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Autonomic Nervous System (ANS)

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I- Direct acting adrenergic agonists<br />

1- Epinephrine (Adrenaline) A:<br />

- Natural catecholamine, commonly used in<br />

therapy.<br />

- In therapeutic low doses : β R effect<br />

- At high dose : α R effect<br />

Biotransformation:<br />

C.A metabolized by COMT and MAO, and result in<br />

production of metanephrine & vanillyl-mandelic<br />

acid (VMA) in urine.<br />

Note:<br />

A destroyed by acid of stomach & so not effective<br />

orally & usually given SC or IM injection.<br />

-

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