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Clinical pharmacy 2024/2025                            Level 3 Pharm D                             Pharmacology 1 (PO 502)

                    Adrenergic receptors are classified as alpha (α) and beta (β)


                        α-receptors                                         β-receptors
              (smooth muscle, blood vessels)                      )heart , kidney , blood vessels)

          subdivided into                               subdivided into
             1.  α1 (post-synaptic)                         1.  β1 (Heart),
             2.  α2  (pre-synaptic)→ Auto                   2.  β2 (Lung , kidney, smooth muscle and
                regulatory                                      most other sites)

                                                            3.  β3 in adipose tissues
             Nb

            ❖ α2 agonist →   NE release →  activity of α1
            ❖ α2 Antagonist →   NE release→ activity of α1

                                ➢  Ahlquist & discovery of Receptor (1948) dead 1983
























                       Epi                                NE                           Isoproterenol

          Relaxation & Contraction            Contraction of Smooth               Relaxation of Smooth
               of Smooth muscle                         muscle                             muscle



          Act on 2 different receptors        Act pure on receptor ➔             Act pure on receptor ➔
                    ➔  & B                            called                             called β



                                               rank order by Ahlquist


                                           On         NE > Epi >>>> Iso

                                           On β       Isoproterenol > E> NE




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