work by inhibiting the angiotensin converting enzyme and reducing angiotensin II levels, leading to vasodilation and sodium excretion.
2. Common ACE inhibitors include lisinopril, enalapril, ramipril, and benazepril. They are used to treat hypertension, heart failure, myocardial infarction, and diabetic nephropathy.
3. Potential side effects include dry cough, hypotension, hyperkalemia, angioedema, and renal dysfunction. ACE inhibitors can also cause fetal harm during pregnancy.
Seretonin (5HT) and Its Antagonists PharmacologyPranatiChavan
Serotonin is a chemical that has a wide variety of functions in the human body. It is sometimes called the happy chemical, because it contributes to wellbeing and happiness.
The scientific name for serotonin is 5-hydroxytryptamine, or 5-HT. It is mainly found in the brain, bowels, and blood platelets.
Serotonin is used to transmit messages between nerve cells, it is thought to be active in constricting smooth muscles, and it contributes to wellbeing and happiness, among other things. As the precursor for melatonin, it helps regulate the body’s sleep-wake cycles and the internal clock.
It is thought to play a role in appetite, the emotions, and motor, cognitive, and autonomic functions. However, it is not known exactly if serotonin affects these directly, or if it has an overall role in co-ordinating the nervous system.
The document discusses opioids, specifically morphine. It classifies opioids based on their receptor activity and source. Morphine is the most important alkaloid from opium and acts on mu, kappa, and delta opioid receptors in the central nervous system. It has analgesic, sedative and respiratory depressive effects. Tolerance and dependence develop with prolonged use. Adverse effects include nausea, vomiting, respiratory depression, and hypotension. Naloxone is used as an antidote for morphine overdose. Nursing implications include close monitoring of respiration and for signs of tolerance with prolonged use.
This document discusses drugs used for treating shock. It describes different types of shock including hypovolemic, septic, cardiogenic, and anaphylactic shock. It then discusses three categories of drugs used to treat shock: vasoconstrictors like epinephrine and norepinephrine which increase blood pressure, cardio tonic drugs like digoxin, dobutamine, and dopamine which increase heart function, and fluid replacement agents like blood, colloids, and crystalloids which replace lost fluids. Epinephrine causes vasoconstriction, increases heart rate and output, and dilates airways. Norepinephrine also causes vasoconstriction. Digoxin increases heart contraction force while
The document discusses calcium channel blockers (CCBs), which are a class of antihypertensive drugs. CCBs work by blocking calcium channels, thereby relaxing blood vessels and reducing blood pressure. They are classified into phenylalkylamines, dihydropyridines, and benzothiazepines. CCBs are effective antihypertensives and are also used to treat angina by dilating coronary arteries and reducing oxygen demand of the heart. Their adverse effects include headaches, dizziness, and hypotension. CCBs are contraindicated in conditions like heart failure and bradycardia.
This document summarizes fibrinolytics and antiplatelet drugs. It describes the fibrinolytic system and how fibrinolytics like streptokinase, urokinase, alteplase work to activate plasminogen and lyse clots. Newer fibrinolytics like reteplase and tenecteplase are discussed. Antiplatelet drugs discussed include aspirin, dipyridamole, clopidogrel, abciximab and how they inhibit platelet aggregation by blocking TXA2 synthesis, increasing cAMP, or blocking ADP/GP-IIb-IIIa receptors. Their uses for coronary artery disease and procedures are highlighted.
This document discusses autonomic neurotransmission and cholinergic drugs. It begins by describing the anatomy and components of the autonomic nervous system, including the sympathetic, parasympathetic, and enteric divisions. It then focuses on cholinergic neurotransmission, outlining the steps of impulse conduction, transmitter release, transmitter action on post-junctional membranes, post-junctional activity, and termination of transmitter action. Finally, it discusses cholinergic drugs that act as direct parasympathomimetics like choline esters or alkaloids, as well as indirect anticholinesterases that inhibit the termination of cholinergic transmission.
