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 )