Cholinergic Pharmacology Flashcards

1
Q

Bethanechol

A

Muscarinic receptor agonist

Urinary retention
Reverse postoperative abdominal distension
Reverse gastric atony or stasis

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2
Q

Carbachol and Pilicarpine

A

Muscarinic receptor agonist

Glaucoma- decrease intraocular pressure

Induce miosis

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3
Q

Methacholine

A

Diagnosis of airway hyperreactivity

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4
Q

Homatropine

A

Muscarinic receptor antagonist

Ophthalmologic examination
Mydriatic effects promote examination of retina and optic disk
Cycloplegic effects facilitate measurement of refractive errors

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5
Q

Atropine

A

Muscarinic receptor antagonists

Used to reverse muscarinic poisoning and peripheral muscarinic effects of Cholinergic agents

Toxic doses will cause CNS stimulation, even higher doses will cause CNS depression

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6
Q

Glycopyrrate

A

Muscarinic receptor antagonist

Suppresses peripheral muscarinic effects of cholinergic agents such as neostigmine and pyridostigmine

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7
Q

Benztropine and Truhextphenidyl

A

Muscarinic receptor antagonists

Parkinsonism, extrapyramidal disease

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8
Q

Scopolamine

A

Muscarinic receptor antagonist

Prophylactic treatment of motion sickness

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9
Q

Succinylcholine

A

Depolarizing NMJ blocking drug

Nicotinic receptor agonist

Stays bound to nicotinic receptor- leads to muscle relaxation

Can cause malignant hyperthermia
Can cause hyperkalemia- cardiac arrest

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10
Q

Dantrolene

A

Blocks Ca2+ release from sarcoplasmic reticulum and relaxes skeletal muscle

Used to treat malignant hyperthermia

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11
Q

Nicotine

A

Low dose stimulates nicotinic receptor

High dose will first induce Nn and Nm but is followed by a depolarization block at Nn and Nm

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12
Q

Reversible anticholinesterases

A
Edrophonium
Physostigmine
Pyridostigmine
Tacrine
Donepezil
Rivastigmine

Compete with ACh anionic site

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13
Q

Neostigmine

A

Anticholinesterase

Carbamylate esteratic site

Slow hydrolysis of the carbamylating drug by AChE will lead to increase ACh

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14
Q

Organophosphate inhibitors

A

Isoflurophate, echothiophate, insecticides, nerve gases

Phosphorylate esteratic site- irreversible

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15
Q

Edrophonium

A

Anticholinesterase

Quaternary ammonium
Rapid onset and short duration

Myasthenia gravis: diagnosis

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16
Q

Neostigmine

A

Anticholinesterase

Quaternary amine with long duration of action

Myasthenia gravis

17
Q

Physostigmine, tacrine, rivastigmine

A

Anticholinesterases

Lipophilic- cross BBB

Physostigmine: glaucoma
Rivastigmine: Alzheimer’s disease

18
Q

Organophosphate anticholinesterase

A

Lipid soluble- cross BBB

Echothiophate and isoflurophate: glaucoma

19
Q

Pralidoxime

A

Cholinesterase reactivator

Reactivate acetylcholinesterase following organophosphate acetylcholinesterase poisoning

Pull organophosphate off AChE