Direct Acting Parasympathomimetics. Flashcards

1
Q

What receptors are affected by carbachol?

A

Carbachol is a potent muscarinic and nicotinic agonist.

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2
Q

Why does carbachol have a long duration of action?

A

As it is resistant to breakdown by ACHE.

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3
Q

What are the effects of acetylcholine?

A

It stimulates the autonomic ganglia to release ACH.

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4
Q

Carbachol can be given to treat what 3 conditions?

A

Rumen atony and impaction in cattle.

Impaction colic in horses.

Glaucoma in dogs.

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5
Q

What is rumen atony?

A

When there is loss of tonicitiy of the rumenal muscles leading to colic.

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6
Q

Why should carbachol not be the 1st drug of choice when dealing with colics?

A

As it is not the safest to use and it is advisable to start with a safer drug.

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7
Q

How does carbachol treat galucoma in dogs?

A

It causes contraction of the muscles of the eye and a loss of ocular fluid.

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8
Q

What kind of receptors are stimulated by bethanecol?

A

Muscarinic receptors.

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9
Q

Why is bethanecol a very long acting drug?

A

It is resistant to breakdown by ACHE.

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10
Q

What conditions is bethanecol used to treat?

A

GI Paralytic ileus.

Urinary retention due to failure of bladder muscles to contract.

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11
Q

Bethanecol should only be used when?

A

When there is no obstruction in the GI tract as it stimulates GI motility.

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12
Q

How does betahnecol help animals with bladder muscle weaknesses to pee?

A

It increases tonicity in bladder muscles so that the animal can urinate.

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13
Q

What is paralytic ileus?

A

Weakness of the GI muscles.

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14
Q

What are 3 naturally occurring parasympathomimetics?

A

Pilocarpine.

Muscarine.

Arecoline.

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15
Q

What receptors are affected by pilocarpine?

A

It is a muscarinic receptor agonist.

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16
Q

What conditions is pilocarpine often used to treat?

A

Eye conditions such as glaucoma and an inability to produce tears.

17
Q

What kind of muscarinic receptors will pilocarpine act on?

A

M3 receptors.

18
Q

How does pilocarpine treat glaucoma?

A

It causes contraction of the iris and the lens.

19
Q

What is keratoconjunctivitis sicca?

A

An inability to produce tears.

20
Q

What 3 conditions are carbachol and bethanecol used to treat?

A

GI atony.

Paralytic ileus.

Impaction colic.

21
Q

What 4 conditions can bethanecol be used to treat?

A

GI atony.

Paralytic ileus.

Impaction colic.

Problems with the detrusor muscle of the bladder.

22
Q

What parasympathomimetic can be used to treat glaucoma?

A

Pilocarpine and carbachol.

23
Q

What are the adverse effects of parasympathomimetics?

A

Bronchoconstriction.

Bradycardia.

Miosis.

Increased gland secretions.

Vomiting diarrhoea.

Urinary incontinence.