Showing posts with label Autonomic Nervous System. Show all posts
Showing posts with label Autonomic Nervous System. Show all posts

Sunday, November 27, 2016

Autonomic nervous system classification

Cholinergic drugs 

Anticholinergic drugs 

Adrenergic drugs

Antiadrenergic drugs 

Ganglion stimulant and blockers

Ganglion stimulant and blockers classification


1) Ganglionic Stimulants
a) Non-selective/muscarinic agonists

Acetylcholine
Carbachol
Pilocarpine
Anticholinesterases

b) Selective nicotinic agonists

Nicotine (low dose)
Lobeline
Dimethyl phenyl piperazinium iodide (DMPP)
Tetramethyl ammonium (TMA)

2) Ganglion Blocking Agents
a) Persistent depolarizing blockers

Nicotine (high dose)
Anticholinesterases (high dose)

b) Competitive blockers

Trimethaphan
Mecamylamine
Hexamethonium
Pempidine
Pentolinium

Anti-adrenergic drugs classification


1) α Blockers
a) Non-equilibrium type
Phenoxybenzamine
b) Equilibrium type
i) Non-selective
Ergot alkaloids and derivatives

Ergotamine
Ergotoxine
Dihydroergotamine (DHE)
Dihydroergotoxine

Imidazolines

Phentolamine
Tolazoline

Others

Ketanserin
Chlorpromazine

ii) α1 Selective

Prazosin
Doxazosin
Terazosin
Tamsulosin
Alfuzosin

iii) α2 Selective
Yohimbine


2) β Blockers
a)Non-selective
i) Without intrinsic sympathomimetic activity

Propranolol
Sotalol
Timolol

ii) With intrinsic sympathomimetic activity
Pindol
b) Cardioselective (β1)

Atenolol
Acebutolol
Metoprolol
Bisoprolol
Celiprolol
Esmolol
Betaxolol
Nebivolol

c)β2 selective
Butoxamine

3) α and β blockers

Labetalol
Carvedilol

Adrenergic drugs classification


1) Based on Structure  
a) Catecholamines
i) Natural

Adrenaline
Noradrenaline

Dopamine
ii) Synthetic

Isoprenaline
Dobutamine

b) Non Catecholamines

Ephedrine
Amphetamine
Mephentermine
Phenylephrine


2) Based on Mechanism of Action
a) Directly acting

Adrenaline
Noradrenaline
Isoprenaline
Phenylephrine
Salbutamol
Methoxamine
Xylometazoline

b) Indirectly acting
Tyramine
c) Acting by both mechanisms

Ephedrine
Amphetamine
Mephentermine


3) Based on Spectrum of Activity
a)α agonists

i) α1 selective
Phenylephrine
ii) α2 selective
Clonidine

b) β Agonists

i) Non-selective
Isoprenaline
ii) β1 selective
Dobutamine

iii) β2 selective
Terbutaline
Salbutamol

c) α and β agonists

Adrenaline
Noradrenaline

d) Dopamine agonists Dopamine (D1 and D2)
Fenoldopam

4) Clinical/ Therapeutic Classification
a) Pressor agents

Dopamine
Noradrenaline
Methoxamine
Mephentermine
Phenylephrine
Ephedrine

b) Cardiac stimulants

Adrenaline
Dobutamine
Isoprenaline

c) CNS stimulants

Amphetamine
Dexamphetamine
Methamphetamine

d) Bronchodilators

Adrenaline
Isoprenaline
Salbutamol
Salmeterol
Formoterol
Bambuterol
Fenoterol
Terbutaline
Orciprenaline
Isoetherine

e)Nasal decongestants

Naphazoline
Xylometazoline
Oxymetazoline
Phenylephrine
Pseudoephedrine
Phenylpropanolamine
Propylhexedrine

f) Uterine relaxants & vasodilators

Ritodrine
Isoxsuprine
Salbutamol
Terbutaline

g) Anorectics (appetite suppressants)

Fenfluramine
Dexfenfluramine
Sibutramine


Anticholinergic drugs classifiaction


1) Natural Alkaloids

Atropine
Hyoscine


2) Semi-synthetic Derivatives

Homatropine
Atropine methonitrate
Hyoscine butyl bromide
Ipratropium bromide
Tiotropium bromide


3) Synthetic Compounds
a) Mydriatics

Cyclopentolate
Tropicamide

b) Antisecretory antispasmodics
i) Tertiary amines

Dicyclomine
Oxybutynin
Flavoxate
Pirenzepine
Tolterodine
Telenzepine
Trospium
Solifenacin
Darifenacin
Fesoterodine

ii) Quaternary compounds

Propantheline
Glycopyrrolate
Oxyphenonium
Clidinium
Pipenzolate

c) Antiparkinson

Benzhexol
Biperiden
Benztropine
Procyclidine
Ethopropazine