Autonomic Pharma Flashcards
Inhibits acetylcholinesterase (AChE)
Carbamates & Organophosphates
resistant to hydrolysis of AChE
carbachol and bethanechol
facilitate aqueous humor outflow and diminish its rate of secretion
Glaucoma, Sjögren syndrome, Sicca syndrome
PILOCARPINE
Sjögren Syndrome triad
- Xerostomia (Dry Mouth)
- Xerophthalmia (Dry Eyes)
- Rheumatoid Arthritis
DOA of EDROPHONIUM
5-15min
Antidote for organophosphate poisoning (first choice)
ATROPINE
Muscarinic Antagonists for Parkinsonism
- TRIhexyphenidyl
- BENZtropine
- BIPeriden
may be used as a monotherapy as maintenance for COPD
Glycopyrronium
highest propensity to cause CNS symptoms compared to all the other anticholinergics
CENTRAL ANTICHOLINERGIC SYNDROME
SCOPOLAMINE
Reduces Detrusor muscle tone
For Urge incontinence, Post-operative spasms
OXYBUTYNIN
Arrhythmias seen in ATROPINE TOXICITY
intraventricular conduction block
inhibits entry of calcium triggers interaction among SNARE proteins (VAMPs and SNAPs)
Guanethidine
promotes entry of calcium triggers interaction among SNARE proteins (VAMPs and SNAPs)
Amphetamines and Tyramine
inhibits diffusion and reuptake via NET and DAT in synaptic cleft
Cocaine and TCAs
stimulates lipolysis
Beta3