Pharmacology of the Autonomic Nervous System

Lecture Summary:

  • This lecture discusses the pharmacology of the autonomic nervous system, which is involved in regulating various bodily functions.
  • Drugs are used to treat conditions by mimicking or blocking the effects of neurotransmitters in the autonomic nervous system.

Key Points:

  • Autonomic nervous system:
    • Composed of sympathetic and parasympathetic systems.
    • Regulates involuntary functions like heart rate, digestion, and gland secretions.
  • Neurotransmitters:
    • Acetylcholine (ACh) is used in both systems:
      • Pre-ganglionic neurons in both systems use ACh.
      • Parasympathetic post-ganglionic neurons use ACh.
    • Norepinephrine (NE) is used in the sympathetic system post-ganglionic neurons.
  • Receptors:
    • Nicotinic ACh receptors: Fast-acting, located in ganglia (both sympathetic and parasympathetic).
    • Muscarinic ACh receptors: Slow-acting, located in parasympathetic effector organs (smooth muscle, cardiac muscle, glands).
    • Adrenergic receptors: Slow-acting, located in sympathetic effector organs (smooth muscle, cardiac muscle, glands).
      • Alpha and beta subtypes exist.
  • Drugs:
    • Mimic neurotransmitters: agonists (e.g., drugs mimicking ACh at muscarinic receptors).
    • Block neurotransmitters: antagonists (e.g., beta-blockers that block beta-adrenergic receptors).
  • Effects of drugs:
    • Parasympathomimetic/parasympatholytic drugs generally have no direct effect on the brain.
    • Sympathomimetic/sympatholytic drugs can have central nervous system effects and affect mood or motivation.

Additional Notes:

  • The lecture mentions specific examples of drugs but doesn’t delve into their details.
  • The lecture emphasizes the slow, indirect nature of autonomic effects compared to the fast actions of the skeletal motor system.