21. Like other sympathomimetic appetite suppressants, mazindol is thought to act as a reuptake inhibitor of norepinephrine. 22. Thus, all sympathomimetic amines fall into the larger group of stimulants ( see psychoactive drug chart ). 23. Cocaethylene is largely considered a recreational drug in and of itself, with sympathomimetic , and local anesthetic properties. 24. For example, both cause mydriasis, but parasympatholytics reduce accommodation ( cycloplegia ), whereas sympathomimetics do not. 25. Penbutolol is a sympathomimetic drug with properties allowing it to act as a partial agonist at ? adrenergic receptors. 26. The use of the sympathomimetic drug causes the iris dilator muscle to be directly stimulated, causing increased dilation. 27. Most drugs classified as stimulants are sympathomimetics , that is they stimulant the sympathetic branch of the autonomic nervous system. 28. Tropicamide is occasionally administered in combination with p-hydroxyamphetamine ( brand name Paremyd ), which is a sympathomimetic . 29. "' Dobutamine "'is a sympathomimetic drug used in the treatment of heart failure and cardiogenic shock. 30. Due to its sympathomimetic effects, it should not be used by people with high blood pressure, or other heart problems.