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. 2023 Feb 20;24(4):4188. doi: 10.3390/ijms24044188

Table 1.

α1-Adrenergic Receptor Agonists and Antagonists.

Drug Receptor Selectivity Current Indications Potential Indications
Agonists
Non-selective
Norepinephrine α1 = α2 = β Septic and refractory
Epinephrine α1 = α2 = β shock, Cardiopulmonary arrest
Hypotension
Selective
Phenylephrine α1 > α2 >> β Pupil dilation, Rosacea
Oxymetazoline α1A > α1D = α1B Nasal decongestion, Rosacea
Methoxamine α1A > α1D > α1B Septic and refractory shock
Cirazoline α1A > α1D > α1B HF, Ischemia, cataracts
A-61603 α1A > α1D = α1B HF, Ischemia, cataracts
Dabuzalgron α1A >> α1D = α1B HF, Ischemia, cataracts
Cmpd-3 1 α1A >> α1D > α1B AD, HF, Ischemia, cataracts
Antagonists
Non-selective
Prazosin α1A = α1D = α1B BPH, Therapy-resistant COVID-19/SARS, PD,
Doxazosin α1A = α1D = α1B Hypertension, ALS, PTSD,
Terazosin α1A = α1D = α1B Pheochromocytoma Hyperinflammation
Alfuzosin α1A = α1D = α1B
Selective
BMY7378 α1D > α1A >> α1B
Tamsulosin α1A = α1D > α1B BPH, Pheochromocytoma
Silodosin α1A > α1D >> α1B BPH
5-Methylurapidil α1A > α1D > α1B
WB4101 α1A = α1D > α1B

1 [12]. AD, Alzheimer’s disease; ALS, amyotrophic lateral sclerosis; BPH, benign prostatic hyperplasia; HF, heart failure; PD, Parkinson’s disease; PTSD, posttraumatic stress disorder; SARS, severe acute syndrome coronavirus 2.