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Phentolamine Adrenergic activity? Blood pressure tracing before and after epinephrine? |
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ɑ1, ɑ2 antagonist Blood pressure tracing: phentolamine Vasodilation, decrease in B.P. Blocks constriction by ɑ receptors maintained by E Blood pressure tracing: epinephrine, phentolamine Initial rise (?), decrease in blood pressure Treatment for hypertension by vasodilation |
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Phentolamine
Adverse effects? |
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Orthohypotension Increased GI motility Nasal stuffiness |
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Propanolol Adrenergic effects? |
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Decrease in contractile force and heart rate β1 Increase in blood pressure retained after epinephrine administration ɑ1 vasoconstriction |
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β1, β2 antagonist Highly susceptible to first pass effect, t1/2 = 4 hrs Lipid soluble, plasma protein bound Eliminated by hepatic metabolism |
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Hypertension by decreased heart rate and contractility and renin release Arrhythmias, when used in combo with a vasodilator Ischemic heart disease |
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Bronchoconstriction (β2 receptor block) Congestive heart failure Bradycardia Rebound hypertension |
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β1 antagonist Cardiac effect only |
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Partial β antagonist Lesser bronchoconstriction Less rebound hypertension Less bradycardia |
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Renal elimination t1/2 = 14-24 hrs |
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β1 antagonist t1/2 = 10 mins |
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NE synthesis inhibitor (competitive) Tyrosine hydroxylase Tyr → DOPA → dopamine → NE |
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