Section 2: Autonomics Flashcards
Hemicholinium
Class: ACh reuptake inhibitor
Botulinum toxin
Class: ACh release inhibitor
Mech: inhibits SNARE proteins
Bethanachol
Class: Direct-acting cholimimetic
Use: Ileus, urinary retention
Methacholine
Class: direct-acting cholimimetic
Use: Dx bronchial hyperreactivity
Pilocarpine
Class: Direct-acting cholimimetic
Use: Glaucoma (topical), xerostomia
Edrophonium
Class: AChEI
Use: Dx myasthenia gravis
Physostigmine
Class: AChEI
Use: Glaucoma, antidote for atropine OD
Note: Tertiary amine, enters CNS
Neostigmine
Class: AChEI
Use: Ileus, urinary retention, myasthenia gravis, reversal of non-depolarizing NMJ blockers
Pyridostigmine
Class: AChEI
Use: Ileus, urinary retention, myasthenia gravis, reversal of non-depolarizing NMJ blockers
Donepezil
Class: AChEI
Use: Alzheimer disease
Note: Lipid soluble, enters CNS
Organophosphates
Class: AChEI
Use: Glaucoma (echothiophate)
Note: Lipid soluble, irreversible inhibitors
Atropine
Class: M receptor antagonists
Use: Antispasmodic, antisecretory, AChE OD, antidiarrheal, ophthalmology
Tropicamide
Class: M receptor antagonists
Use: Ophthalmology
Ipratropium, tiotropium
Class: M receptor antagonists
Use: Asthma & COPD (inhaled)
Scopolamine
Class: M receptor antagonists
Use: Motion sickness
S/E: Sedation, short-term memory block
Benztropine
Class: M receptor antagonists
Use: Parkinsonism, acute extrapyramidal symptoms induced by antipsychotics
Trihexphenidyl
Class: M receptor antagonists
Use: Parkinsonism, acute extrapyramidal symptoms induced by antipsychotics
Hexamethonium
Class: Ganglion blocker