Cholingergic Pharm Flashcards
Acetylcholine
Cholinoceptor agonist
Rapidly hydrolyzed
Both muscarinic and nicotinic action
Methacholine
Cholinoceptor agonist
Moderate resistance to hydrolysis
Only muscarinic activity
Carbachol chloride
Cholinoceptor agonist
Resistant to hydrolysis (long half life)
Both muscarinic and nicotinic action
Bethanechol Chloride
Cholinoceptor agonist
Resistant to hydrolysis (long half life)
Only muscarinic action
Edrophonium
Cholinesterase inhibitor
Short half life
Simple alcohol with quaternary ammonium group
Neostigmine
Cholinesterase inhibitor
Carbamate (quaternary structure)
Insoluble in lipids
Physostigmine
Cholinesterase Inhibitor
Carbamate (tertiary structure)
Distributes in CNS
Echothiophate
Cholinesterase inhibitor
Oranophosphate
NOT well absorbed topically
Nicotine
Direct nicotinic agonist
Toxicity (acute) causes CNS stimulation, respiratory paralysis, HTN, and cardiac arrhythmias
Varenicline
Direct nicotinic agonist
Used for smoking cessation
Cevimeline
Direct muscarinic agonist
Choline ester
Pilocarpine
Direct muscarinic agonist
Alkaloid
Pyridostigmine
Cholinesterase inhibitor
Carbamate
Rivastigmine
Cholinesterase inhibitor
Carbamate
Ambenonium
Cholinesterase inhibitor
Carbamate
Demecarium
Cholinesterase inhibitor
Carbamate
Carbaryl
Cholinesterase inhibitor
Carbamate
Soman
Cholinesterase inhibitor
Organophosphate
Sarin
Cholinesterase inhibitor
Organophosphate