Anti Cholinergics

Question 1

Rx tx

Parkinson’s Tremor

Answer 1

Benztropine

Trihexyphenidyl

Question 2

Rx tx

motion sickness

Answer 2

Scopolamine

Question 3

Rx tx

opthamologic disorders

Answer 3

Cyclopentolate
Tropicamide
Tropicamide + hydroxyamphetamine

Question 4

Rx tx
Respiratory disorders (COPD)

Answer 4

Ipratropium
Triotropium

Aclinidium
Umeclinidium

Question 5

Rx tx

Gi (used to tx peptic ulcer disease)

Answer 5

Atropine
Hyoscyamine
Glycopyrrolate

Question 6

Rx

Antispasmodic

Answer 6

Hyoscyamine

Dycyclomine

Question 7

Rx tx

GU urinary incontinence / overactive bladder

Answer 7

Oxybutunin
Tolferodine

Trospium
Fesoterodine
Darifenacin

Question 8

Rx tx

Atropine overdose

Answer 8

Physostigmine

Question 9

Rx used for ganglionic blockade

Answer 9

Mecamylamine

Does the opposite of the predominant division in each organ

Question 10

Contraindications for antimuscarinics

Answer 10

Glaucoma (mydriasis can close angle even more)
Prostatic hyperplasia (can increase urinary retention)

Question 11

Mechanism of ganglionic blockade

Answer 11

Blocks the action of nicotine on ganglionic receptors
Prevents reflex activity
The observed effect of the blockade is the OPPOSITE of the predominant division

Ex: GI (parasympathetic dominant) effect: DECREASED MOTILITY AND GI SECRETION