Mindblown: a blog about philosophy.

  • NOR ADRENALINE

    Nor adrenaline is the neurochemical mediator released by nerve impulses and various drugs from the postganglionic adrenergic nerves. It also constitutes 20% of the adrenal medulla catecholamine out put. Pharmacokinetics Like adrenaline, noradrenaline is ineffective orally so it has to be given intravenously with caution. It is not given subcutaneous or intramuscularly because of its…

  • ADRENALINE

    This is the prototype of adrenergic drugs and is produced in the body by the cells of the Adrenal medulla and by chromaffin tissues. Pharmacokinetics Adrenaline is rapidly destroyed in the gastrointestinal tract, conjugated, and oxidized in the liver. It is therefore ineffective when given orally and should be given intramuscularly or subcutaneous. Intravenous injection…

  • ADRENERGIC DRUGS

    As their name suggests, these drugs resemble sympathetic nerve stimulation in their effects; they may be divided into two groups on the basics of their chemical structure. 1. Catecholamines: -these are compounds which have the catechol nucleus. Catecholamines have a direct action on sympathetic effectors cells through interactions with receptor sites on the cell membrane.…

  • SYNTHETIC ATROPINE DERIVATIVES

    There are a number of synthetic atropine derivatives, which are used in the treatment of various conditions, their actions are similar to that of atropine but have fewer side effects. These groups of drugs include Mydriatic atropine substitutes, this group of drugs have shorter duration of action than atropine and are used locally in the…

  • HYOSCINE (SCOPOLAMINE)

    This drug has the same effect as atropine except for some differences which includes:- It has shorter duration of action It is more depressant to the CNS. All other properties are similar to atropine. It has certain advantage over atropine. These include: Better for preanesthetic medication because of strong antisecretory and antiemetic action and also…

  • ATROPINE

    Atropine is found in the plant Atropa belladonna and it is the prototype of muscarinic antagonists. Pharmacokinetics Atropine is absorbed completely from all sites of administration except from the skin wall, where absorption is for limited extent; it has good distribution. About 60% of the drug is excreted unchanged in urine. Pharmacodynamics Atropine antagonizes the…

  • ANTICHOLINERGICS

    Anticholinergics block the effects of acetylcholine and other cholinergic drugs at cholinergic receptors of effector cells. Anticholinergics fall into two major families: Antinicotinics which include ganglion blockers such as hexamethonium, trimethaphan, etc., and neuromuscular blockers such as gallamine, tubocurarine, pancuronium, etc. Antimuscarinics include tertiary amines such as atropine, scopolamine, tropicamide, etc, andquaternary amines such as…

  • NEOSTIGMINE

    Pharmacokinetics This drug is poorly absorbed from the gastro intestinal tract and is poorly distributed throughout the body; it cannot pass the blood brain barrier. Pharmacodynamics Just like physostigmine, it inhibits cholinesterase enzyme; but unlike physostigmine, it has a direct nicotinic action on skeletal muscles. Indications Myasthenia gravis Paralytic Ileus Reversal of effect of muscle…

  • PHYSOSTIGMINE

    Pharmacokinetics This drug is completely absorbed from the gastrointestinal and is highly distributed throughout the body; it can pass the blood brain barrier. Pharmacodynamics Inhibits the enzyme cholinesterase; therefore, it increases and prolongs the effect of endogenous acetylcholine at the different sites.It has no direct effect on cholinergic receptors. Indications Glaucoma Atropine over dosage

  • PILOCARPINE

    Pharmacokinetics This drug is readily absorbed from the gastrointestinal tract and it is not hydrolyzed by cholinesterase enzyme. It is excreted partly destroyed and partly unchanged in the urine. Pharmacodynamics The drug directly stimulates the muscarinic receptors to bring about all the muscarinic effects of acetylcholine. Indications Glaucoma ANTICHOLINESTERASE DRUGS The commonly used cholinesterase inhibitors…

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