Cholinoreceptor Activating and Cholinesterase inhibiting Drugs Flashcards
Direct Acting Muscarinic
M and N receptors
Miotic during Ocular Surgery
Acetylcholinesterase
Direct Acting Muscarinic
M receptors ONLY
BOWEL AND BLADDER ATONY
Bethanicol
Direct Acting Muscarinic
M and N receptors
GLAUCOMA
Carbachol
Direct Acting Muscarinic
M3 Receptors Only
Glaucoma, Sjogren, Sicca
Pilocarpine - Pirlo’s car in Seville is an M3
Activates M3 receptors in ciliary muscle, inc aquaeous humor and salivary glands
Pilocarpine
Activates Nn and Nm
For Smoking cessation
Nicotine
Selective partial agonist at nicotinic receptors
Varenicline
Fasciculation, Paralysis. Convulsion followed by CNS depression
Nicotinic Toxicity
Indirect acting Cholinomimetics
Edrophonium
Neostigmine
Rivastigmine
Donepezil
I drop ni Neo si Riva kasi malilimutin siya that’s why hes done
Tensilon Test - MG diagnostic
Edrophonium
Improves muscle strength - Myasthenic Crisis
Weakens - Cholinergic crisis
Myasthenia gravis tx
Neostigmine
Blocks Muscarinic effects of Neostigmine
Atropine
Organophosphates -> AcHase inhibitor
Malathion
Parathion
Indirect acting Cholinomimetics
For Alzheimer’s Disease
Rivastigmine
Indirect acting Cholinomimetics
Combined with Memantine for Alzhemiers
Donepezil
Organophosphate Poisoning
DUMBBELSS Diarrhea Urination Miosis Bronchospasm Bradycardia Excitation of CNS Lacrimation Salivation Sweating
Blocks ALL muscarinic receptors
First Choice Drug for Organophosphate poisoning
Atropine
Side effect of atropine
Hyperthermia
Cholinesterase regenerator
Antidote for Cholinesterase Inhibitor Poisoning (Early- within 6-8 hours)
Pralidoxime
Prototype NONSELECTIVE muscarinic blocker
Atropine
Plant where atropine is derived from
Atropa belladonna (Deadly Nightshade)
Muscarinic antagonist
Used for Parkinson’s Disease
Benztropine
Biperiden
Trihexphenidyl
Sa Music Park Beep me to try our Bento
Muscarinic Antagonist
For acute asthma and COPD
Ipratropium
Asthmatic cop is a prat
Muscarinic Antagonist
For acute asthma and COPD
Does not cross BBB
May be used as Monotherapy in COPD
Glycopyrronium
Muscarinic Antagonist
For motion sickness
Scopolamine
Scoop me when im having motion sickness
Blocks M3
For Irritable Bowel Syndrome
Dicyclomine
I ate 3 dice that made my bowel irritable
Blocks M3
Reduces Detrusor muscle tone
For urge incontinence
Oxybutinin
Ox butt prevents me from urinating
Atropine Toxicity
RED MAD HOT BLIND DRY
Red is Mad Hot but is Blind and Dry
Contraindications of Muscarinic Blockers
Infants
Acute angle closure glaucoma
BPH
Infants are cute angels with BPH
Nicotinic Antagonist
Completely blocks Nn and Ach receptors
For Hypertension (Obsolete), Hypertensive emergencies
Hexamethonium
Fastest neuromuscular blocker - Depolarizing
Succinylcholine
Pag nagDEPOsit ka sa toilet Success yan