Adrenergic Antagonists · Pharmacology

What is the primary mechanism by which non-selective beta-blockers, like Propranolol, can worsen respiratory function in asthmatic patients?

  1. Direct stimulation of alpha-1 adrenergic receptors in the bronchi
  2. Inhibition of the medullary respiratory center
  3. Increase in histamine release from mast cells
  4. Antagonism of beta-2 receptors leading to bronchoconstriction
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Correct answer: Antagonism of beta-2 receptors leading to bronchoconstriction

Beta-2 receptors in the lungs mediate bronchodilation. When these are blocked by non-selective antagonists, the parasympathetic-mediated bronchoconstriction remains unopposed, which can trigger a life-threatening asthma attack.

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