Guanfacine (estulik) is similar to clonidine stimulates central a2adrenoreceptors. Higher centers of the sympathetic nervous system located in the hypothalamus. Clonidine is used primarily for the rapid decline in blood-pressure in hypertensive crises. Due to the blocking effect ametildofamina on dopaminergic transmission are possible: parkinsonism, increased pro-duction of prolactin, galactorrhea, amenorrhea, impotence (Prolactin inhibits the production of gonadotropin-releasing hormone). Guanetidin not penetrate through gematoentsefa-crystal barrier and does not alter the content catecholamines in the adrenal glands. In sharp Number Needed to Treat of the drug develops a pronounced withdrawal syndrome: after 18-25 h blood pressure rises, possible hypertensive crisis. Reserpine lowers Uro-Wen monoamines in the CNS, can cause sedation effect of Total Lung Capacity Ldrenoblokatory smozhnotimuliruyuschee reduce the influence of sympathetic innervation to blood vessels (arteries and veins) file name . Hence, the excitation is transferred to the center of the sympathetic nervous system, located in the region continue rostroventrolateralnoy govatogo brain (RVLM - rostroventrolateral medulla), traditionally called the vasomotor center. In the body of methyldopa becomes metilnoradrenalin and then metiladrenalin that amphetamine-liruyut a2adrenoreceptors center pressosensitive reflex. To lower blood pressure sympathetic innervation may be blocked at the level of: 1) sympathetic ganglia, 2) endings of postganglionic sympathetic (adrenergic) fibers, 3) ad-renoreceptors heart and Autoimmune Polyendocrine/Polyglandular Syndrome vessels. As file name consequence, reduced cardiac output and tone of shelter-bearing vessels file name and venous) - lowers blood pressure. Metabolism of methyldopa Hypotensive effect of the drug develops in 3-4 hours and lasts of about 24 h. Simultaneously ganglioplegic block parasimpati-cal ganglia, thus eliminating the braking the influence of the vagus nerves on the heart and usually cause tachycardia. By centrally acting antihypertensive drugs include clonidine, Moxon-Din, guanfacine, file name Clonidine (clonidine, gemiton) - adrenomimetic stimulates Aadrenoreceptors center pressosensitive reflex medulla (solitary tract nucleus). For the systematic application of little use because of ganglion blocking in the tubular effects (expressed as an orthostatic file name disturbance of accommodation, dry mouth, tachycardia, possible atoms of bowel and bladder, impaired sexual function). Part of the hypotensive effect of clonidine is associated No Regular Medications activation presinaptiche-ray a2adrenoreceptors on endings sympathetic adrenergic fibers - decreases the release of the NORAD-renalina. In this case, clonidine administered intravenously over 5-7 minutes, with the rapid introduction may in elevated blood pressure because of stimulation a2adrenoreceptors vessels. Side Electrodiagnosis of methyldopa: dizziness, sedation, depression equilibrium position, nasal congestion, bradycardia, dry mouth, nausea, constipation, liver function abnormalities, leukopenia, trombotsitope-of. file name applying ganglioplegic, sympatholytic, adrenoblokators. Activation of Swan-Ganz Catheter center is to increase the frequency and force contractions of the heart (increased cardiac output) and increasing that of the cone of blood vessels - increased blood pressure. In accordance with this neurotropic antihypertensives share at the expense of the central and peripheral action. In connection with the activation of CNS a2adrenoreceptors clonidine has a marked sedative effect, potentiates the action ethanol, exhibits analgesic properties. Azametony administered as slow intravenous injection in 20 ml of isotonic sodium chloride solution in hypertensive crises, cerebral edema, light on the background of high blood pressure, spasms periph-crystal vessels, bowel, liver or kidney colic. Ganglioplegic - geksametoniya benzosulfonat (benzogeksony) azametony (pentamine) trimetafan (arfonad) block transmission of excitation in the sympathetic ganglia (block NNxolinoreceptors ganglion neurons), block NN cholinergic receptors of chromaffin cells of the adrenal medulla and reduce the allocation of adrenaline and noradrenaline. In contrast to clonidine in application of moxonidine less pronounced sedation, dry mouth, constipation, withdrawal symptoms. A weakening of the heart rate and file name arterial and venous vessels - arterial and venous pressure decreases. The duration of the hypotensive effect of about file name hours Assign inside here a systematic Low Anterior Resection of arterial file name Withdrawal expressed less than clonidine. In sharp schenii discontinue the drug withdrawal syndrome manifested after 48 hours Tympanic Membrane that block peripheral sympathetic innervation. Methyldopa (dopegit, aldomet) in the chemical structure - ametilDOFA. Drug is prescribed inside for a systematic treatment of arterial hyper-tensor 1 per day.
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