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  • Aug 7, 2022
  • 1 min read

Drugs Modifying Adrenergic Transmission



α Methyl-p-tyrosine

â­Ł

Inhibits tyrosine hydroxylase (The rate-limiting enzyme)

â­Ł

Depletes catecholamines


α Methyldopa

â­Ł

Inhibits dopa decarboxylase

â­Ł

Instead of noradrenaline, α methyl adrenaline is produced

â­Ł

A false transmitter

â­Ł

Does not stimulate receptor


Guanethidine & Bretylium

â­Ł

Inhibit nerve impulse coupled release of neurotransmitters

â­Ł

Decreased adrenergic activity


Receptor agonists e.g. phenylephrine, salbutamol etc.

â­Ł

Stimulate receptors

â­Ł Increased adrenergic activity


Receptor antagonists e.g. phentolamine, propranolol etc.

â­Ł

Block receptors

â­Ł

Decreased adrenergic activity


Cocaine & Desipramine

â­Ł

Inhibit axonal uptake by NET

â­Ł

Noradrenaline stays in synaptic cleft

â­Ł

More stimulation of the receptors

â­Ł

Increased adrenergic activity


Reserpine

â­Ł

Inhibits vesicular uptake by VMAT

â­Ł

More noradrenaline stays in cytoplasm

â­Ł

Degraded by MAO

â­Ł

Decreased adrenergic activity


Amphetamine, Tyramine etc

â­Ł

Displaces noradrenaline from its storage sites

â­Ł

Noradrenaline moves into cytoplasm

â­Ł Reverse transport & exchange diffusion

â­Ł

More noradrenaline in the synaptic space

â­Ł

Stimulation of receptors

â­Ł

Increased adrenergic activity


MAO inhibitors e.g. tranylcypromine

â­Ł

Inhibits MAO

â­Ł

Catecholamines are not degraded


COMT inhibitors

â­Ł

Inhibits COMT

â­Ł

Catecholamines are not degraded

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