Cholinergic Receptor Inhibitor Flashcards
Atropine
Class: Tertiary amine antimuscarinic
Mechanism: Blocks muscarinic receptors
Therapeutics: Mydriasis; cycloplegia
Side Effects: General block of muscarinic functions
Scopolamine (Transderm-Scop)
Class: Tertiary amine antimuscarinic
Mechanism: Blocks muscarinic receptors
Therapeutics: Prevent or reduce motion sickness
Side Effects: General block of muscarinic functions
Dicyclomine (Bentyl)
Class: Tertiary amine antimuscarinic
Mechanism: Blocks muscarinic receptors
Therapeutics: Reduce transient hypermotility
Side Effects: General block of muscarinic functions
Tropicamide (Mydriacyl)
Class: Tertiary amine antimuscarinic
Mechanism: Blocks muscarinic receptors
Therapeutics: Mydriasis; cycloplegia
Side Effects: General block of muscarinic functions
Tolterodine (Detrol)
Class: Tertiary amine antimuscarinic
Mechanism: Blocks muscarinic receptors
Therapeutics: Treat transient cystitis; postoperative bladder spasms; incontinence
Side Effects: General block of muscarinic functions
Benztropine (Cogentin)
Class: Tertiary amine antimuscarinic
Mechanism: Blocks muscarinic receptors
Therapeutics: Treat manifestations of Parkinson’s disease
Side Effects: General block of muscarinic functions
Ipratropium (Atrovent)
Class: Quarternary amine antimuscarinic
Mechanism: Blocks muscarinic receptors
Therapeutics: Bronchodilation in asthma or COPD
Side Effects: General block of muscarinic functions
Tiotropium (Spiriva)
Class: Quarternary amine antimuscarinic
Mechanism: Blocks muscarinic receptors
Therapeutics: Bronchodilation in asthma or COPD
Side Effects: General block of muscarinic functions
Hexamethonium (Methium)
Class: Ganglionic blocker
Mechanism: Blocks ganglionic (Nn) receptor
Therapeutics: Hypertensive crisis; “Bloodless” field surgery
Succinylcholine (Anectine)
Class: Depolarizing blocker
Mechanism: Overstimulation of nicotinic receptor, leading to desensitization of muscle unit to further ACh stimulation
Therapeutics: Brief procedures (e.g., tracheal intubation, reset dislocated joints)
Side Effects: Respiratory paralysis; disturbance of autonomic function
Tubocurarine (Curare)
Class: Nondepolarizing blocker
Mechanism: Blocks nicotinic (Nm) receptor
Therapeutics: Muscle relaxant for surgery w/o deep anesthesia
Side Effects: Respiratory paralysis; disturbance of autonomic function
Mivacurium (Mivacron)
Class: Nondepolarizing blocker
Mechanism: Blocks nicotinic (Nm) receptor
Therapeutics: Muscle relaxant for surgery w/o deep anesthesia
Side Effects: Respiratory paralysis; disturbance of autonomic function
Botulinum toxin A (Botox)
Class: Local paralytic
Mechanism: Blocks vesicle fusion and ACh release on presynaptic terminal by degrading SNAP-25
Therapeutics: Reduce frown lines and wrinkles; achalasia; strabismus; oromandibular dystonia