Tuesday, November 12, 2013

clonidine

商品名(trade name)

藥理作用(Pharmacological Effects)
[can only stimulate alpha 2 receptor and do not effect on alpha 1 receptor and beta receptor
[reduce heart rate and relax capacitance vessels-->stroke volume reduce-->reduce cardiac output (法蘭克-史達林定律(Frank-Starling law))
參見:腎上腺性接受器(Adrenoceptors)
[the effect will be not so well when salt and water retention, and use diuretics can improve this symptom--> pseudotolerance
用量與用法(Dosage and Usage)
usage
]oral, but high first pass effect
]urine excretion: 6% unchanged
]do not sudden withdrawal, will cause sudden withdrawal symptom
適應症(Indications)
{Patients with renal insufficiency and pregnant women can still use clonidine
{pheochromocytoma diagnosis: tumor do not present negative feedback and keep producing catecholamine
副作用(Side effect)
}sedation
}dry mouth
}xerastomia(毛髮乾燥)
}postural hypotension(輕微的姿勢性低血壓)
禁忌/交互作用(Contraindications / interaction)

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