All::Cardiovascular System::Pharmacology::Adrenaline (epinephrine)

Intro

What is the method of action of Adrenaline?

Potent agonist of the α1, α2, β1 and β2 adrenoceptors.

What is the main clinical use of Adrenaline?

  • Cardiac arrest
  • Anaphylaxis
  • Injected locally to stop bleeding

What are the cardiac effects of Adrenaline?

  • Vasoconstriction of vessels supplying skin, mucosa and abdominal viscera
  • Increasing heart rate, force of contraction and myocardial excitability
  • Vasodilatation of vessels supplying the heart and muscles

What are the non-cardiac effects of Adrenaline?

  • Bronchodilatation
  • Suppression of inflammatory mediator release from mast cells

What is an important drug interaction of Adrenaline?

β-blocker, as adrenaline may induce widespread vasoconstriction, because its α1-mediated vasoconstricting effect is not opposed by β2-mediated vasodilatation.