1. Shock is defined as inadequate tissue perfusion resulting in cellular dysfunction. It can occur with normal or low blood pressure and results from various causes like sepsis, hemorrhage, cardiac failure, etc.
2. Early goal-directed therapy for septic shock involves rapid fluid resuscitation, antibiotics, and vasopressors to maintain adequate perfusion. Dopamine, norepinephrine, and epinephrine are commonly used vasopressors.
3. Cardiogenic shock results from inadequate cardiac output, usually from acute myocardial infarction or myocarditis. It requires fluids, inotropes like dobutamine, and revascularization when possible.
5-Hydroxytryptamine & it’s Antagonist is a Topic in Pharmacology which will defiantly Help You in pharmacy field All information is related to pharmacology drug acting and it's effect on body. it is collage project given by our department i would like to share with you.
This document summarizes different types of adrenergic receptor antagonists or β-blockers. It describes:
1) Nonselective β-blockers that block both β1 and β2 receptors like propranolol, and cardioselective β1 blockers like metoprolol.
2) β-blockers with intrinsic sympathomimetic activity like pindolol that can minimize metabolic side effects.
3) Dual α and β-blockers like labetalol and carvedilol that are used to treat hypertension and heart failure.
This document discusses the adrenergic system. It describes the origins and divisions of the autonomic nervous system, including the sympathetic and parasympathetic systems. It then focuses on the adrenergic system, summarizing the neurotransmitters involved, including norepinephrine, epinephrine, and dopamine. It outlines the steps in catecholamine synthesis, storage, release, reuptake, and metabolism. It also describes the different types of adrenergic receptors, including alpha and beta receptors, and provides examples of agonists and antagonists for each. Finally, it categorizes different types of adrenergic drugs.
Anti-adrenergic drugs antagonize the action of adrenaline and related drugs by competitively blocking alpha and/or beta receptors. Alpha blockers such as prazosin are used to treat hypertension and benign prostatic hyperplasia by dilating arteries and reducing prostate tone. Beta blockers like propranolol non-selectively block both beta 1 and 2 receptors and are used for hypertension, angina, arrhythmias and migraine. Drugs for glaucoma work by reducing intraocular pressure through various mechanisms such as decreasing aqueous humor production or increasing outflow.
This document discusses antianginal drugs used to treat angina pectoris, or chest pain caused by reduced blood flow to the heart. There are three main classes of drugs used: organic nitrates, beta-blockers, and calcium channel blockers. Organic nitrates like nitroglycerin work by dilating blood vessels to increase blood flow to the heart and reduce its workload. Beta-blockers lower the heart rate and force of contraction to decrease oxygen demand. Calcium channel blockers inhibit calcium entry into heart and blood vessel cells to relax vessels and reduce workload. Each drug class is described in more detail regarding mechanisms, effects, pharmacokinetics, uses, and side effects.
Adrenergic agonists and antagonists act on adrenergic receptors. Agonists like epinephrine and norepinephrine directly stimulate receptors, whereas antagonists like prazosin competitively block receptor activation. These drugs have widespread effects throughout the body due to the sympathetic nervous system's role in functions like heart rate, blood pressure, bronchodilation and uterine contraction. Care must be taken with certain drugs that can cause severe side effects like hypotension or bronchospasm.
Autonomic Nervous System Pharmacology and Cholinergics (updated 2016) - drdhr...http://neigrihms.gov.in/
The document discusses autonomic drugs and the autonomic nervous system. It notes that autonomic drugs are clinically relevant and used to treat conditions like angina, heart failure, and high blood pressure. The autonomic nervous system maintains homeostasis through the sympathetic and parasympathetic nervous systems. Cholinergic transmission occurs through the release and binding of acetylcholine to nicotinic and muscarinic receptors.
