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