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 |
Monday, November 11, 2013
adenosine
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