This document discusses cardiac electrophysiology and arrhythmias. It begins by describing the cardiac pacemaker and sinus rhythm, then details the phases of the cardiac action potential. Various types of arrhythmias are described caused by abnormalities in automaticity, ectopic foci, reentry pathways and conduction blocks. Classes of antiarrhythmic drugs are introduced and specific examples are explained regarding their mechanisms and effects on the action potential and use in treating arrhythmias. Side effects and considerations for various drugs are also mentioned.
The document discusses adrenal receptor antagonists, classifying them as alpha or beta antagonists and describing their selectivity, mechanisms of action, pharmacokinetics, clinical uses, and adverse effects. Alpha antagonists are used to treat hypertension and benign prostatic hyperplasia, while beta blockers are commonly used for cardiovascular conditions like hypertension, angina, and arrhythmias. The document provides details on specific drugs in each class, their properties, and factors like receptor selectivity and half-life that determine clinical applications.
This document discusses adrenal receptor antagonists or adrenergic receptor blockers. It describes their classification based on receptor selectivity, including alpha and beta receptor subtypes. It covers topics like mechanisms of action, pharmacokinetics, effects, uses and adverse effects of various alpha and beta blocking drugs. Key drugs discussed include prazosin, doxazosin, propranolol, metoprolol, atenolol and others. It provides a detailed overview of these important cardiovascular drug classes.
These are the drugs which antagonize the receptor action of adrenaline and related drugs.
These drugs act by blocking a and/or ß-adrenergic receptors.
α-blockers
PRAZOSIN is a competitive antagonist effective in the management of hypertension. Similar drugs with longer half-lives (e.g. doxazosin, terazosin).
β-blockers
Heart - Decrease heart rate, force of contraction and cardiac output.
Blood Pressure - Decrease in blood pressure (blockage).
Respiratory System – bronchoconstriction.
Eye – Beta-blocking agents reduce intraocular pressure, especially in glaucoma. The mechanism usually reported is decreased aqueous humor production.
Metabolic - Increase LDL and decrease HDL.
Uterus - Relaxation of uterus.
Local anaesthetic - Propranolol has some local anaesthetic action
α blockers work by inhibiting adrenergic responses mediated through α adrenergic receptors. They reduce peripheral resistance and blood pressure by blocking vasoconstrictor α1 receptors. Common side effects include reflex tachycardia, nasal stuffiness, miosis, and reduced ejaculation. Phenoxybenzamine is irreversibly binds to receptors. Prazosin is highly selective for α1 receptors. It is used to treat hypertension and benign prostatic hyperplasia. Tamsulosin is relatively selective for α1A/α1D receptors in the bladder and prostate and causes fewer side effects than non-selective α blockers. α blockers are used to treat pheochromocytoma,
alpha blocker, receptors, antagonist, mechanism of actionNishiThawait
Alpha blockers work by blocking alpha-adrenergic receptors in the sympathetic nervous system. They are classified as non-selective or selective alpha-1 blockers. Non-selective blockers like phenoxybenzamine irreversibly block both alpha-1 and alpha-2 receptors. Selective alpha-1 blockers like prazosin, terazosin and doxazosin are used to treat hypertension and benign prostatic hyperplasia by relaxing blood vessels and bladder neck. Tamsulosin is a selective alpha-1A blocker used for BPH. Ergot alkaloids are partial agonists and antagonists at multiple receptors and cause vasoconstriction.
This document provides information on alpha and beta adrenergic receptor blocking drugs. It begins by introducing alpha and beta blockers and their classification. It then discusses various alpha blockers including nonselective, selective alpha1, and selective alpha2 blockers. It provides details on individual alpha blockers and their uses and side effects. The document also covers beta blockers, classifying them as nonselective or cardioselective. It provides information on individual beta blockers including their mechanisms of action, pharmacokinetics, uses and adverse effects. The document concludes by summarizing the uses and adverse effects of both alpha and beta blockers.
