cholinomimetics Flashcards
Betanechol. direct or indirect?
direct
Carbachol. direct or indirect?
direct
Metacholine. direct or indirect?
direct
Pilocarpine. direct or indirect?
direct
Donepezil. direct or indirect?
indirect
rivastigmine. direct or indirect?
indirect
galantamine. direct or indirect?
indirect
edrophonium. direct or indirect?
indirect
neostigmine. direct or indirect?
indirect
physostigmine. direct or indirect?
indirect
pyridostigmine. direct or indirect?
indirect
Donepezil/rivastigmine/galantamine. CNS?
cross BBB
Edrophonium. CNS?
does not cross BBB
Neostigmine. CNS?
does not cross BBB
Physostigmine. CNS?
cross BBB
Pyridostigmine. CNS?
does not cross BBB
Betanechol. What receptors?
only M (all)
Carbachol. Whart receptors?
M and N
Metacholine. what receptors?
M>N
Pilocarpine. what receptors?
M
Acetylcholine. direct or indirect?
direct
Acetylcholine. what receptors?
both M and N
What for Alzheimer 1st line?
Donepezil/rivastigmine/galantamine
Postoperative and neurogenic ileus and urinary retention?
Neostigmine
Myastenia gravis. more often and less often?
more often pyridostigmine
less often neostigmine
NMJ reversal?
neostigmine
Antidote for anticholinergic toxicity (atropine)?
Physostigmine
Which drug induces muscle strenght?
pyridostigmine
which drug used with glycopyrolate/hyoscyamine/propantheline to control effect?
pyridostigmine
what is tertiary amines (lipophilic)?
cross BBB
what is quaternary amines (hydrophilic)?
does not cross BBB
tertiary - reverse both central and peripheral
quaternary - reverse only peripheral
.
Which drug stimulates M receptors in airways when inhaled?
metacholine
metacholine application?
chalenge test for diagnosis of asthma
which drug ,,copy of ACh”, but resistant to AChE?
Carbachol
Carbachol application?
constricts pupil and relieves intraocular pressure in open-angle glaucoma
chalenge test for diagnosis of asthma?
metacholine
constricts pupil and relieves intraocular pressure in open-angle glaucoma?
Carbachol
Which durg (direct) artivates bladder and bowel smooth muscles?
betanechol
betanechol application?
urinary retention;
ileus (post-op/neurologic).
urinary retention;
ileus (post-op/neurologic)
What drug?
direct - betanechol
indirect - neostigmine
potent stimulator of sweat/tears/saliva?
pilocarpine
contracts ciliary muscle –> used in open-angle glaucoma)?
pilocarpine
contracts sphincter muscle –> used in closed-angle glaucoma)?
pilocarpine
which direct drug cross BBB (tertiary amine)?
pilocarpine
which drug used in xerostomia (sjogren)?
pilocarpine