Monday, November 11, 2013

adenosine

商品名(trade name)

藥理作用(Pharmacological Effects)
[Acts on A1 receptors on AV node through Gi protein
[[K+ efflux increase: activates ACh M2 recepotr 
[[Ca 2+ influx decrease (via ↓c-AMP)
[[AV node automaticity, slow A-V conduction
[Shorten atrial APD
APD=action potential duration
用量與用法(Dosage and Usage)

適應症(Indications)
{IV bolus for acute termination
{reentry supraventricular tachycardia: Paroxysmal supraventricular tachycardia, PSVT
副作用(Side effect)
}Transient asystole(<10 sec.)
}chest fullness
}dyspnea(呼吸困難)
禁忌/交互作用(Contraindications / interaction)
Contraindications
?Atrial Flutter(心房撲動) with Wolff-Parkinson-White Syndrome, WPW syndrome
interaction
?Dipyridamole: Dipyridamole可以抑制adenosine在細胞外的回收,使的adenosine的濃度升高,胞外的adenosine會與細胞上的adenosine type2A receptor結合,再藉由Gs protein活化adenyl cyclase,使細胞內cAMP濃度上升,活化protein kinase,使ATP dependent的鉀離子通道打開,血管平滑肌過極化,造成肌肉的放鬆,達到血管擴張的效果

資料來源:asthma
?Theophylline: inhibition adenosine effect, due to Theophylline block A1 receptors
?caffeine: inhibition adenosine effect, due to Theophylline block A1 receptors
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