Alpha 1 receptor
(Effects)
|
Vasoconstriction
Mydriasis
|
Alpha 2 receptor
(effects)
|
Vasodilation
Sedation & analgesia
|
Beta 1 receptor
(function)
|
+ve ionotropy
Tachycardia
|
Beta 2 receptors
(function)
|
Bronchodilation
Vasodilation (musc)
Uterine relaxation
|
Alpha 1 Agonist
|
Phenylephrine
|
Alpha 1 Antagonist
|
Prasozin
|
Alpha 2 Agonist
|
Xylazine
Detomidine
|
Alpha 2 Antagonist
|
Yohimbine
Atipamezole
|
Beta 2 receptor Antagonist
|
Propranolol
|
Beta 1 receptor
Agonist
|
Dobutamine
Dopamine
|
Beta 2 Receptor
Agonist
|
Salbutamol
Clenbuterol
|
Beta 1 receptor
Antagonist
|
Atenelol
Metoprolol
|
Beta 3 Receptor Function
|
Lipolysis
|
M1 receptor Funciton
|
Neural
CNS excitation, Gastric acid secretion, Gut motility
|
M2 Receptor function
|
Cardiac
&
Neural inhibition
|
M3 receptor funciton
|
Glandular
Secretion, smooth muscle contraction, Vasodilation (NO)
|
M4 receptor function
|
CNS
Smooth muscle
|
M5 receptor function
|
substantia nigra, Salivary glands, Iris
|
ACh effects
|
Decreased blood pressure
Bradychardia
Increased secretion and motility in GI tract
Smooth muscle contraction in bladder, Uterus, bronchioles
Convulsions
Stimulation of autonomic ganglia and adrenal medulla
Skeletal muscle contraction
|
Direct-acting
Parasymathomiments
|
Acetylcholine
Bethanechol (PO)
Pilocarpine (eye)
Carbachol
Muscarine (poisoning)
|
Bethanechol effects
|
Contracts detrusor muscle (bladder paralysis)
[Selectivity for M3 receptors]
|
When do you not use Bethanechol?
|
GI obstruction
|
Pilocarpine effects
|
Induces miosis 2-6 hours (iris contraction)
Decreases IOP
(lifts Iris from trabecular meshwork)
|
When do you not use Pilocarpine
|
Anterior uveitis
or
Anterior lens luxation
|
Reversible anticholinesterases
(Indirect-acting Parasymathomiments)
|
Neostigmine
Edrophonium
Pyridostigmine
Physostigmine
Demecarium
Carbamates
|
Neostigmine
'uses'
|
Reversal of Competitive NMB
Rumen atony
Initiating peristalsis
Emptying the bladder
Myasthenia gravis (usually longer acting pyridostimine)
|
Edrophonium
|
Diagnose Myasthenia gravis (dogs/cats)
[Shorter acting t/ Neostigmine)
|
When Edrophonium is used to Diagnose a problem;
What are the two possible outcomes?
|
Myasthenic crisis
(improved muscle funciton)
Cholinergic crisis
(muscle weakness)
|
Irreversible anticholinesterases
[Indirect-acting parasymathomiments]
|
Echthiophate (eye)
Diisopropyl fluorophosphate (eye)
Antiparasitics
Insecticides/Pesticides
|
Echotiophate/DFP (Diisopropyl fluorophosphate)
Effect
|
Miosis (12 hours)
Decreased IOP (lifting meshwork)
|
When do you not use Echotiophate /diisopropyl fluorophophate?
|
Anterior uveitis
anterior lens luxation
[same as pilocarpine]
|
Organophosphate toxicity
Treatment
|
Atropine
Pralidoxime
|
Direct-acting parasymathhomiments
examples
|
Atropine
Glycopyrrolate
Scopolamine (hyosine)
Aminopentamide
Oxybutynin
Propantheline
Pirenzepine (M1-gut only)
Ipratropium
|
Atropine effects
|
Dries secretions
Slows gut
Tachycardia
Bronchodilation
Mydriasis
Cycoplegia
Difficulty w/ urination
|
Atropine
Indications
|
Anesthetic pre-medication
Gut-spasm (not very effective)
Bradycardia
Organophosphate poisoning
|
Atropine
Contraindications
|
Glaucoma
Tachycardia
|
Atropine
Precautions/Considerations
|
Horses-panic (adynamic ileus)
Ruminants- decreased parotid, sticky saliva
Cats- hypersalivation, bitter taste
Rabbits- break it down quickly
|
Glycopyrrolate
'Facts'
|
Muscarinic antagonist
Specific- Heart
Less tachyarrhythmias
Pre-anesthetic: Dogs/Cats
[longer lasting- Atropine, more expensive]
|
Scopolamine
|
More CNS effects t/ atropine
[Direct-acting parasymathomimentics]
|
N-butylscopolammonium Bromide
|
Does not cross the BBB
-NSAIDs
[Direct-acting parasymathomimetics]
|
Aminopentamide
|
GI indications; Vomiting/diarrhea/nausea/visceral spasm
Cats/Dogs
|
Oxybutynin/
Propantheline
|
Relax the bladder wall
Allows filling
[Direct-acting parasymathomimetics]
|
Examples of;
Muscarinic agonists as mydraitics
|
Atropine
Tropicamide
Homatropine
Cyclopentolate
Scopolamine
|
Treatments for:
Heart Failure
|
Epinephrine
B1 agonists
|
Treatments for:
Anaphylactic reaction
|
Epinephrine
|
Treatments for:
Airway obstruction
|
Clenbuterol
Albuterol
B2 agonists
|
What would you use to slow a heart-rate?
|
B1 blockers
|
What would you use for vasodilation?
(think general)
|
A1 blockers
|
Alpha 1 selective agonist
|
Phenylephrine
|
Alpha 2 selective agonist
examples
|
Xylazine
Detomidine
Medetomidine
Dexmedetomidine
Romifidine
|
What is special about the A2 agonist Brimonidine?
|
Very little CNS effects
|
Main use of Phenylephrine
|
Hypotension/shock
(Eye Diagnostic) Mydriasis
|
Ractopamine/Zilpaterol
|
Non-selective B agonists
Partitioning agents (weight/feed/leanness)
|
Which species is Ractopamine used in?
|
Pigs, Cattle, Turkeys
[Non-selective B agonists]
(Partitioning)
|
What species is Zilpaterol used in?
|
Cattle
'Partitioning agent'
[Non selective B agonist]
|
Which receptors does Isoxsuprine work on?
|
B2 agonist/ A1 antagonist
|
What are Albuterol/Clenbuterol used for?
|
Asthma, COPD, Acute bronchitis
Ciliary augmenters
|
Adverse effects of:
Albuterol/Clenbuterol
|
-Cardiostimulation, Vasodilation, uterine relaxation
-Nervousness, sweating, muscle tremors
-Receptor down-regulation
|
Direct+Indirect-acting Sympathomimentics
Examples
|
Phenylpropanolamine
Ephedrine
Pseudoephedrine
|