Some of the drugs used in reducing hypertension in management of autonomic dysreflexia, classified according to their major site of action on the reflex arc and target organs
*Clonidine and reserpine have multiple effects, some of which are peripheral. | ||
Adapted from Mathias CJ, Frankel HL. Autonomic disturbances in spinal cord lesions. In: Mathias CJ, Bannister R, eds. Autonomic failure: a textbook of clinical disorders of the autonomic nervous system, 4th ed. Oxford: Oxford University Press, 2002:494–513. | ||
▸Afferent | Topical lignocaine | |
▸Spinal cord | Clonidine* | |
Reserpine* | ||
Spinal anaesthetics | ||
▸Efferent | Sympathetic ganglia | Hexamethonium |
Sympathetic nerve terminals | Guanethidine | |
α Adrenoceptors | Phenoxybenzamine | |
▸Target organs | Blood vessels | Glyceryl trinitrate |
Nifedipine |