CHOLINOMIMETIC AGENTS Flashcards
Bethanechol
Activates bowel and bladder smooth muscle
Resistant to AChE
No nicotinic activity
Postoperative ileus
Neurogenic ileus
Urinary retention
Carbachol
Resistant to AChE
Consricts pupil and relieves IOP in open-angle glaucoma
Methacholine
Stimulates Muscuranic receptors in airway when inhaled
Challenge test for diagnosis of asthma
Pilocarpine
Contracts ciliary muscle of eye and pupillary sphincter
Resistant to AChE
Crosses BBB
potent stimiulator of sweat, tears and saliva
Open- angle and closed- angle glaucoma
Xerostomia (Sjögren syndrome)
Donepezil, rivastigmine, galantamine
⬆️ACh
Alzeheimer disease
Neostigmine
⬆️ACh
Postop and neurogenic ileus
Urinary retention
Myasthenia gravis
Reversal of NMJ blockade (postop)
Endrophonium
⬆️ACh
Uses to diagnose MG, replaced by AChR Ab
Physostigmine
⬆️ACh
Crosses BBB
Antidote for anticholinergic toxicity
Pyridostigmine
⬆️ACh
⬆️muscle strength
MG (long acting)