This document provides an overview of adrenergic drugs. It begins by discussing the endogenous catecholamines - norepinephrine, epinephrine, and dopamine - and their effects. It then classifies adrenergic receptors and describes the response of effector organs. The document proceeds to classify and describe the mechanisms and effects of various adrenergic drugs, including direct-acting, indirect-acting, and mixed sympathomemetics. It discusses individual drugs like epinephrine, norepinephrine, dopamine, isoproterenol, and clonidine. The document provides a detailed but technical summary of adrenergic pharmacology.
Adrenergic blockers work by binding to adrenergic receptors and preventing the action of adrenergic drugs. They can block alpha receptors, beta receptors, or both. Alpha blockers are classified as non-selective or selective. Prazosin is a highly selective alpha-1 blocker used to treat hypertension and benign prostatic hypertrophy. Beta blockers decrease heart rate, contraction force and blood pressure. They are used to treat hypertension, angina, arrhythmias and other conditions. Labetalol blocks both alpha-1 and beta receptors and is used to treat hypertension and hypertensive emergencies.
This document summarizes adrenergic receptor antagonists. It describes the different types of α-adrenergic receptors and how they mediate various physiological functions. It discusses selective and non-selective α-blockers, their mechanisms of action, and examples of commonly used drugs for each category. Specific drugs discussed include prazosin, terazosin, doxazosin, tamsulosin, yohimbine, and phentolamine. The document also reviews uses of α-blockers for conditions like hypertension, Raynaud's phenomenon, benign prostatic hyperplasia, and treatment of pheochromocytoma.
This document summarizes different types of antihypertensive drugs. It discusses drugs that act centrally to reduce sympathetic outflow, drugs that act on autonomic ganglia or postganglionic nerve endings, drugs that act on adrenergic receptors like alpha and beta blockers, drugs that block the renin-angiotensin-aldosterone axis, and direct vasodilators. Specific drugs discussed in detail include methyldopa, clonidine, prazosin, and beta blockers. The document provides information on mechanisms of action, uses, doses, and side effects of these antihypertensive drugs.
This document discusses several classes of drugs that act on adrenergic receptors or ganglia: alpha adrenoceptor antagonists, beta adrenoceptor antagonists, and ganglion-blocking drugs. It provides details on the pharmacological effects, clinical uses, and adverse effects of representative drugs within each class. The document is intended to serve as a comprehensive overview and reference for these drug categories.
This document discusses alpha blockers, which are a class of drugs that selectively inhibit alpha adrenergic receptors. It describes their main therapeutic uses in conditions like hypertension, benign prostatic hyperplasia, and phaeochromocytoma. The document classifications alpha blockers and provides details on various types including non-selective reversible blockers like phentolamine and tolazoline, as well as selective alpha-1 blockers like prazosin, terazosin, and tamsulosin which are used to treat BPH. It also briefly discusses alpha-2 blockers and ergot alkaloids.
The document discusses alpha receptor blockers, including their classification, mechanisms of action, and individual drugs. Alpha blockers are used to treat conditions like pheochromocytoma, hypertension, and benign prostatic hyperplasia by inhibiting the interaction of norepinephrine and epinephrine with alpha receptors. Side effects of alpha blockers include postural hypotension, reflex tachycardia, and nasal congestion.
This document discusses opioids and their analgesic properties. It defines analgesics as drugs that relieve pain without altering sensory perception or consciousness. It describes the different types of opioid receptors in the brain and spinal cord and how various opioids like morphine, codeine, pethidine, fentanyl, and methadone act on these receptors to produce analgesia, euphoria, sedation, and other effects. It also covers the therapeutic uses, adverse effects, tolerance, dependence and other pharmacology of several opioid analgesics.
This document discusses different types of alpha adrenergic blockers, including their classification, mechanisms of action, effects, uses, and examples. It covers reversible nonselective alpha blockers like phentolamine and tolazoline, irreversible nonselective blockers like phenoxybenzamine, and reversible selective alpha-1 blockers like prazosin. These drugs cause vasodilation and reduce blood pressure by blocking alpha receptors. They are used to treat conditions like hypertension, Raynaud's disease, prostate issues, and pheochromocytoma. The document also briefly mentions alpha-2 blockers, ergot alkaloids, and other miscellaneous agents that have alpha blocking properties.
