Adrenergic agonist (sympathomimetic Direct , indirect , mixed ) acting mechanism of action ang pharmacological action of heart and blood vessels

 





Adrenergic agonist (sympathomimetic Direct , indirect , mixed ) acting .

Direct 

  • natural (epinephrine , norepinephrine , dopamine )
  • Synthetic ( isoproterenol, Fenoldopam , dobutamine , oxymetazoline , phenylephrine , clonidine , albuterol , terbutaline , salmeterol , formoterol , mirabegron )
  • Stimulation of sympathetic nervous system and release of epinephrine or norepinephrine (act on Alfa and beta rec )  .


Indirect 

  • Drug: amphetamine , Tyramine and cocaine 
  • When norepinephrine binding on rec Alfa and beta rec the amphetamine was agent block of reuptake norepinephrine and epinephrine from synapse , my drug prevent effective of postsynaptic receptor and may enhance product epinephrine ,norepinephrine , and other neurotransmitter endogenously

Mixed action  

  • Drug: ephedrine and pseudoephedrine 
  • They have both effect at neurotransmitter directly by promote  release from storage and prevent any thing can break norepinephrine , epinephrine  in synapse as Catechol-O-methyl-transferase that play role in reuptake of neurotransmitter from adrenergic neuron 


There are many drug act as adrenergic agonist 

  • Non selective Alfa and Beta rec : ephedrine and pseudoephedrine , epinephrine , dopamine fenoldopam . 
  • selective on Alfa 1 : phenylephrine .  
  • selective on Alfa 2 : clonidine .
  • non selective on Alfa 1 and 2 : oxymetazoline  norepinephrine
  • selective on Beta 1 : dobutamine .
  • selective on Beta 2 : , albuterol , terbutaline , salmeterol , formoterol .
  • selective on Beta 3 : mirabegron .
  • non selective on Beta 1, 2 , 3 : isoproterenol .

 

pharmacological action ( non selective Alfa and Beta receptor ) : 

  • In general used as vasodilation and vasoconstriction .
  • The effect depending on dosing at low and high .
  • pharmacological action on heart : have positive effect for heart as heart failure disease and cardiac output and cardiac contractility .
  • pharmacological action on blood vessels : there are tow ways in BV vasodilation and vasoconstriction .

The epinephrine is effect as construct (Alfa effect ) in small capillary , smooth muscle and mucous cells  . dilator on vessel that going to skeletal muscle and they are found in the liver ( Beta cells )

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