NeuroPharmacology Flashcards
What is the therapeutic action (ThA) of Adrenergic (SNS) Agonist on GI/GU? Be sure to mention the receptors. (3)
- beta 2-3: smooth muscle relaxation (bladder)
- alpha 1: close sphincter –> promote continence
- beta 2: uterine relaxation –> premature labor
ThA of PNS Agonist on GI/GU? (3)
- M: increase salivation [Xerostomia]
- M: increase detrusor contraction [increase urinary flow]
- M: increase motility [paralytic ileus]
Side effects (SE) of PNS agonist on GI/GU? (1)
Diarrhea
SE of PNS Antagonist on GI/GU? (3)
- Dry mouth
- Urinary hesitancy-retention
- Constipation
ThA of PNS Antagonist on GI/GU? (3)
- Decrease salivation [create dry field]
- Block Detrusor [overactive bladder]
- Decrease GI motility [diarrhea]
ThA of SNS Antagonist on GI/GU? (1)
alpha 1: open sphincter (ease voiding) [Micturition Disorders, BPH]
What are the drawbacks of using atropine as treatment of cholinesterase inhibitor?
- Nerve gas toxicity
- Mushroom toxicity
- Nerve gas toxicity: at Muscarinic only, NOT effect at NMJ
2. NOT effective at muscarine
Adverse reaction of Direct-acting Cholinergic Agonist?
Hint: SLUDGE
S - Salivation L - Lacrimation U - Urination D - Defecation G - GI --> cramping, emesis E - Eye --> miosis
Antidote for excessive muscarinic receptor stimulation? (1)
Atropine
List of organs in order of most sensitive to least sensitive to muscarinic blocking agents.
- Exocrine gland –> dry mouth
- Sweat gland –> increased body temperature
- Heart –> tachycardia
- Eye –> blurred vision, increased IOP
- Lung –> bronchodilation
- Genitourinary tract –> urinary retention
- Gastrointestinal tract –> constipation
- CNS effects
- Overdose toxicity (infants and children especially) –> high fever
List 2 contraindications to use cholinergic antagonist?
- Glaucoma - may cause blindness in acute narrow angle glaucoma
- Benign prostatic hyperplasia - aggravate symptoms of urinary retention
Pilocarpine & Bethanechol
PNS Agonist (M)
Neostigmine
PNS Agonist (AChE in)
Pyridostigmine
PNS Agonist (AChE in)
Edrophonium
PNS Agonist (AChE in)
Physostigmine (Eg: Donepezil)
PNS Agonist (AChE in)
Organophosphate Nerve Gas
PNS Agonist (AChE in)