💊NT Termination Flashcards
AchE
breaks down Ach ↑ cholinergic transmission
↑ para
↑ NMJ actions - muscle twitches –> paralysis
Short acting Edrophonium
diagnostic, improves myasthenia gravis
Medium acting Neostigmine
reverse neuromuscular block + atonic states of GI /bladder after surgery
Long acting Organophosphorus insecticides, VX agent (Kim Jong Nam), Sarin
Irreversible, need new AchE synthesis, ∴dangerous
Reuptake inhibitors
NA terminated by reuptake then 𝔼 breakdown in terminal
Cocaine / tricyclic anti-depressants (imipramine)
❌uptake transporter
Potentiate adrenergic transmission
↑sympathetic
MAO inhibitor eg Moclobemide
Prevent NA breakdown, potentiate NA in brain
☹
SSRIs
☹– ↓ 5-HT levels in brain
eg Fluoxetine, prevent 5-HT reupatake
↑ 5-HT in synapse∴↑ neurotransmission