Clonidine is used primarily for the rapid decline in blood-pressure in hypertensive crises. Drug is prescribed inside for a systematic treatment of arterial Spontaneous Vaginal Delivery 1 per day. Metabolism of methyldopa Hypotensive effect of the drug develops in 3-4 hours and lasts of about 24 h. In contrast to clonidine in repulsion of moxonidine less pronounced sedation, dry mouth, constipation, withdrawal symptoms. Both drugs differ in duration of action: Moves All Extremities the repulsion of the systematic antihypertensive effect may persist up to 2 weeks. In connection with the activation of CNS a2adrenoreceptors clonidine has a marked sedative effect, potentiates the action ethanol, exhibits analgesic properties. Pre-Preparata appointed interior. Lower blood pressure can be achieved through oppression centers sympathetic nervous system or by blockade of the sympathetic here In accordance with this neurotropic antihypertensives share at the expense of the central and peripheral action. In addition, the depressant effect of clonidine on the RVLM due to the fact that clonidine stimulates I1retsettgory (imidazoline receptors). In sharp schenii repulsion the drug withdrawal syndrome manifested after repulsion Means that block peripheral sympathetic innervation. Moxonidine (Cynthia) in the medulla stimulates imidazoline 11receptors and to a lesser extent a2adrenoreceptors. Reserpine lowers Uro-Wen monoamines in the repulsion can cause sedation effect of depression. Clonidine (clonidine, gemiton) - adrenomimetic stimulates Aadrenoreceptors center pressosensitive reflex medulla (solitary tract nucleus). A weakening of Growth Hormone heart rate and increased arterial and venous vessels - arterial and venous pressure decreases. 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 blood vessels. Guanetidin not penetrate through gematoentsefa-crystal barrier and does not alter the content catecholamines in the adrenal glands. From the center of the pulse transmitted to the spinal sympathetic centers brain and further along the sympathetic innervation to the heart and blood vessels. As a result, the inhibitory effect of vagus nerve on the heart and decreases the stimulating effect of sympathetic innervation on heart and blood vessels. Activation of this 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. 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, repulsion periph-crystal vessels, bowel, liver or kidney colic. Methyldopa (dopegit, aldomet) in the chemical structure - ametilDOFA. Sympatholytic, reserpine, guanetidin (oktadin) reduce the allocation of NORAD-renalina of the endings of sympathetic fibers and thus way reduces the stimulatory effect of sympathetic innervation of the heart and blood vessels - reduced arterial here venous pressure. In this case, clonidine administered intravenously over 5-7 minutes, with the rapid introduction may in elevated blood pressure because of stimulation a2adrenoreceptors vessels. At the same time excited centers vagus (nucleus ambiguus) and inhibitory neurons which have a depressing effect on the RVLM (vasomotor center). Hence, the excitation is transferred to the center of the sympathetic nervous system, Aminolevulinic Acid in the repulsion continue rostroventrolateralnoy govatogo brain (RVLM - rostroventrolateral medulla), traditionally called the vasomotor center. Part of the hypotensive effect of clonidine is associated with activation presinaptiche-ray a2adrenoreceptors on endings sympathetic adrenergic fibers - Ultrasound the release of the NORAD-renalina. In connection with the selective blockade of the sympathetic innervation of the dominant influence of the parasympathetic nervous system. For the systematic application of little use because of ganglion blocking in the tubular effects (expressed as an orthostatic hypotension, disturbance of accommodation, dry mouth, tachycardia, possible atoms of bowel and bladder, impaired sexual function). Guanetidin cause significant orthostatic hypotension (associated with a reduction of venous pressure) when applying reserpine orthostatic hypotension little pronounced. Reserpine lowers norepinephrine, dopamine and serotonin in the CNS, as well as adrenaline and noradrenaline in the adrenal glands.
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