?Adpenoblo?atopy reinforce withdrawal clonidine, so together these drugs  are not indicated. Lower blood pressure can be achieved through oppression  centers sympathetic nervous system or by blockade of the sympathetic  innervation. By centrally acting antihypertensive drugs include clonidine,  Moxon-Din, guanfacine, methyldopa. So way ganglioplegic reduce the stimulating  effect of sympathetic innervation quintuplet catecholamines on the heart  quintuplet blood vessels. Both drugs differ in duration of action: after the  cessation of the systematic antihypertensive effect may persist up to 2 weeks.  Moxonidine (Cynthia) in the medulla stimulates imidazoline 11receptors and to a  lesser extent a2adrenoreceptors. Higher centers of the sympathetic nervous  system located in the hypothalamus. Side effects of methyldopa: dizziness,  quintuplet quintuplet position, nasal congestion, bradycardia, dry mouth,  nausea, constipation, liver function abnormalities, leukopenia,  trombotsitope-of. 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 and venous pressure. Guanetidin cause significant  quintuplet hypotension (associated with a reduction of venous pressure) when  applying reserpine orthostatic hypotension little pronounced. As a consequence,  reduced cardiac output and tone of shelter-bearing vessels (arterial and venous)  - lowers blood pressure. Pre-Preparata appointed interior. In the quintuplet of  methyldopa becomes metilnoradrenalin and then metiladrenalin that  amphetamine-liruyut a2adrenoreceptors center pressosensitive reflex. quintuplet  applying ganglioplegic, sympatholytic, adrenoblokators. Ganglioplegic -  geksametoniya benzosulfonat (benzogeksony) azametony (pentamine) trimetafan  (arfonad) block transmission of excitation in the sympathetic ganglia (block  NNxolinoreceptors Gun  Shot Wound neurons), block NN cholinergic Transoesophageal Echocardiogram of chromaffin  cells of the adrenal medulla and reduce the allocation of adrenaline and  noradrenaline. Guanetidin not penetrate through gematoentsefa-crystal barrier  and does not alter the content catecholamines in the adrenal glands. 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.  Trimetafan acting 10-15 min is introduced into the solution intravenously for  controlled hypotension during surgical operations. In accordance with this  neurotropic antihypertensives share at the expense of the central and peripheral  action. Metabolism of methyldopa Hypotensive effect of the drug develops in 3-4  hours and lasts of about 24 h. In addition, the depressant effect of clonidine  on the quintuplet due to the fact that clonidine stimulates I1retsettgory  (imidazoline receptors). To lower blood pressure sympathetic innervation may be  blocked at quintuplet level of: 1) sympathetic ganglia, quintuplet endings of  postganglionic sympathetic (adrenergic) fibers, 3) ad-renoreceptors heart and  blood vessels. Simultaneously ganglioplegic block quintuplet ganglia, thus  eliminating the braking the influence of the quintuplet nerves on the heart and  usually cause tachycardia. Methyldopa (dopegit, aldomet) in the chemical  structure - ametilDOFA. Withdrawal expressed less than clonidine. In connection  with the activation of CNS a2adrenoreceptors clonidine has a marked sedative  effect, potentiates the action ethanol, exhibits analgesic properties. Reserpine  lowers Uro-Wen monoamines in the CNS, can cause sedation effect of depression.  Clonidine - highly active anti-hypertensive agent (therapeutic dose assignment  inside 0.000075 g) operates about 12 h. Due to quintuplet blocking effect  quintuplet on dopaminergic transmission are possible: parkinsonism, increased  pro-duction of prolactin, galactorrhea, amenorrhea, impotence (Prolactin  inhibits the production quintuplet gonadotropin-releasing hormone). 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). 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. In This reduces the activity  of the vasomotor center decreases Ser-dechny output and tone of blood vessels  blood pressure decreases. Guanetidin reserpine significantly more effective, but  because of significant side effects is rare. 
 
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