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CD23 [Mar96] [Jul96] [Jul00] [Apr01] Phentolamine:

A. Is a selective alpha-1 antagonist
B. Binds covalently to the alpha receptor
C. Causes bradycardia
D. Is a selective alpha-2 antagonist
E. Increases cardiac output

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User Aniqa
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1 Answer

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Final answer:

Phentolamine is a non-selective alpha-blocker that antagonizes both alpha-1 and alpha-2 adrenergic receptors, it does not bind covalently to the receptors, and typically causes tachycardia, not bradycardia, leading to increased cardiac output.

Step-by-step explanation:

The question pertains to Phentolamine, which is a sympatholytic drug. Phentolamine is not a selective alpha-1 antagonist; rather, it is a non-selective alpha-blocker, meaning it antagonizes both α1 and α2 adrenergic receptors, preventing the normal sympathetic effects that epinephrine and norepinephrine would have, such as vasoconstriction. Therefore, it often leads to vasodilation and a drop in blood pressure.

It does not bind covalently to the alpha receptor; it is a reversible antagonist. Because of the blockage of α-adrenergic receptors, there can be a reflex increase in heart rate (tachycardia), rather than bradycardia, in response to vasodilation and lowered blood pressure. Phentolamine can lead to increased cardiac output due to decreased peripheral resistance.