1. Prazosin is a potent and selective α1 adrenergic receptor blocker used to treat hypertension. It has a first-dose phenomenon that can cause severe hypotension, so the initial dose should be small.
2. Beta blockers block the effects of sympathetic stimulation by competitively blocking beta receptors. They are used to treat hypertension, angina, migraines, hyperthyroidism and other conditions. Common side effects include bradycardia, heart block, bronchospasm and hypoglycemia.
3. Drug interactions can occur between beta blockers and calcium channel blockers, local anesthetics, or bile acid sequestering resins which can affect absorption of the beta blockers
This document summarizes the classification, mechanisms of action, pharmacokinetics, uses, and side effects of α-adrenergic receptor antagonists or α-blockers. It describes non-selective α-blockers that block both α1 and α2 receptors as well as selective α1 and α2 blockers. The main uses of α-blockers include treatment of hypertension, peripheral vascular disease, benign prostatic hyperplasia, pheochromocytoma, and migraine. Common side effects include hypotension, tachycardia, nasal congestion, and sexual dysfunction.
This document discusses drugs that affect the autonomic nervous system, specifically alpha-adrenergic blockers. It describes the effects of alpha receptors in different tissues and the classification, selectivity, and duration of action of various alpha blockers. Key alpha blockers discussed include phenoxybenzamine, prazosin, terazosin, doxazosin, alfuzosin, tamsulosin, and yohimbine. The therapeutic uses of alpha blockers include hypertension, pheochromocytoma, peripheral vascular disease, benign prostatic hyperplasia, and erectile dysfunction.
Antiadrenergic drugs, also known as alpha blockers or alpha antagonists, work by blocking the effects of adrenaline and other related drugs at receptor sites. They occupy both alpha-1 and alpha-2 adrenergic receptors without activating them. Clinically, they are used to modify the responses of endogenous catecholamines like adrenaline and noradrenaline in both physiological and pathophysiological conditions. Common uses include treating pheochromocytoma, hypertension, Raynaud's disease, and benign prostatic hyperplasia. Individual drugs vary in their selectivity and duration of action at different receptor subtypes. Side effects may include postural hypotension, nasal congestion, and inhibition of ejac
The respiratory system has three main functions: gas exchange, regulating blood pH, and producing sounds. It consists of the upper respiratory tract including the nose and pharynx, and the lower tract including the lungs. Respiration has three steps: pulmonary ventilation, external respiration of gas exchange in the lungs, and internal respiration of gas exchange in tissues. The lungs obtain oxygen and expel carbon dioxide through breathing which involves the muscles and elastic recoil of the lungs and chest wall. The document then discusses various respiratory structures, processes, and disorders in more detail.
Genetic polymorphisms are variations in gene sequences that occur in at least 1% of the general population, resulting in multiple alleles or variants of a gene sequence.
The most commonly occurring form of genetic variability is the single nucleotide polymorphism (SNP, often called “snip”)
Population pharmacokinetics is the study of the sources and correlates of variability in drug concentrations among individuals who are the target patient population receiving clinically relevant doses of a drug of interest
Clinical pharmacokinetics is the discipline that applies pharmacokinetic concepts and principles in humans in order to design individualized dosage regimens which optimize the therapeutic response of a medication while minimizing the chance of an adverse drug reaction.
Cardiac cycle is defined as the succession of coordinated events taking place in the heart during each beat. Each heart beat consists of two major periods called systole and diastole.
Although some lymphocytes have a lifetime measured in years, most formed elements of the blood last only hours, days, or weeks, and must be replaced continually.
Negative feedback systems regulate the total number of RBCs and platelets in circulation, and their numbers normally remain steady.
The abundance of the different types of WBCs, however, varies in response to challenges by invading pathogens and other foreign antigens.
