Potency - ✔✔✔ - Dose of drug required to produce given effect; 50% of maximal response the drug is
capable of producing
Efficiacy - ✔✔✔ - Maximal response a drug is capable of producing
Ka - ✔✔✔ - Volume needed to get one mole of an unbound drug when 50% of target receptors are
occupied. L/mole
Kd - ✔✔✔ - Concentration of drug in the plasma when 50% of the target receptors are occupied. Mole/L
Non-competitive (irreversible) antagonist LDR curve - ✔✔✔ - Moves to the right and down
Competitive (reversible) antagonist LDR curve - ✔✔✔ - Moves to the right and parallel
Synthesis of NE - ✔✔✔ - Occurs at adrenergic neuron; Tyrosine to DOPA to dopamine to NE. Binds to
alpha and beta receptors. Degraded by COMT and MAO.
Bethanechol - ✔✔✔ - Muscarinic agonist prototype. Selective, binds to M3 receptors in the bladder and
causes bladder muscle contraction and sphincter relaxation.
Indicated for urinary retention in postop or pp pts.
AEs: salivation, lacrimation, bronchospasm, diarrhea, and bradycardia
Antihypertensive: inhibits NE release by binding to presynaptic alpha 2 receptors, inhibits sympathetic
outflow in CNS (these are greater than vasoconstrictive effects)
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