Chapter 16: Muscarinic Agonists Flashcards
cholinergic drugs
- agents that influence the activity of cholinergic receptors
- most mimic or block actions of acetylcholine
what do most cholinergic drugs mimic or block the actions of
acetylcholine
cholinesterase inhibitors
- indirectly prevent the breakdown of acetylcholine
- can be vey toxic (insecticides, chemical warefare)
Muscarinic Agonists
produce effects through indriect interaction with muscarinic receptors
muscarinic agonists example
bethanechol
what are the principle structures affected by muscarinic activation
heart, exocrine glands, smooth muscles, and eyes
bethanechol [Duvoid] effect on the heart
bradycardia
bethanechol [Duvoid]
- parasympathomimetic agent
- selective agonist at muscarinic receptors
Bethanechol [Duvoid] effect on the lungs
constriction of the bronchi
Bethanechol [Duvoid] effect on GI
increased tone and mobility
Bethanechol [Duvoid] effect on bladder
contraction of detrusor muscle and relaxation of the trigone and sphincter
Bethanechol [Duvoid] effect on exocrine glands
increased sweating, salivation, broncial secretions, and secretions of gastric acid
Bethanechol [Duvoid] effect on the eye
Miosis and contraction of the ciliary muscles
Bethanechol [Duvoid] therapeutic uses
urinary retention
Bethanechol [Duvoid] adverse effects
hypotension, increased tone and motility, exacerbation of asthma, dysrhythmias in patients with hyperthyroidism