Dexmedetomidine Alpha-2 Sedation — FRCA Primary MCQ
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Correct answer: A — Alpha-2 adrenergic
Dexmedetomidine is a highly selective alpha-2 agonist (1620:1 alpha-2:alpha-1 ratio). It acts at the locus coeruleus for sedation and spinal cord for analgesia. Its sedation resembles natural sleep with maintained respiratory drive.
Reference: Peck Hill Williams 2014 Pharmacology for Anaesthesia and Intensive Care