Bronchodilator: Muscarinic Antagonist Flashcards

1
Q

How do muscarinic antagonists work?

A
  • inhibit muscarinic receptors

- ⬇️ ACh effects

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2
Q

Which short acting muscarinic drug do we need to know about?

A
  • Ipratropium bromide
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3
Q

Ipratropium bromide is a muscarinic antagonist, which muscarinic receptor do short acting muscarinic antagonists (SAMA) target, and which GCPR is present?

A
  • M3 receptors

- Gaq

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4
Q

Ipratropium bromide is a muscarinic antagonist of M3, how long can these drugs take to alleviate symptoms and last for?

A
  • 30 minutes effective

- 6 hours lasting

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5
Q

Is ipratropium bromide, a muscarinic antagonist, given as an inhaler or intravenously?

A
  • generally inhaler
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6
Q

Is ipratropium bromide, a muscarinic antagonist, given as a daily inhaler for asthma and COPD?

A
  • just COPD
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7
Q

When is Ipratropium bromide, a muscarinic antagonist, given to asthma and COPD patients?

A
  • during acute exacerbation

- given as nebuliser

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8
Q

Are SAMA or SABA a more effective bronchodilator?

A
  • SABA
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9
Q

In addition to acting as a bronchodilator ipratropium bromide, a muscarinic antagonist, can also help with what in the lungs?

A
  • reduce mucus production

- enhance mucociliary escalator

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10
Q

Why can the use of SABA and SAMA be effective?

A
  • SABA enhances sympathetic

- SAMA reduces parasympathetic

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11
Q

Which long acting muscarinic antagonist (LAMA) drug do we need to know about?

A
  • Tiotropium
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12
Q

Tiotropium is a long acting muscarinic antagonist (LAMA), by inhibiting muscarinic receptors, what effects do they have on the lungs?

A
  • cause bronchodilatation
  • ⬇️ bronchospasm
  • ⬇️ mucus production
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13
Q

Tiotropium is a muscarinic antagonist, how long can this drugs last for?

A

12-24 hours

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14
Q

Is tiotropium, a muscarinic antagonist, given as an inhaler or intravenously?

A
  • generally as an inhaler
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15
Q

Is Tiotropium, a muscarinic antagonist, given as a daily inhaler for asthma and COPD?

A
  • just COPD
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16
Q

When would tiotropium, a muscarinic antagonist, been given to asthma and COPD patients?

A
  • during acute exacerbation

- given as nebuliser

17
Q

What are the most common side effects of SAMA and LAMA drugs?

A
  • inhibition of the parasympathetic system

- slowing of rest and digest