Autonomic Nervous System-PNS Flashcards
Choline reuptake inhibitor
Hemicholinum
Prevent entry of acetylcholine into vesicle inside the presynaptic neuron
Vesamicol
Antibiotics which block Ca+2 channel leading to blockage of Ach release on presynaptic neuron causing neuromuscular toxicity and worsening of myasthenia gravis
Aminoglycosides
If neuromuscular toxicity caused by Aminoglycosides then treatment method is
Calcium
Which two drugs directly block the release of Acetylcholine from presynaptic neuron
Beta-Bungarotoxin
Botulinum toxin
M1 agonist used in the treatment of Alzheimer’s disease
Taclifensin
Whose venom causes release of Ach
Spider
A nonselective muscarinic agonist used to treat xerostomia and glaucoma
Pilocarpine
Since Nm and Nn receptors are different which drug blocks the Nm receptors?
Tubocurarine and Atracurium
Name two drugs are used to block the Nn receptors?
Hexamethonium and Mecylamaine
Indirect acting anti-cholinergic examples (3)
Aminoglycosides
Beta-Bungarotoxin
Botulinum toxin
Direct acting cholinergic drug used in atonic bladder
Bethanechol
Direct acting cholinergic drug used in tachyarrythmia which acts on myocardium
Methacholine
Direct acting cholinergic drug used for closed angle glaucoma acting on pupil
Pilocarpine
Directly acting cholinergic drug used in Sicca or Sjorgen syndrome and xerostomia which acts on gland secretion
Cevimeline
Drug of choice in closed angle glaucoma is
Pilocarpine
4 examples of miotic agents
Pilocarpine
Physostigmine
Echothiphate
Fluostigmine
Which drugs used as miotic agents and are also ACHE inhibitors which have a side effect of forming cataract while pilocarpine doesn’t ?
Physostigmine
Echothiphate
Fluostigmine
Which type of drugs have common side effects such as accommodation spasm, brow ache, retinal detachment
Miotic agents
(Due to increase Ca level in muscles of accomadation)
Which drug is used as topical mitotic agent in ocular surgery
Acetylcholine
Shortest acting beta blocker metabolised by pseusocholinestrase
Esmolol
Shortest acting muscle relaxant metabolised by psuedocholinstrase
Succinyl Choline
Shortest acting opoids which are metabolised by psuedocholinesterase
Remifentanil
Shortest acting calcium channel blocker which are metabolised by pseudocholinesterase
Clevidipine
Which type of drugs are used to treat smoke dependence
Nicotinic agonists
Types of Muscuranic agonists which are Amines or Alkaloids
Pilocarpine
Cevimeline
Type of Muscuranic agonists which are Choline esters
Acetylcholine
Methacholine
Bethanechol
Carbachol
3 drugs of direct acting nicotinic agonists
Nicotine
Varenicline
Cytisine
Which is a more effective drug than pilocarpine used in xerostomia
Cevimeline
Which drug is first line drug in an acute attack of closed angle glaucoma
IV Mannitol
Which drug is used to maintain normal IOP which is first decreased by IV Mannitol in case of acute attacke of closed angle glaucoma
Pilocarpine
Acetylcholine derivatives resistant to both ACHE and psuedocholinesterase
Bethanechol
Carbachol
Methacholine
Which drug is used as mitotic agent in ocular surgery and closed angle glaucoma
Carbachol
Which drug is used in bronchial challenge test to diagnose bronchial asthma as it is short acting
Methacholine
Which drug is used in gastroparesis and postoperative paralytic ileus
Bethanechol
A direct acting cholinergic muscuranic agonists which acts majorly on M2 receptor
Methacholine
A direct acting muscuranic agonists and a choline ester is used because it acts on M3 receptor
Methacholine
Irreversible indirect acting cholinergics
Organophosphates
Reversible direct acting cholinergics
Carbamates
Which drugs are ACHE activator which break phosphate bond of OPC which have not gone through ageing and have free anionic site
Oximes
Drug of choice in cholinergic poisioning
Atropine
OPC drugs used in warfare agents (5)
Nerve gas such as
Sarin
Cyclotron
Tabun
Vc
Soman
DPF
Which indirect acting cholinergic drugs are OPC used clinically (2)
Echothiophate
Fluostigmine
Which OPC form commonly causes cholinergic poisoning
Insecticides and Pesticides
Which four drug form poisoning have common symptom of pinpoint pupil?
