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.