Advances in migraine therapy pedagogy session 27/11/21PARUL UNIVERSITY
Migraine is a neurological disease that affects 12% of the US population, manifesting as severe headache pain on one side of the head that can last between 4 to 72 hours. It was previously believed to be caused by blood vessel dilation but is now understood to involve sensitization of trigeminal pathways. Stimulation of the trigeminal ganglion leads to the release of substances like CGRP that cause neurogenic inflammation linked to migraine pain. A patient presents with a history of migraine with aura and is frustrated with a lack of success from oral triptans. He is recommended to take triptans earlier in attacks and begin preventive medications or switch to parenteral triptans to improve outcomes.
The heart has four chambers. The two superior receiving chambers are the atria (= entry halls or chambers), and the two inferior pumping chambers are the ventricles (= little bellies).
On the anterior surface of each atrium is a wrinkled pouchlike structure called an auricle
Desmopressin
Lypressin
Terlipressin
Felypressin
Argipressin
ornipressin
Desmopressin: It is a selective V2-receptor agonist and is more potent than vasopressin as an antidiuretic. It has negligible vasoconstrictor action. It is administered by oral, nasal and parenteral routes. Lypressin: It acts on both V1- and V2-receptors. It is less potent but longer acting than vasopressin. It is administered parenterally. Terlipressin: It is a prodrug of vasopressin with selective V1 action. It is administered intravenously. Felypressin: It is a synthetic analogue of vasopressin. It is mainly used for its vasoconstrictor (V1 ) action along with local anaesthetics to prolong the duration of action. Felypressin should be avoided in pregnancy because of its oxytocic (uterine stimulant) activity.
Management of Peripheral Neuropathy and Cardiovascular Effects in Vitamin B1...PARUL UNIVERSITY
Peripheral nerves are susceptible to damage by a wide array of toxins, medications, and vitamin
deficiencies. Vitamin B12 (VB12) deficiency neuropathy is a rare debilitating disease that affects
mostly the elderly. It is important to consider these etiologies when approaching patients with a variety
of neuropathic presentations in this review were have included most relevant and latest information on
mechanisms causing Peripheral neuropathy in VB12 deficiency. We also have included cardiovascular
disorders and their management. Hyperhomocysteinemia has been implicated in endothelial
dysfunction and cardiovascular disease. The association of homocysteine (Hcy) and VB12 with
cardiovascular risk factors in patients with coronary artery disease (CAD) has also been studied
Moyamoya disease (MMD) is a rare and unique cerebrovascular disease. The term “moyamoya” is Japanese and refers to a hazy puff of smoke or cloud. In people with moyamoya disease, this is how the blood vessels appear in the angiogram. MMD is characterized by the progressive stenosis of the distal internal carotid artery (ICA) resulting in a hazy network of basal collaterals called moyamoya vessels. This may be a consequence of Mutations in a few genes. In addition, MMD is also associated with many genetically transmitted disorders, including neurofibromatosis, Down syndrome, Sickle cell anemia, and Collagen vascular disease. It follows bimodal age distribution. Younger populations present with ischaemic symptoms, whereas adults show hemorrhagic symptoms The exact cause remains unknown. Immune, genetic and other factors contribute to this disease. It follows complex pathophysiology resulting in neovascularization as a compensatory mechanism. Diagnosis is based on cerebral angiography using the DSA scale. Treatment involves managing symptoms with medicine or surgery, improving blood flow to the brain, and controlling seizures. Revascularization helps to rebuild the blood supply to the underside of the brain.
A case report on Rheumatoid Arthritis with sickle cell traitPARUL UNIVERSITY
A female patient aged 6 years, a suspected case of sickle cell trait (SCT) having symptoms of Rheumatoid arthritis (RA),
while evaluating joint complaints in adult sickle cell disease (SCD) patients, a number of sickle cell-based entities come
to mind such as avascular necrosis, osteomyelitis, bone infarcts, and septic arthritis. RA is a chronic systemic
inflammatory disease, many reports highlighted the occurrence of RA in SCD presenting as diagnostic challenges for
cases with chronic inflammatory arthritis, SCT also have appeared to persist in some populations at a perplexingly high
rate given the degree of early mortality of homozygosity of SCD, our case report showed that not only SCD but if a patient
has SCT they can develop RA as complication. Our case report concludes that during the evaluation of a SCT patient who
presents with chronic synovitis, one should strongly consider the possibility of coexistence of RA and SCT.