Opoid poisoning
Cholinergic poisoning (eg OP and Carbamate)
Phenol poisoning
Pontine Haemorrhage
Early Mushroom poisoning
Which drug form is more specific for OPC poisoning?
Oximes
Since atropine has only anti-muscuranic action so which drug form is used to relieve the nicotinic symptoms in cholinergic poisoning?
Oximes
3 examples of oximes used in OPC poisoning
Pralidoxime
Obidoxime
Diacetyl mono oxime
Which form of oxime is commonly used in India?
Pralidoxime
Example of carbamates which are tertiary amines and can cross BBB
Physostigmine
Rivastigmine
Tertiary Amines which are non-carbamates and can cross BBB
Galantamine
Tacrine
Donepezil
Which drug is derived from calabar beans of planta physostigma venenosum
Physostigmine
Which drug is drug of choice for anti-cholinergic poisoning
Physostigmine
Which drug is used in treatment of closed angle glaucoma
Physostigmine
3 types of anticholinergic poisoning
Atropine toxicity
Belladonna toxicity
Datura toxicity
Which 4 drugs are used for treatment of Alzheimer’s disease since they are highly lipid soluble and majorly cross BBB without causing peripheral side effects
Rivastigmine
Galantamine
Tacrine
Donepezil
Which is drug of choice for Alzheimer’s disease
Donepezil
Drug form used in Myasthenia Gravis which block ACHE to increase ACh since it doesn’t cross BBB and act on periphery such as muscle
Quartenary Amines
Which drug is short acting and used in diagnosis of MG (Tensilon test)
Edrophonium
Which drug is used to differentiate MG and Cholinergic crisis
Edrophonium
1: improves
2: worsens
Which drug is used in paroxysmal supraventricular tachycardia (PSVT) as it blocks AV node
Edrophonium
Which drug is used in diagnosis and treatment if pyridostigmine is not present
Neostigmine
Premedication with which drug is required while using edrophonium and neostigmine to avoid muscuranic side-effects?
Atropine
Which drug us used in non-depolarizing muscle relaxant seen with atracurium, pancuronium
Neostigmine
Which drug is used in Cobra bites since Cobra toxin damages NMJ causing respiratory paralysis
Neostigmine
Which is drug of choice in generalised MG
It is oral and longer acting
Pyridostigmine
Which drug form is given in pyridostigmine resistant patients
Steroids
4 example of Immunosupressants given in patients of MG resistant to pyridostigmine and steroids
Mycophenolate Mofetil
Cyclosporine
Rituximab
Azathioprine
Which is drug of choice in Myastheniac Crisis
Intravenous immunoglobulin (IVIG)
Which is alternate treatment modality for Myasthenic Crisis
Plasmapheresis
Which drug used to be a Drug of Choice for Alzheimer’s disease until we found alternative since it was hepatotoxic and short acting
Tacrine
Which drug cannot be used for Alzheimer’s disease since it’s distribution in brain and periphery is 50% which is not effective even after crossing BBB?
Physostigmine
Which drug is used in post-operative paralytic ileus and post-operative urinary retention which acts on M3 receptors?
Neostigmine
Example of OPC drugs
Malathion
Parathion
Nerve gases forms
Which drug cannot be given to overcome carbamate poisoning since carbamate form bond with both esteratic and anionic site
Oximes
Which drug is used in Lambert Eaton syndrome as it blocks K+ channel which increase Ach release and increase muscle strength
Aminopyridines
Drugs used for treatment of MG
Ambemonium
Neostigmine
Pyridostigmine
Which anti-cholinergic drug which is a NM blocker is used for Tourette’s Syndrome?
Mecamylamaine
Which drug is usd adjunct to nicotine in smoking depenede?
