Androgenic/Cholinergic Flashcards
Bethanechol
Muscarinic agonist, used as stimulant of GI tract and bladder
Muscarine
Muscarinic agonist, derived from poisonous mushroom, treatment for glaucoma
Pilocarpine
Muscarinic agonist, used for treatment of xerostomia (dry mouth) and glaucoma
Nicotine
Nicotinic agonist
Neostigmine
Anticholinesterase, used to treat lack of tone in GI tract and bladder, stimulates GI tract
Physotigmine
Anticholinesterase, Isolated from Calabar bean, can cross blood brain barrier, treat atropine overdose
Hexamethonium
Nicotinic antagonist, blocks open ionic change of the nicotinic receptor in autonomic ganglia, whichever system is the predominant tone (PNS vs. SNS) will be overridden by the less predominant system
Atropine
Muscarinic antagonist, treatment for bradycardia, anti cholinesterase overdose
Scopolamine
Muscarinic antagonist, treatment for motion sickness
Epinephrine
Non specific agonist, Binds α1, α2, β1, β2 receptors
Route: IM or SC (b/c PO ! GI degradation by COMT & MAO)
Effects: Vasoconstriction/↑BP, ↑HR, bronchodilation
Treats: anaphylaxis, hypotension, prevents sx blood loss w/
perioperative vasoconstriction
Norepinephrine
Non specific agonist, Binds α1, α2, β1 receptors
Effects: ~E, but more marked ↑diastolicBP, so BRR ! ↓HR
Treats: hypotension
Phenylephrine
α agonist, Binds α1 receptor
Effect: Vasoconstriction/↑BP
Treats: Hypotension, nasal decongestion, pupillary dilation
Clonidine
α agonist, Binds α2 receptor
Effect: SympNS inhibition (CNS preganglionic synapse & presynaptic
PM postganglionic synapse) ! ↓BP
Treats: hypertension
Brimonidine
α agonist, Binds α2 receptor
Effect: ↓aqueous humor production
Treats: glaucoma
Isoproterenol
Non-specific β agonist, Binds β1, β2 receptors
OPPOSITE OF NE
Effects: net↓BP (so BRR ! ↑HR), bronchodilation, ↓GI motility