Difference between revisions of "Adrenergic Pharmacology"

From Seth's Wiki
Jump to navigation Jump to search
Line 4: Line 4:
 
! Receptor !! Binding Affinity !! Effects !! Mechanism !! Agonists !! Antagonists
 
! Receptor !! Binding Affinity !! Effects !! Mechanism !! Agonists !! Antagonists
 
|-
 
|-
| α1 || Norepi > Epi >> Iso || Smooth muscle contraction || Gq, PLC -> IP3/DAG  
+
| α1 || NE > Epi >> Iso || Smooth muscle contraction || Gq, PLC -> IP3/DAG  
 
|  
 
|  
*Norepi
+
*NE
 
*Phenylephrine
 
*Phenylephrine
 
*Midodrine  
 
*Midodrine  
Line 14: Line 14:
 
*Tamsulosin
 
*Tamsulosin
 
|-
 
|-
| α2 || Epi = Norepi >> Iso || Mixed effects || Gi, presynaptic, cAMP down  
+
| α2 || Epi = NE >> Iso || Mixed effects || Gi, presynaptic, cAMP down  
 
|  
 
|  
 
*Dexmedetomidine
 
*Dexmedetomidine
Line 24: Line 24:
 
*Trazodone
 
*Trazodone
 
|-
 
|-
| β1 || Iso > Norepi > Epi || Chronotropy, Inotropy, Amylase secretion || Gs, cAMP up
+
| β1 || Iso > NE > Epi || Chronotropy, Inotropy, Amylase secretion || Gs, cAMP up
 
|
 
|
 
*Dobutamine
 
*Dobutamine
Line 35: Line 35:
 
*Esmolol
 
*Esmolol
 
|-
 
|-
| β2 || Iso > Epi > Norepi || Smooth muscle relaxation || Gs, cAMP up
+
| β2 || Iso > Epi > NE || Smooth muscle relaxation || Gs, cAMP up
 
|
 
|
 
*Albuterol
 
*Albuterol
Line 52: Line 52:
 
*Labet'''alol''' (anti-α1)
 
*Labet'''alol''' (anti-α1)
 
|-
 
|-
| β3 || Iso > Epi = Norepi || Lipolysis, bladder detrusor relaxation || Gs, cAMP up  
+
| β3 || Iso > Epi = NE || Lipolysis, bladder detrusor relaxation || Gs, cAMP up  
 
|
 
|
 
*Mirabegron
 
*Mirabegron

Revision as of 23:08, 1 February 2023

Adrenergic Receptors
Receptor Binding Affinity Effects Mechanism Agonists Antagonists
α1 NE > Epi >> Iso Smooth muscle contraction Gq, PLC -> IP3/DAG
  • NE
  • Phenylephrine
  • Midodrine

α1 selective:

  • Prazosin
  • Tamsulosin
α2 Epi = NE >> Iso Mixed effects Gi, presynaptic, cAMP down
  • Dexmedetomidine
  • Clonidine

Non-selective:

  • Phenoxybenzamine
  • Phentolamine
  • Trazodone
β1 Iso > NE > Epi Chronotropy, Inotropy, Amylase secretion Gs, cAMP up
  • Dobutamine
  • Isoprenaline
  • Norepi

Cardiac Selective:

  • Metoprolol
  • Atenolol
  • Esmolol
β2 Iso > Epi > NE Smooth muscle relaxation Gs, cAMP up
  • Albuterol
  • Formoterol
  • Isoprenaline
  • Salmeterol
  • Terbutaline
  • Ritodrine

Non-Selective:

  • Propranolol
  • Nadolol
  • Pindolol
  • Timolol
  • Carvedilol (anti-α1)
  • Labetalol (anti-α1)
β3 Iso > Epi = NE Lipolysis, bladder detrusor relaxation Gs, cAMP up
  • Mirabegron
  • SR 59230A