Mecamhlamaine
Which anti-cholinergic drug used in hypertensive emergency intra-venously?
Trimethapan
Which drug is used as K channel blockers for experiments
Tetraethylammoniun
Which drug is known as the truth serum ?
Scopolamine
Which drug is drug of choice in Narcoanalysis?
Thiopentone
Which is the preffered cycloplegic in adults and is also shortest acting
Tropacamide
Which drug is preffered cycloplegic in children
Atropine
Which drug is an add on drug in fungal corneal ulcer
Atropine
Drugs used in pupil which are muscuranic antagonists?
Tropacamide
Atropine
Cyclopentolate
Homatropine
Which anti-cholinergic drug is a muscuranic antagonist, reduce secretions, is a preferred preanesthetic medication, doesn’t cross BBB and is a quartenary amine
Glycopyrrolate
Drugs used to reduce oropharyngeal secretions?
Atropine
Glycopyrrolate
Which drugs are DOC in COPD and add on drugs in bronchial asthma
These are muscuranic antagonists acting on lungs
Ipratropium
Oxitropium
Aclidinium
Glycopyrrolate
Umeclidinium
Revefenacin
Tiotropium
Which drug is given with nebulizer in acute exacerbation of bronchial asthma
Ipratropium
Which drug is drug of choice in COPD
LAMA which is Tiotropium
Which drugs forms to be avoided in patients of BPH?
Muscuranic antagonists used in bladder
Which drug is used in treatment of conduction blocks and digoxin toxicity
Atropine
Which drug is drug of choice for bradycardia
Atropine
At low doses which drug increase Ach which stimulate M2 receptors to causes further bradycardia
Atropine
Name two drugs which are M1 blockers? And used in peptic ulcer syndrome
Pirenzepine
Telemzepine
Which 3 drugs are anti-spasmodic?
Dicylomine
Glycopyrrolate
Scopolamine
Which drug is drug of choice for motion sickness
(It is only for Prevention and not the Treatment)
Scopolamine
Nonselective drugs which reduce detrusor contraction
Flavoxate
Oxybutynin
Fesoterodine
Trospium
Which drug used in overactive bladder doesn’t cross BBB and is quaternary amine and not given to patients with renal failure as it is not excreted by liver
Trospium
Name the selective M3 blocker used in bladder
Darifenavin
Solfenacin
Tolterodine
A drug which is drug of choice for bradycardia and AV block
Atropine
A drug which causes transient bradycardia since it blocks first pre-synaptic receptors but later blocks post-synaptic receptors which are M2 on heart leading to final result as tachycardia
Atropine
Which drug is not given in cause of lungs and bronchus issue because it can’t be given through inhalation route and inhibits mucociliary clearance
Atropine
A trick for drugs which are muscarinic antagonists used in overactive bladder etc.
(SOFT Bladder)
Solifenacin
Oxybutynin
Flavoxate
Fesoterodine
Tolterodine
Trospium
Darufenacin
Which two drug are most vesico-selective (most block M3 receptor)
Solefenacin
Darifenacin
Anti-cholinergics are drug of choice for Drug-induced Parkinsonism like
Benzhexol
Benztropine
Procyclidine
Which drug is used for early mushroom poisoning caused by inocybe
Atropine
Drug of choice for Belladonna and Datura poisoning is
Physostigmine
Which drug is contradicted in Late mushroom poisoning caused by Amanita species
Atropine
Which drug is used as an anti-spasmodic to reduce activity of GI tract
Atropine
Which drug is used to measure refractive error without interference of accomodation capacity of eye
Atropine
Which drug is preferred for pupillary dilation if cycloplegia is not required
Phenylephrine
(Alpha-adrenergic)
Which 3 drugs are mainstay of medical therapy for OP poisoning
Atropine, Pralidoxime and benzodiazepines
Which drug is used to treat poisoning with quartenary antimuscuranic poisoning
Neostigmine
Which drug is used to treat post operative nausea and vomiting
Scopolamine
Which type of drugs are used in nicotinic poisoning
Ganglionic Blockers