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Additionally, the heart rate and contractile force increase when SNS is activated, which may be harmful to cardiac function as it increases metabolic demand. [ 1 ] Adrenergic blocking agents treat certain diseases through blocking the adrenergic receptor , [ 2 ] [ 3 ] preventing it from being activated by noradrenaline and epinephrine .
The mechanisms of sympathomimetic drugs can be direct-acting (direct interaction between drug and receptor), such as α-adrenergic agonists, β-adrenergic agonists, and dopaminergic agonists; or indirect-acting (interaction not between drug and receptor), such as MAOIs, COMT inhibitors, release stimulants, and reuptake inhibitors that increase the levels of endogenous catecholamines.
Alpha 1 blockers should not be used in those with a history of orthostatic hypotension, and those using calcium channel blockers or phosphodiesterase inhibitors, as they may intensify the hypotensive effect. [1] They are also contraindicated in people with heart failure as they increase blood volume and put more stress on the heart. [1]
Specific locations and functions of the α receptors. Image from Basic and Clinical Pharmacology by Bertram Katzung, et al. [1] Alpha blockers, also known as α-blockers or α-adrenoreceptor antagonists, are a class of pharmacological agents that act as antagonists on α-adrenergic receptors (α-adrenoceptors).
The adrenergic receptors or adrenoceptors are a class of G protein-coupled receptors that are targets of many catecholamines like norepinephrine (noradrenaline) and epinephrine (adrenaline) produced by the body, but also many medications like beta blockers, beta-2 (β 2) antagonists and alpha-2 (α 2) agonists, which are used to treat high ...
Alpha-adrenergic antagonists are also used for treatment of ureteric stones, pain and panic disorders, withdrawal, and anesthesia. [18] [2] Adrenergic antagonists are used to treat acute cardiovascular toxicity (e.g. in overdose) caused by sympathomimetics, for instance caused by amphetamine, methamphetamine, cocaine, ephedrine, and other drugs ...
Patients who are suffering from chronic inflammatory lung diseases such as asthma or COPD may be treated with medication targeted to induce more smooth muscle relaxation in the lungs and less contraction of the heart, including first-generation drugs like salbutamol (albuterol) and later-generation medications in the same class.
Abediterol; Amibegron; Arbutamine; Arformoterol; Arotinolol; Bambuterol; Befunolol; Bitolterol; Bromoacetylalprenololmenthane (BAAM); Broxaterol; Buphenine ...