The appendicular skeleton consists of the
shoulder girdle with the upper limbs and the
pelvic girdle with the lower limbs
Shoulder girdle and upper limb:
Each shoulder girdle consists of:
•1 clavicle
•1 scapula.
Each upper limb consists of the following bones:
1 humerus, 1 radius, 1 ulna, 8 carpal bones, 5 metacarpal bones and 14 phalanges.
Histamine is a biogenic amine present in many tissues that functions as a neurotransmitter and is involved in inflammatory and hypersensitivity reactions. It is synthesized from the amino acid histidine. Histamine acts through multiple receptor subtypes and is involved in various physiological processes like gastric acid secretion, smooth muscle contraction, and allergic responses. Antihistamines competitively inhibit histamine receptors, with first generation antihistamines having sedative effects and second generation ones having minimal side effects. They are used to treat allergic disorders, as antiemetics, and for gastric acid reduction with H2 blockers. Concerns have been raised about impurities in the H2 blocker ranitidine. While H3
Anabolic steroids promote protein synthesis and increase muscle mass, resulting in weight gain.
Testosterone is secreted by the testis and is the main androgen in the plasma of men. In women, testosterone (in small amounts) is secreted by the ovary and adrenal glands. Many of the androgens are modified forms of testosterone
Kinetics: Absorbed orally and from of injection site and undergoes rapid first pass metabolism and quick metabolism respectively. In order to retard the rate of absorption, testosterone esters in oil are used which are less polar than the free steroid.
DKA
HHS
CASE DISCUSSION
DIABETES COMPLICATION
Hyperglycaemia is the main cause leading to dehydration due to osmotic diuresis which, if severe, results in hyperosmolarity. In HHS, unlike diabetic ketoacidosis, there is no significant ketone production and therefore no severe acidosis.
Hyperosmolarity may increase blood viscosity and the risk of thromboembolism. Factors precipitating HHS are infection, myocardial infarction, poor adherence with medication regimens or medicines which cause diuresis or impair glucose tolerance, for example, glucocorticoids.
A study on the pharmacological management of mineral bone disease in chronick...PARUL UNIVERSITY
This document summarizes a study on the pharmacological management of mineral bone disease in chronic kidney disease patients. The study included 180 patients with chronic kidney disease divided into groups with and without diabetes mellitus. Key findings include:
1) Serum calcium levels were significantly increased and estimated GFR significantly decreased in all patients at conclusion compared to baseline.
2) Serum calcium levels were significantly higher at conclusion in non-diabetic CKD patients, while estimated GFR decreased significantly in diabetic CKD patients.
3) The proportion of untreated patients was high for all drugs except vitamin D analogues in both CKD subgroups.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
1. ALPHA RECEPTOR
BLOCKERS
Dr. S P Srinivas Nayak, PharmD, (MSc).
Assistant Professor, Sultan-ul-Uloom
college of Pharmacy, Hyderabad,
Telangana, India.
2. ALPHA RECEPTORS
EFFECT OF ACTIVATION OF ALPHA1-RECEPTORS
Blood vessels: Constriction.
GI sphincter (anal): Increase in tone.
Urinary sphincter: Increase in tone.
Radial muscle (iris): Contraction (mydriasis).
3. EFFECT OF ACTIVATION OF
ALPHA 2 -RECEPTORS
1. Effect of activation of presynaptic Alpha 2 receptors:
Mediate negative-feedback control on NA secretion.
2. Effect of activation of postsynaptic alpha 2
receptors: Vasoconstriction and venoconstriction.
