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Adrenergic Antagonists
B blockers
24
Pharmacology
Professional
07/21/2012

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Cards

Term
Nebivolol
Definition
B1 selective
vasodilation via NO release endothelial cells
Term
labetalol and carvedilol
Definition
block a1 and b
Term
Propranolol
Definition
non-selective
blocks B2 in bronchiole smooth m.
life threatening constriction in COPD, asthma
Term
Pilocarpine + timolol
Definition
decrease aqueous humor production decreases IOP in glaucoma
Term
Propranolol
Definition
reduce performance anxiety
Term
Propranolol
Definition
tx: HTN, angina, CHF, SV tachycardia, atrial flutter, MI, migraine prophylaxis
Term
Carvedilol
Definition
HTN, CHF, improves survival in acute MI
Term
Labetalol
Definition
B1 and partial B2 antagonist
chronic or emergency HTN
can cause orthostatic hypotension
Term
Nadolol
Definition
longest acting
combined with diuretic
HTN and angina
Term
Timolol
Definition
HTN, MI, migraine, topical for glaucoma (with pilocarpine)
Term
Penbutolol
Definition
HTN, angina
Term
Pindolol
Definition
HTN, angina, glaucoma
Term
Acebutolol
Definition
least selective B1 selective
Term
Atenolol
Definition
longest 1/2 life of B1 selective
HTN, angina, MI, arrhythmia, migraine
Term
Esmolol
Definition
ultra short acting
tx in critically ill patients sensitive to bradycardia, controlling arrhythmias associated with thyroid storm
Term
Metroplol
Definition
widely used
HTN, angina, MI
Term
Nebivolol
Definition
most B1 selective
NO vasodilation
HTN
Term
Reserpine
Definition
blocks uptake into vesicles
NE accumulates in cytoplasm
degraded by MAOs = decrease NE release
drop in BP and cardiac rate
Term
Gaunethidine
Definition
blocks NE release and displaces NE from storage vesicles
gradual decrease of BP and HR
Term
Metyrosine
Definition
inhibits tyrosine hydroxylase, preventing catecholamine synthesis
rare use: pheochromocytoma
Term
Pindolol
Penbutolol
Acebutolol
Labetalol
Definition
intrinisic sympathetic activity (partial agonist)
Term
B blockers
Definition
tx HTN, angina, arrhythmias, myocardial infarction, glaucoma, migraines
Term
Acebutolol
Metoprolol
Esmolol
Atenolol
Nebivolol
Definition
B1 selective antagonists
Term
Nadolol or Atenolol
Definition
lower lipid solubility, cannot enter CNS
therefore decrease adverse effects such as sedation, sleep disturbances, and depression
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