Uterine Relaxant Drugs
๐ถ๐ป Preterm labor occurs when labor begins too early. If this happens before the 37th week of gestation, the fetal organs, especially the lungs, might not be fully developed.โ
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๐ In these cases, labor can be suppressed with uterine relaxants that relax the uterine muscle and slow down contractions for up to 48 hours. It gives the fetus a few more days in the uterus as a corticosteroid is given to speed up the development of a preterm infant’s lungs. Steroids help the lungs mature and may promote the production of surfactant, a substance that prevents the collapse of alveoli (small sacs in the lungs where the air is exchanged). โ
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๐ Uterine relaxants are also called tocolytics (toco = childbirth, lytic = terminate) and include several different types of drugs. โ
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๐ Calcium channel blockers (CCBs) are used in the treatment of many cardiovascular conditions including hypertension and angina. They are divided into subclasses, non-dihydropyridines, and dihydropyridines and differ by their pharmacokinetic properties, clinical uses, response, and selectivity. โ
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๐ The name of this class, calcium channel blockers, hints at its mechanism of action โ inhibits the entry of calcium into cells of the cardiac and peripheral vascular smooth muscles. โ
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๐๏ธ Calcium entry into L-type channels of cardiac and peripheral vascular cells is needed for them to contract or constrict more strongly. โ
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๐๏ธ By blocking calcium entry, calcium channel blockers cause:โ
๐๐ป peripheral vascular smooth muscle relaxation (decreases blood pressure)โ
๐๐ป decreased myocardial contractility (decrease myocardial demand making them effective in angina)โ
๐๐ป decrease heart rate and conduction velocity (useful in arrhythmias). โ 
