Part 1 obgyn notes Sri Lanka
    NOTES for part 1
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    pharmacology
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    Receptors

    Receptors

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    🔹 Important Receptors

    🧠 A. Ligand-Gated Ion Channel Receptors (FAST transmission)

    Receptor
    Neurotransmitter
    Ion
    Key Drugs
    Classic Exam Point
    GABAᴬ
    GABA
    Cl⁻
    Benzodiazepines, Barbiturates
    Inhibitory
    NMDA
    Glutamate
    Ca²⁺
    Ketamine, Memantine
    Excitotoxicity
    Nicotinic (N)
    Acetylcholine
    Na⁺
    Nicotine
    Ganglia, NMJ
    5-HT₃
    Serotonin
    Na⁺/Ca²⁺
    Ondansetron
    Vomiting

    📌 Rule:

    Ion channel receptors = fastest neurotransmission

    🧠 B. G-Protein–Coupled Receptors (SLOW, modulatory)

    🔸 Gi (↓ cAMP)

    Receptor
    Neurotransmitter
    Key Drugs
    Exam Pearl
    D₂
    Dopamine
    Antipsychotics
    EPS, prolactin
    5-HT₁
    Serotonin
    Buspirone, Triptans
    Anxiolysis
    α₂
    Noradrenaline
    Clonidine
    ↓ NE release
    μ-opioid
    Endorphins
    Morphine
    Analgesia

    🔸 Gs (↑ cAMP)

    Receptor
    Neurotransmitter
    Key Drugs
    Exam Pearl
    β₁
    Noradrenaline
    Dobutamine
    Heart rate ↑
    β₂
    Noradrenaline
    Salbutamol
    Bronchodilation
    D₁
    Dopamine
    Fenoldopam
    Renal vasodilation
    5-HT₄
    Serotonin
    Cisapride
    GI motility ↑

    🔸 Gq (↑ IP₃/DAG)

    Receptor
    Neurotransmitter
    Key Drugs
    Exam Pearl
    α₁
    Noradrenaline
    Phenylephrine
    Vasoconstriction
    M₁ / M₃
    Acetylcholine
    Bethanechol
    Secretions ↑
    H₁
    Histamine
    Antihistamines
    Allergy

    🧠 C. Enzyme-Linked / Tyrosine Kinase Receptors

    Receptor
    Hormone
    Example
    Exam Pearl
    Insulin receptor
    Insulin
    —
    Tyrosine kinase
    Growth factor receptors
    EGF, PDGF
    —
    Cell growth

    🧠 D. Intracellular (Nuclear) Receptors

    Receptor
    Ligand
    Exam Line
    Steroid receptors
    Estrogen, Cortisol
    Act at gene level
    Thyroid hormone receptor
    T₃/T₄
    Nuclear binding
    Vitamin D receptor
    Vitamin D
    Ca²⁺ regulation

    placental transfer of drugs

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