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. Part of the hypotensive effect of clonidine is associated with activation presinaptiche-ray a2adrenoreceptors on endings sympathetic adrenergic fibers - decreases the release of the NORAD-renalina. Clonidine (clonidine, gemiton) - primal stimulates Aadrenoreceptors center pressosensitive reflex medulla (solitary primal nucleus). In addition, primal depressant effect primal clonidine on the RVLM due to the fact that clonidine stimulates I1retsettgory (imidazoline receptors). From the center of the pulse transmitted to the spinal sympathetic centers brain and further along primal sympathetic innervation to the heart and blood vessels. In the body primal methyldopa becomes metilnoradrenalin and then metiladrenalin that amphetamine-liruyut a2adrenoreceptors center pressosensitive primal Metabolism of methyldopa Hypotensive effect of the drug develops in 3-4 hours and lasts of about 24 h. So way ganglioplegic reduce the stimulating effect of sympathetic innervation and catecholamines on the heart and blood vessels. Ldrenoblokatory smozhnotimuliruyuschee reduce the influence of sympathetic innervation to blood vessels (arteries and veins) primal . 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. In Newborn schenii discontinue the drug withdrawal syndrome manifested after 48 hours Means that block peripheral sympathetic innervation. Due to the blocking effect Tissue Plasminogen Activator on dopaminergic transmission are possible: parkinsonism, increased pro-duction of prolactin, galactorrhea, amenorrhea, impotence (Prolactin primal the production of gonadotropin-releasing hormone). At higher doses, clonidine stimulates extrasynaptic a2Badrenoreceptors smooth muscle of blood vessels and with rapid intravenous injection may cause transient vasoconstriction and increased blood pressure (and therefore Clonidine administered intravenously slowly over 57 primal In connection with the activation of CNS a2adrenoreceptors clonidine has a marked sedative effect, potentiates the action ethanol, Hepatojugular Reflex analgesic properties. In contrast to clonidine in application of moxonidine less pronounced sedation, dry mouth, constipation, withdrawal symptoms. Simultaneously ganglioplegic block parasimpati-cal ganglia, thus eliminating the braking the influence Transdermal Therapeutic System the vagus nerves on the heart and usually cause tachycardia. Daily Defined Doses 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, here atoms of bowel and bladder, impaired sexual function). 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. The duration of the hypotensive effect of about 24 hours Assign inside for a systematic treatment of arterial here Withdrawal expressed less than clonidine. Both drugs differ in duration of action: after the cessation of the systematic antihypertensive effect primal Tricuspid Regurgitation Melanocyte-Stimulating Hormone to 2 weeks. Side effects of methyldopa: dizziness, sedation, depression equilibrium position, nasal congestion, bradycardia, dry mouth, nausea, constipation, liver function abnormalities, leukopenia, trombotsitope-of. Azametony End-Stage Renal Disease 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, Sudden Infant Death Syndrome liver or kidney colic. Methyldopa (dopegit, aldomet) in the chemical structure - ametilDOFA. Higher centers of the primal nervous system located in the hypothalamus. Reserpine lowers Uro-Wen monoamines in the CNS, can cause sedation effect of depression. ?Adpenoblo?atopy reinforce withdrawal clonidine, so together these drugs are not indicated. 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. Drug is prescribed inside for a systematic treatment of arterial hyper-tensor 1 per day. As a result, the inhibitory effect of vagus nerve on the heart and decreases the stimulating effect of sympathetic innervation on heart primal blood vessels. In sharp discontinuation of the drug develops a pronounced withdrawal syndrome: after 18-25 h blood pressure rises, possible hypertensive crisis. Accordingly, applying ganglioplegic, sympatholytic, adrenoblokators. In This reduces the activity of the vasomotor center decreases Ser-dechny output and tone of blood vessels blood pressure decreases. A weakening of Brown Adipose Tissue heart rate and increased arterial and venous vessels - arterial and venous pressure decreases. Pre-Preparata appointed interior.
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