Cholinergic Agonists & Antagonists Flashcards
Nicotine
Indication - Withdrawal symptoms of smoking cessation
Mechanism of action - Activation of neuronal nicotinic receptors
Succinylcholine
Indication - Neuromuscular block for electroconvulsive shock therapy or emergency intubation
Mechanism of action - Depolarizing block of muscle nicotinic receptors
Elimination - Plasma cholinesterase
Acetylcholine
Indication - No therapeutic use
Mechanism of action - Nicotinic and muscarinic agonist
Methacholine
Indication - Diagnosis of subclinical asthma, test for severity of asthma
Mechanism of action - Muscarinic agonist
Carbachol
Indication - Miotic agent in ocular surgery, to reduce pressure following ocular surgery
Mechanism of action - Muscarinic and nicotinic receptor agonist
Bethanechol
Indication - Urinary retention, bladder atony
Mechanism of action - Muscarinic agonist
Pilocarpine
Indication - Dry mouth from head and neck radiation or Sjogren’s syndrome, narrow angle glaucoma
Mechanism of action - Muscarinic agonist
Neostigmine
Indication - Myasthenia gravis, reverse neuromuscular block
Mechanism of action - Reversible AchE inhibitor
Edrophonium
Indication - Diagnosis of myasthenia gravis, reversal of neuromuscular block
Mechanism of action - Reversible AchE inhibitor
Physostigmine
Indication - Delirium from anticholinergic drugs (ie atropine poisoning), glaucoma
Mechanism of action - Reversible AchE inhibitor
Donepezil
Indication - Alzheimer’s disease
Mechanism of action - Reversible AchE inhibitor
Pralidoxime
Indication - Respiratory muscle weakness in organophosphate poisoning
Mechanism of action - Peripheral AchE reactivator
Echothiophate
Indication - Open angle glaucoma
Mechanism of action - Irreversible AchE inhibitor
Atropine
Indication - Excess secretions during surgery, the increased frequency and urgency associated with cystitis and hypertonic gut, organophosphate poisoning, bradycardia
Mechanism of action - Muscarinic antagonist
Scopolamine
Indication - Motion sickness, anti-salilagogue in surgery
Mechanism of action - Muscarinic antagonist