3. Effect of activation of alpha 2 –receptors on various
tissues:
a) Beta cells of islets of Langerhans in pancreas:
Decrease in insulin secretion.
b) Ciliary epithelium: Reduction of aqueous humor
secretion.
c) Sympathetic nerve endings: Decrease in NA release.
4.
5.
6.
7. Pharmacology of Alpha Blockers
• PHENOXYBENZAMINE
• it is a nonselective irreversible alpha blocker that blocks
both alpha1 and alpha2-receptors.
• It binds covalently to alpha-receptors and causes
irreversible blockade. It also inhibits the reuptake of NA
into the adrenergic nerve endings.
Phrmacolgical Actions:(mixed action)
1. reduces Peripheral vascular resistance due to the blockade
of vascular alpha 1-receptors.
2. Increased release of NA from the adrenergic nerve endings
due to the blockade of presynaptic alpha 2-receptors. This
may cause cardiac stimulation and produce tachycardia,
palpitation, cardiac arrhythmias, etc.
Use: pheochromocytoma
8.
9.
10. PHENTOLAMINE
• Phentolamine is an imidazoline derivative. It competitively
blocks the effects of NA at both alpha 1 and alpha2
receptors. It can also block 5-HT receptors, K+ channels and
cause histamine release from mast cells.
• Phentolamine is given intravenously
and has rapid onset but short duration of action.
• It is used intraoperatively during surgery of
phaeochromocytoma and
• in hypertensive emergencies
• Adverse effects :They include tachycardia,
• palpitation, arrhythmias; angina and MI may be
precipitated.
11. SELECTIVE ALPHA 1-
BLOCKERS
• Prazosin is a potent and selective alpha1 blocker.
given orally. It is well absorbed from GI tract, but
undergoes Extensive first-pass metabolism.
First-dose phenomenon:
Within 30–90 min of oral administration of prazosin,
severe postural hypotension and syncopal attacks may be seen with
first dose. Therefore, the initial dose should be small (1 mg). It is
usually given at bed time so that the patient remains in bed for several
hours and the risk of syncopal attack is reduced.
12. OTHER SELECTIVE ALPHA1-
BLOCKERS
• Terazosin is similar to prazosin, but less potent
than prazosin. It is almost completely absorbed
after oral administration and has a longer
duration of action.
• Doxazosin is the longest-acting, selective alpha 1-
blocker. The haemodynamic effects,
bioavailability and extent of metabolism are
similar to prazosin.
• Alfuzosin blocks all subtypes of alpha 1-receptors
(alpha 1A, 1B and 1D). It is orally effective and
used in benign prostatic hyperplasia (BPH)
13. TAMSULOSIN
• Tamsulosin is an uroselective alpha 1-blocker (alpha 1A). At
low doses, it reduces the resistance to flow of urine with little
effect on BP. It is administered orally and is the preferred
alpha 1-blocker for the treatment of benign prostatic
hyperplasia (BPH) in normotensive patients. It may cause
retrograde ejaculation
14. YOHIMBINE
• Yohimbine An alkaloid from West African plant
Yohimbehe. It is a relatively selective α2 blocker with
short duration of action. Also blocks 5-HT receptors.
Heart rate and BP are generally elevated due to
increased central sympathetic outflow as well as
peripheral NA release.
• Other CNS effects include excitation, tremor, ADH
release (antidiuresis), nausea and vomiting. It may
cause congestion of genitals and has been claimed to
be an aphrodisiac. This effect is only psychological, but
can overcome psychogenic impotence in some
patients. There are no valid indications for clinical use
of yohimbine.
15. ERGOT ALKALOIDS
• The natural ergot alkaloids produce long lasting
vasoconstriction which predominates over their
α blocking action—peripheral vascular
insufficiency and gangrene of toes and fingers
occurs in ergotism.
• Ergotoxine is a more potent α blocker and less
potent vasoconstrictor than ergotamine.
• The α blockade produced by clinical doses of
ergot alkaloids is low grade and short lasting;
they are not employed for this purpose. The
principal use is in migraine