Tuesday, November 12, 2013

methyldopa

商品名(trade name)

藥理作用(Pharmacological Effects)
[Kind of False neurotransmitter 
[analogue of dopa at alpha site, can only stimulate alpha 2 receptor and do not effect on alpha 1 receptor and beta receptor
[[L-tyrosine ⇨ L-dopa ⇨ dopamine ⇨ norepinephrine ⇨ epinephrine
[[α-methyldopa ⇨ α-methyldopamine ⇨ α-methylnorepnephrine
[reduce peripheral vascular resistance and compensate to increase cardiac output
[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
適應症(Indications)
{Patients with renal insufficiency and pregnant women can still use methyldopa
副作用(Side effect)
}Central toxicity
}}Depression
}}Sleep disturbances
}}Headaches
}}Inhibit mental acuity and forgetfulness
}}Parkinsonian signs
}Dry mouth
}Impotency
}Diarrhea
}Immunological abnormalities
}}Hemolytic anemia
}}Leukopenia; Thrombocytopenia; Red-cell aplasia
}Hepatitis: induce hepatitis
禁忌/交互作用(Contraindications / interaction)

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